Fig. 8: Transport mechanism.

A Mechanism flow diagram. Under physiological conditions (non diabetic), most miR-483 (miR-483-5p) remained in the renal tubular epithelial cells, and only a small amount of miR-483 was encapsulated into MVB (multivesicular body, vesicles) and was secreted into the extracellular through exosomes. Therefore, the intracellular miR-483 blocked ECM synthesis by restraining the TIMP2/MAPK1 pathway; Under pathological conditions, most miR-483 was encapsulated into MVB and was secreted into the extracellular domain through exosomes and transferred into the urine. Therefore, miR-483 was highly expressed in the urinary exosomes, and the lack of miR-483 in renal tubular epithelial cells led to the activation of the TIMP2/MAPK1 pathway, thus promoting ECM synthesis. B Pearson correlation coefficient analysis of the correlation between urinary ACR and urinary exosome miR-483-5p. Pearson correlation coefficient analysis of three independent experiments.