Khan Sabbir, Jena Gopabandhu, Tikoo Kulbhushan, Kumar Vinod
Facility for Risk Assessment and Intervention Studies, Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research, Sector 67, S.A.S. Nagar, Punjab 160062, India.
Laboratory of Epigenetics and Diseases, Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research, Sector 67, S.A.S. Nagar, Punjab 160062, India.
Biochimie. 2015 Mar;110:1-16. doi: 10.1016/j.biochi.2014.12.015. Epub 2015 Jan 5.
Epigenetic modifications are increasingly recognized to play a significant contribution in diabetic nephropathy (DN). Histone deacetylases (HDACs) are the emerging target in the pathogenesis and progression of DN. Valproic acid (VPA), a widely used anti-epileptic drug and has been proven as an HDAC inhibitor. This study was aimed to evaluate the protective roles of VPA on HDAC-mediated NF-κB/iNOS signaling and autophagy in DN. Diabetes was induced by a single injection of STZ (50 mg/kg), whereas VPA at the doses of 150 and 300 mg/kg/day for 8 weeks was administered by oral route in Sprague-Dawley rat. Blood and urine were collected before animal were sacrificed, while kidneys were dissected after sacrificed. The podocyte and renal injuries were assessed using biochemical markers, histology, podocyte effacement, DNA damage and apoptosis as well as protein expression evaluation. VPA treatment improves the plasma and urinary biomarkers of renal function, decreased expression of iNOS, 3-nitrotyrosine, NF-κB, p-NF-κB, HDAC4/5, calmodulin, calbindin, apoptosis and DNA damage. Further, VPA treatment increased histone acetylation and ameliorated the histological alterations and podocyte effacement. Interestingly, VPA treatment also restored diabetes-associated perturbations in autophagy by HDAC inhibition. To the best of our knowledge, this is the first report, which highlights the beneficial role of VPA in DN. The present results clearly exhibited that VPA treatment ameliorates the podocyte and renal injuries mainly by facilitating the autophagy and inactivation of NF-κB/iNOS signaling. The present findings demonstrated that VPA may be useful in the treatment of DN, since the present experimental doses are clinically relevant.
表观遗传修饰在糖尿病肾病(DN)中的重要作用日益受到认可。组蛋白去乙酰化酶(HDACs)是DN发病机制和进展过程中新兴的靶点。丙戊酸(VPA)是一种广泛使用的抗癫痫药物,已被证实为一种HDAC抑制剂。本研究旨在评估VPA对HDAC介导的NF-κB/iNOS信号通路和自噬在DN中的保护作用。通过单次注射链脲佐菌素(STZ,50mg/kg)诱导糖尿病,而在Sprague-Dawley大鼠中,以150和300mg/kg/天的剂量口服VPA,持续8周。在处死动物前采集血液和尿液,处死动物后解剖肾脏。使用生化标志物、组织学、足细胞消失、DNA损伤和凋亡以及蛋白质表达评估来评估足细胞和肾脏损伤。VPA治疗改善了肾功能的血浆和尿液生物标志物,降低了iNOS、3-硝基酪氨酸、NF-κB p-NF-κB、HDAC4/5、钙调蛋白、钙结合蛋白、凋亡和DNA损伤的表达。此外,VPA治疗增加了组蛋白乙酰化,并改善了组织学改变和足细胞消失。有趣的是,VPA治疗还通过抑制HDAC恢复了糖尿病相关的自噬紊乱。据我们所知,这是第一份强调VPA在DN中有益作用的报告。目前的结果清楚地表明,VPA治疗主要通过促进自噬和使NF-κB/iNOS信号通路失活来改善足细胞和肾脏损伤。目前的研究结果表明,VPA可能对DN的治疗有用,因为目前的实验剂量与临床相关。
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