Lu Jiamei, Shi Jianhua, Li Manxiang, Gui Baosong, Fu Rongguo, Yao Ganglian, Duan Zhaoyang, Lv Zhian, Yang Yanyan, Chen Zhao, Jia Lining, Tian Lifang
Department of Nephrology Diseases, The Second Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, Shaanxi 710004, PR China.
Department of Hepatobiliary Surgery, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, Shaanxi 710061, PR China.
Life Sci. 2015 Apr 15;127:59-65. doi: 10.1016/j.lfs.2015.01.042. Epub 2015 Mar 2.
To clarify whether activation of adenosine monophosphate-activated protein kinase (AMPK) by metformin inhibits transforming growth factor beta (TGF-β)-induced collagen production in primary cultured mouse renal fibroblasts and further to address the molecular mechanisms.
Primary cultured mouse renal fibroblasts were stimulated with TGF-β1 and the sequence specific siRNA of Smad3 or connective tissue growth factor (CTGF) was applied to investigate the involvement of these molecular mediators in TGF-β1-induced collagen type I production. Cells were pre-incubated with AMPK agonist metformin or co-incubated with AMPK agonist metformin and AMPK inhibitor Compound C before TGF-β1 stimulation to clarify whether activation of AMPK inhibition of TGF-β1-induced renal fibroblast collagen type I expression.
Our results demonstrate that TGF-β1 time- and dose-dependently induced renal fibroblast collagen type I production; TGF-β1 also stimulated Smad3-dependent CTGF expression and caused collagen type I generation; this effect was blocked by knockdown of Smad3 or CTGF. Activation of AMPK by metformin reduced TGF-β1-induced collagen type I production by suppression of Smad3-driven CTGF expression.
This study suggests that activation of AMPK might be a novel strategy for the treatment of chronic kidney disease (CKD) partially by inhibition of renal interstitial fibrosis (RIF).
明确二甲双胍激活单磷酸腺苷激活蛋白激酶(AMPK)是否能抑制原代培养的小鼠肾成纤维细胞中转化生长因子β(TGF-β)诱导的胶原蛋白生成,并进一步探讨其分子机制。
用TGF-β1刺激原代培养的小鼠肾成纤维细胞,并应用Smad3或结缔组织生长因子(CTGF)的序列特异性小干扰RNA(siRNA)来研究这些分子介质在TGF-β1诱导的I型胶原蛋白生成中的作用。在TGF-β1刺激前,细胞先用AMPK激动剂二甲双胍预孵育,或与AMPK激动剂二甲双胍和AMPK抑制剂Compound C共同孵育,以明确AMPK的激活是否抑制TGF-β1诱导的肾成纤维细胞I型胶原蛋白表达。
我们的结果表明,TGF-β1以时间和剂量依赖性方式诱导肾成纤维细胞I型胶原蛋白生成;TGF-β1还刺激Smad3依赖性CTGF表达并导致I型胶原蛋白生成;敲低Smad3或CTGF可阻断这种效应。二甲双胍激活AMPK通过抑制Smad3驱动的CTGF表达,减少TGF-β1诱导的I型胶原蛋白生成。
本研究提示,激活AMPK可能是一种治疗慢性肾脏病(CKD)的新策略,部分是通过抑制肾间质纤维化(RIF)实现的。