Objective:To observe the effects of transfection of Gremlin plasmid and Gremlin siRNA plasmid in vitro on expression of mouse mesangial cells(MMCs),bromodeoxyuridine(BrdU) and collagen Ⅳ. Methods:Cultured MMCs were divided into 7 groups:normal glucose group(NG,5.5 mmol/L),normal glucose plus mannitol group(NG+M,24.5 mmol/L mannitol),normal glucose plus emp-ty vector group(NG+V),normal glucose plus Gremlin expression plasmid group(NG+P)/normal glucose plus Gremlin siRNA plas-mid group(NG+Gremlin si),high glucose group(HG,30 mmol/L),high glucose plus empty vector group(HG+V) and high glucose plus Gremlin expression plasmid group(HG+P)/high glucose plus Gremlin siRNA plasmid group(HG+Gremlin si). Cell proliferation was examined using BrdU ELISA and accumulation of collagen Ⅳ was measured using radioimmunoassay at 24 h after high glucose stimulation. Results:Expression of BrdU and collagen Ⅳ in the supernatant was increased in NG+P and HG group compared with that in NG group(all P=0.000). Expression of BrdU and collagen Ⅳ was up-regulated in HG+P group than in HG group(all P=0.000). Inhibition of Gremlin with Gremlin siRNA plasmid reversed HG-induced abnormalities(increase in BrdU expression and collagen Ⅳ concentration)(all P=0.000). Conclusions:Gremlin induces cell proliferation and accumulation of collagen Ⅳ in MMCs.Gremlin plays an important role in the development of diabetic nephropathy.