NOD2 通过加重炎症和足细胞胰岛素抵抗促进糖尿病肾病的肾损伤。
NOD2 promotes renal injury by exacerbating inflammation and podocyte insulin resistance in diabetic nephropathy.
机构信息
Department of Pharmacology, Shandong University School of Medicine, Jinan, Shandong, People's Republic of China.
出版信息
Kidney Int. 2013 Aug;84(2):265-76. doi: 10.1038/ki.2013.113. Epub 2013 Apr 17.
An increasing number of clinical and animal model studies indicate that activation of the innate immune system and inflammatory mechanisms are important in the pathogenesis of diabetic nephropathy. Nucleotide-binding oligomerization domain containing 2 (NOD2), a member of the NOD-like receptor family, plays an important role in innate immune response. Here we explore the contribution of NOD2 to the pathogenesis of diabetic nephropathy and found that it was upregulated in kidney biopsies from diabetic patients and high-fat diet/streptozotocin-induced diabetic mice. Further, NOD2 deficiency ameliorated renal injury in diabetic mice. In vitro, NOD2 induced proinflammatory response and impaired insulin signaling and insulin-induced glucose uptake in podocytes. Moreover, podocytes treated with high glucose, advanced glycation end-products, tumor necrosis factor-α, or transforming growth factor-β (common detrimental factors in diabetic nephropathy) significantly increased NOD2 expression. NOD2 knockout diabetic mice were protected from the hyperglycemia-induced reduction in nephrin expression. Further, knockdown of NOD2 expression attenuated high glucose-induced nephrin downregulation in vitro, supporting an essential role of NOD2 in mediating hyperglycemia-induced podocyte dysfunction. Thus, NOD2 is one of the critical components of a signal transduction pathway that links renal injury to inflammation and podocyte insulin resistance in diabetic nephropathy.
越来越多的临床和动物模型研究表明,固有免疫系统的激活和炎症机制在糖尿病肾病的发病机制中起着重要作用。核苷酸结合寡聚化结构域包含 2(NOD2),是 NOD 样受体家族的一员,在先天免疫反应中发挥重要作用。在这里,我们探讨了 NOD2 对糖尿病肾病发病机制的贡献,发现它在糖尿病患者的肾活检组织和高脂肪饮食/链脲佐菌素诱导的糖尿病小鼠中上调。此外,NOD2 缺乏可改善糖尿病小鼠的肾脏损伤。在体外,NOD2 诱导足细胞的促炎反应,并损害胰岛素信号和胰岛素诱导的葡萄糖摄取。此外,高葡萄糖、晚期糖基化终产物、肿瘤坏死因子-α或转化生长因子-β(糖尿病肾病的常见有害因素)处理的足细胞显著增加了 NOD2 的表达。NOD2 敲除糖尿病小鼠免受高血糖诱导的nephrin 表达减少的影响。此外,体外敲低 NOD2 表达可减轻高葡萄糖诱导的 nephrin 下调,这支持了 NOD2 在介导高血糖诱导的足细胞功能障碍中的重要作用。因此,NOD2 是将肾脏损伤与炎症和糖尿病肾病中足细胞胰岛素抵抗联系起来的信号转导途径的关键组成部分之一。