Sun Qian, Shen Zi-ying, Meng Qing-tao, Liu Hui-zhang, Duan Wei-na, Xia Zhong-yuan
a Department of Anesthesiology , Renmin Hospital of Wuhan University , Wuhan , Hubei , China ;
b Department of Anesthesiology , the Central Hospital of Ezhou , Ezhou , Hubei , China.
Ren Fail. 2016;38(2):294-304. doi: 10.3109/0886022X.2015.1120119. Epub 2015 Dec 7.
Diabetic nephropathy (DN) is one of the most common chronic complications of diabetes, which is associated with an increased oxidative stress induced by hyperglycemia and alterations in DJ-1/NF-E2-related factor-2 (Nrf2) pathway. In the present study, we investigated the role and the proper time nodes of DJ-1/Nrf2 pathway in the pathogenesis of DN. Diabetes mellitus (DM) model of rats was induced by intraperitoneal injection of streptozotocin (STZ) on male Sprague-Dawley (SD) rats. Then, the diabetic rats were divided into 4, 8 and 12 weeks groups. As early at 4 weeks of diabetes, renal histologic evaluation score, cystatin C (Cys C), β2-microglobulin (β2-MG) and malondialdehyde (MDA) levels were increased, and total antioxidative capacity (T-AOC) level was decreased as compared with that in the control group. The protein expressions of DJ-1, NF-E2-related factor-2 (Nrf2) and heme oxygenase-1 (HO-1) were upregulated compared with the control group from 4 weeks and further increased with the progression of DM. The protein expressions of DJ-1, Nrf2 and HO-1 in renal tissues have good line correlations with renal histologic evaluation score, respectively. Taken together, these results suggested that the activation of DJ-1/Nrf2 pathway was involved in the pathogenesis of diabetic nephropathy in rats.
糖尿病肾病(DN)是糖尿病最常见的慢性并发症之一,它与高血糖诱导的氧化应激增加以及DJ-1/核因子E2相关因子2(Nrf2)通路的改变有关。在本研究中,我们调查了DJ-1/Nrf2通路在DN发病机制中的作用及合适的时间节点。通过对雄性Sprague-Dawley(SD)大鼠腹腔注射链脲佐菌素(STZ)诱导建立糖尿病(DM)大鼠模型。然后,将糖尿病大鼠分为4周、8周和12周组。糖尿病4周时,与对照组相比,肾脏组织学评估评分、胱抑素C(Cys C)、β2-微球蛋白(β2-MG)和丙二醛(MDA)水平升高,总抗氧化能力(T-AOC)水平降低。从4周起,与对照组相比,DJ-1、核因子E2相关因子2(Nrf2)和血红素加氧酶-1(HO-1)的蛋白表达上调,并随糖尿病进展进一步增加。肾脏组织中DJ-1、Nrf2和HO-1的蛋白表达分别与肾脏组织学评估评分具有良好的线性相关性。综上所述,这些结果表明DJ-1/Nrf2通路的激活参与了大鼠糖尿病肾病的发病机制。