Department of Medicine, University of Melbourne, St. Vincent's Hospital, Melbourne, Victoria, Australia.
Nephrology (Carlton). 2011 Sep;16(7):649-55. doi: 10.1111/j.1440-1797.2011.01475.x.
Activation of protein kinase C (PKC) has been implicated in the pathogenesis of diabetic nephropathy where therapy targeting the β isoform of this enzyme has been examined. However, PKC-β is also increased in various forms of human glomerulonephritis, including IgA nephropathy. Accordingly, we sought to examine the effects of PKC-β inhibition in the Thy1.1 model of mesangial proliferative glomerulonephritis.
Following administration of monoclonal OX-7, anti-rat Thy-1.1 antibody, Male Wistar rats were randomized to receive either the PKC-β inhibitor, ruboxistaurin (10 mg/kg per day in chow) or vehicle. Animals were then examined 6 days later.
PKC-β inhibition was associated with reductions in mesangial cellularity and extracellular matrix deposition. Proteinuria was, however, unaffected. In vitro, PKC-β inhibition showed modest, dose-dependent reductions in mesangial cell (3) H-thymidine and (3) H-proline incorporations, indices of cell proliferation and collagen synthesis, respectively.
The amelioration of the pathological findings of experimental mesangial proliferative glomerulonephritis by PKC-β inhibition suggests the potential clinical utility of this approach as a therapeutic strategy in non-diabetic glomerular disease.
蛋白激酶 C(PKC)的激活与糖尿病肾病的发病机制有关,针对该酶β 同工型的治疗方法已被研究。然而,PKC-β 在各种形式的人类肾小球肾炎中也会增加,包括 IgA 肾病。因此,我们试图在系膜增殖性肾小球肾炎的 Thy1.1 模型中研究 PKC-β 抑制的效果。
在给予单克隆 OX-7、抗大鼠 Thy-1.1 抗体后,雄性 Wistar 大鼠随机分为接受 PKC-β 抑制剂罗格列酮(每日 10mg/kg 混入饲料中)或载体组。然后在 6 天后检查动物。
PKC-β 抑制与系膜细胞数量和细胞外基质沉积减少有关。然而,蛋白尿不受影响。体外,PKC-β 抑制表现出适度、剂量依赖性地降低系膜细胞(3)H-胸腺嘧啶和(3)H-脯氨酸掺入,分别为细胞增殖和胶原合成的指标。
PKC-β 抑制改善实验性系膜增殖性肾小球肾炎的病理发现表明,这种方法作为非糖尿病性肾小球疾病的治疗策略具有潜在的临床应用价值。