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黄芪甲苷通过体内和体外阻断 TGF-β/Smad 信号通路抑制肾小管间质纤维化。

Astragaloside IV inhibits renal tubulointerstitial fibrosis by blocking TGF-β/Smad signaling pathway in vivo and in vitro.

机构信息

Laboratory of Renal Disease, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, China.

Department of Nephrology, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, China.

出版信息

Exp Biol Med (Maywood). 2014 Oct;239(10):1310-24. doi: 10.1177/1535370214532597. Epub 2014 May 30.

Abstract

Astragaloside IV (AS-IV) is a major active ingredient from Radix astragali, which has been considered as a renoprotective agent; however, its molecular mechanisms are unclear. Thus, we designed to investigate the renoprotective effects and mechanisms of AS-IV in rat model of renal fibrosis induced by unilateral ureteral obstruction (UUO) in vivo and TGF-β1-stimulated rat renal fibroblasts (NRK-49F) in vitro. Sprague-Dawley rats were randomly divided into six groups: sham operation, UUO, UUO/AS-IV (3.3, 10, 33 mg·kg(-1)·d(-1)), and UUO/enalapril (4 mg·kg(-1)·d(-1)). Renal function, tubulointerstitial damage index score, extracellular matrix (ECM) deposition, and the expressions of TGF-β1, connective tissue growth factor (CTGF), α-SMA, fibronectin, collagen I, III, Smad2/3, phosphorylated-Smad2/3, and Smad7 were measured. In addition, the expressions of CTGF, α-SMA, fibronectin, collagen I, III, Smad2/3, phosphorylated-Smad2/3, and Smad7 were measured in TGF-β1-stiumlated NRK-49F cell line. AS-IV significantly decreased UUO-induced renal fibrosis and functional impairment, which are associated with inhibition of TGF-β1, CTGF, α-SMA, and collagen matrix expression, and a decrease in serum creatinine and urea nitrogen. The renoprotective effects of AS-IV on fibrosis were associated with up-regulation of Smad7, thereby blocking up-regulations of TGF-β1, CTGF, and α-SMA, and activation of phosphorylated-Smad2/3. These effects were further conformed in NRK-49F cell line stimulated by TGF-β1. Moreover, knockdown of Smad7 gene in NRK-49F cells was able to prevent AS-IV-induced inhibition to Smad2/3 signaling activation, expression of CTGF, α-SMA, and ECM proteins in response to TGF-β1. Renal tubulointerstitial fibrosis was attenuated by treatment with AS-IV, which was closely related to induction of Smad7, thereby inhibiting TGF-β/Smad signaling.

摘要

黄芪甲苷(AS-IV)是黄芪的主要活性成分,被认为是一种肾保护剂;然而,其分子机制尚不清楚。因此,我们设计了体内单侧输尿管梗阻(UUO)诱导的大鼠肾纤维化模型和体外转化生长因子-β1 刺激的大鼠肾成纤维细胞(NRK-49F)来研究 AS-IV 的肾保护作用及其机制。Sprague-Dawley 大鼠随机分为六组:假手术、UUO、UUO/AS-IV(3.3、10、33mg·kg-1·d-1)和 UUO/依那普利(4mg·kg-1·d-1)。测量肾功能、肾小管间质损伤指数评分、细胞外基质(ECM)沉积以及 TGF-β1、结缔组织生长因子(CTGF)、α-SMA、纤维连接蛋白、胶原 I、III、Smad2/3、磷酸化 Smad2/3 和 Smad7 的表达。此外,还测量了 TGF-β1 刺激的 NRK-49F 细胞系中 CTGF、α-SMA、纤维连接蛋白、胶原 I、III、Smad2/3、磷酸化 Smad2/3 和 Smad7 的表达。AS-IV 可显著降低 UUO 诱导的肾纤维化和功能障碍,这与抑制 TGF-β1、CTGF、α-SMA 和胶原基质表达以及降低血清肌酐和尿素氮有关。AS-IV 对纤维化的肾保护作用与 Smad7 的上调有关,从而阻断 TGF-β1、CTGF 和 α-SMA 的上调以及磷酸化 Smad2/3 的激活。这些作用在 TGF-β1 刺激的 NRK-49F 细胞系中得到进一步证实。此外,在 NRK-49F 细胞中敲低 Smad7 基因能够阻止 AS-IV 诱导的 TGF-β/Smad 信号转导激活、CTGF、α-SMA 和 ECM 蛋白表达的抑制。AS-IV 治疗可减轻肾小管间质纤维化,这与诱导 Smad7 密切相关,从而抑制 TGF-β/Smad 信号。

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