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过氧化物酶体增殖物激活受体 δ 通过 P38 MAPK 通路防止肥胖相关性肾小球病。

Peroxisome proliferator-activated receptor delta protects against obesity-related glomerulopathy through the P38 MAPK pathway.

机构信息

Center for Hypertension and Metabolic Diseases, Department of Hypertension and Endocrinology, Chongqing Hypertension Institut, Chongqing 400042, China.

出版信息

Obesity (Silver Spring). 2013 Mar;21(3):538-45. doi: 10.1002/oby.20103.

Abstract

OBJECTIVE

Obesity is a prominent component of metabolic syndrome and a major risk factor for renal disease. The aim of this study was to explore the effect of cross-talk between peroxisome proliferator-activated receptor (PPAR)δ and p38 mitogen-activated protein kinase (p38 MAPK) on obesity-related glomerulopathy.

DESIGN AND METHODS

Male Wistar rats were randomly assigned to standard laboratory chow or a high-fat diet for 32 weeks. Glomerular mesangial cells HBZY-1 and mature differentiation 3T3-L1 cells were cocultured and were transfected with PPARδ-expressing vectors or treated with agonist or inhibitor of PPARδ or p38 MAPK.

RESULTS

Rats on a high-fat diet showed typical characteristics of metabolic syndrome including obesity, dyslipidemia, insulin resistance, and hypertension. Rats on a high-fat diet also had significant glomerular hypertrophy and extracellular matrix accumulation, which were accompanied by increased p38 MAPK phosphorylation and decreased PPARδ expression in the kidney tissue. The roles of p38 MAPK and PPARδ in a coculture system of mesangial cells and mature differentiation 3T3-L1 cells were further explored. PPARδ suppression promoted laminin and type IV collagen secretion through p38 MAPK phosphorylation in mesangial cells, whereas PPARδ overexpression or PPARδ agonist attenuated phosphorylation of p38 MAPK and laminin and type IV collagen secretion.

CONCLUSIONS

The characteristics of obesity-related glomerulopathy, which might be partly caused by PPARδ suppression-induced p38 MAPK activation and laminin and type IV collagen secretion was demonstrated.

摘要

目的

肥胖是代谢综合征的一个突出组成部分,也是肾脏疾病的主要危险因素。本研究旨在探讨过氧化物酶体增殖物激活受体(PPAR)δ与丝裂原活化蛋白激酶 p38(p38 MAPK)之间的相互作用对肥胖相关性肾小球病的影响。

设计和方法

雄性 Wistar 大鼠随机分为标准实验室饲料组或高脂肪饮食组,喂养 32 周。肾小球系膜细胞 HBZY-1 和成熟分化 3T3-L1 细胞共培养,并转染 PPARδ 表达载体或用 PPARδ 激动剂或抑制剂或 p38 MAPK 抑制剂处理。

结果

高脂肪饮食组大鼠表现出典型的代谢综合征特征,包括肥胖、血脂异常、胰岛素抵抗和高血压。高脂肪饮食组大鼠还出现明显的肾小球肥大和细胞外基质积聚,同时伴有肾脏组织中 p38 MAPK 磷酸化增加和 PPARδ 表达减少。进一步探讨了 p38 MAPK 和 PPARδ 在系膜细胞和成熟分化 3T3-L1 细胞共培养系统中的作用。PPARδ 抑制通过系膜细胞中 p38 MAPK 磷酸化促进层粘连蛋白和型胶原 IV 的分泌,而 PPARδ 过表达或 PPARδ 激动剂则减弱 p38 MAPK 的磷酸化和层粘连蛋白和型胶原 IV 的分泌。

结论

肥胖相关性肾小球病的特征部分可能是由于 PPARδ 抑制诱导的 p38 MAPK 激活和层粘连蛋白和型胶原 IV 的分泌所致。

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