利拉鲁肽通过蛋白激酶 A 介导的抑制肾脏 NAD(P)H 氧化酶减轻链脲佐菌素诱导的糖尿病大鼠的氧化应激和白蛋白尿。

GLP-1 analog liraglutide protects against oxidative stress and albuminuria in streptozotocin-induced diabetic rats via protein kinase A-mediated inhibition of renal NAD(P)H oxidases.

机构信息

Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

出版信息

Metabolism. 2012 Oct;61(10):1422-34. doi: 10.1016/j.metabol.2012.03.002. Epub 2012 May 1.

Abstract

Accumulating evidence has implicated that GLP-1 may have a beneficial effect on cardiovascular and renal diseases but the mechanism is not fully understood. Here we show that GLP-1 analog, liraglutide, inhibits oxidative stress and albuminuria in streptozotocin (STZ)-induced type 1 diabetes mellitus rats, via a protein kinase A (PKA)-mediated inhibition of renal NAD(P)H oxidases. Diabetic rats were randomly treated with subcutaneous injections of liraglutide (0.3 mg/kg/12 h) for 4 weeks. Oxidative stress markers (urinary 8-hydroxy-2'-deoxyguanosine and renal dihydroethidium staining), expression of renal NAD(P)H oxidase components, transforming growth factor-β (TGF-β), fibronectin and urinary albumin excretion were measured. In vitro effect of liraglutide was evaluated using cultured renal mesangial cells. Administration of liraglutide did not affect plasma glucose levels or body weights in STZ diabetic rats, but normalized oxidative stress markers, expression of NAD(P)H oxidase components, TGF-β, fibronectin in renal tissues and urinary albumin excretion, all of which were significantly increased in diabetic rats. In addition, in cultured renal mesangial cells, incubation with liraglutide for 48 h inhibited NAD(P)H-dependent superoxide production evaluated by lucigenin chemiluminescence in a dose-dependent manner. This effect was reversed by both PKA inhibitor H89 and adenylate cyclase inhibitor SQ22536, but not by Epac2 inhibition via its small interfering RNA. Liraglutide may have a direct beneficial effect on oxidative stress and diabetic nephropathy via a PKA-mediated inhibition of renal NAD(P)H oxidase, independently of a glucose-lowering effect.

摘要

越来越多的证据表明 GLP-1 可能对心血管和肾脏疾病有益,但机制尚不完全清楚。在这里,我们表明 GLP-1 类似物利拉鲁肽通过蛋白激酶 A(PKA)介导的抑制肾脏 NAD(P)H 氧化酶来抑制链脲佐菌素(STZ)诱导的 1 型糖尿病大鼠的氧化应激和白蛋白尿。糖尿病大鼠随机接受皮下注射利拉鲁肽(0.3 mg/kg/12 h)4 周。测量氧化应激标志物(尿 8-羟基-2'-脱氧鸟苷和肾二氢乙啶染色)、肾 NAD(P)H 氧化酶成分、转化生长因子-β(TGF-β)、纤维连接蛋白和尿白蛋白排泄的表达。使用培养的肾系膜细胞评估利拉鲁肽的体外作用。利拉鲁肽给药不会影响 STZ 糖尿病大鼠的血浆葡萄糖水平或体重,但可使氧化应激标志物、NAD(P)H 氧化酶成分、TGF-β、纤维连接蛋白在肾脏组织和尿白蛋白排泄中的表达正常化,所有这些在糖尿病大鼠中均显著增加。此外,在培养的肾系膜细胞中,利拉鲁肽孵育 48 小时以剂量依赖的方式抑制依赖 NAD(P)H 的超氧化物产生,通过荧光素化学发光评估。该作用可被 PKA 抑制剂 H89 和腺苷酸环化酶抑制剂 SQ22536 逆转,但不能通过其小干扰 RNA 抑制 Epac2 来逆转。利拉鲁肽可能通过 PKA 介导的抑制肾脏 NAD(P)H 氧化酶对氧化应激和糖尿病肾病产生直接有益作用,而不依赖于降低血糖作用。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索