Su Ke, Zeng Ping, Liang Wei, Luo Zhengyu, Wang Yiman, Lv Xifeng, Han Qi, Yan Miao, Chen Cheng
Department of Nephrology, Renmin Hospital of Wuhan University, 238 Jiefang Road, Wuhan 430060, China.
First School of Clinical Medicine, Renmin Hospital of Wuhan University, 238 Jiefang Road, Wuhan 430060, China.
Mediators Inflamm. 2017;2017:3701385. doi: 10.1155/2017/3701385. Epub 2017 Feb 7.
FTY720, a new chemical substance derived from the ascomycete , is used for treating multiple sclerosis, renal cancer, and asthma. Sphingosine 1-phosphate (S1P) is a bioactive sphingolipid metabolite and exists in red blood cells. FTY720 is a synthetic S1P analog which can block S1P evoking physiological effects. Recently studies show that S1P was participating in activated inflammation cells induced renal injury. The objective of this study was to assess the protective effect of FTY720 on kidney damage and the potential mechanism of FTY720 which alleviate podocyte injury in chronic kidney disease. In this study, we selected 40 patients with IgA nephropathy and examined their clinical characteristics. Ang II-infusion rat renal injury model was established to evaluate the glomeruli and tubulointerstitial lesion. The result showed that the concentration of S1P in serum and urine was positively correlated with IgA nephropathy patients' renal injury. FTY720 could reduce renal histological lesions induced by Ang II-infusion in rats. Moreover, FTY720 decreased S1P synthesis in Ang II-infusion rats via downregulation of inflammatory cytokines including TNF- and IL-6. In addition, FTY720 alleviated exogenous S1P-induced podocyte damage. In conclusion, FTY720 is able to attenuate S1P-induced podocyte damage via reducing inflammatory cytokines.
FTY720是一种源自子囊菌的新型化学物质,用于治疗多发性硬化症、肾癌和哮喘。鞘氨醇-1-磷酸(S1P)是一种生物活性鞘脂代谢产物,存在于红细胞中。FTY720是一种合成的S1P类似物,可阻断S1P引发的生理效应。最近的研究表明,S1P参与了活化炎症细胞诱导的肾损伤。本研究的目的是评估FTY720对肾脏损伤的保护作用以及FTY720减轻慢性肾脏病中足细胞损伤的潜在机制。在本研究中,我们选取了40例IgA肾病患者并检查了他们的临床特征。建立了血管紧张素II输注大鼠肾损伤模型以评估肾小球和肾小管间质病变。结果显示,血清和尿液中S1P的浓度与IgA肾病患者的肾损伤呈正相关。FTY720可减轻血管紧张素II输注诱导的大鼠肾脏组织学损伤。此外,FTY720通过下调包括肿瘤坏死因子和白细胞介素-6在内的炎性细胞因子,降低血管紧张素II输注大鼠中S1P的合成。另外,FTY720减轻了外源性S1P诱导的足细胞损伤。总之,FTY720能够通过减少炎性细胞因子来减轻S1P诱导的足细胞损伤。