血红素加氧酶-1表达和活性的调节影响链脲佐菌素诱导的大鼠糖尿病肾病。
Modulation of heme oxygenase-1 expression and activity affects streptozotocin-induced diabetic nephropathy in rats.
作者信息
Ali Marwa A M, Heeba Gehan H, El-Sheikh Azza A K
机构信息
El-Fekrya Central Hospital, Minia Directorate of Health, Ministry of Health, El-Minia, Egypt.
Pharmacology and Toxicology Department, Faculty of Pharmacy, Minia University, 61511, Minia, Egypt.
出版信息
Fundam Clin Pharmacol. 2017 Oct;31(5):546-557. doi: 10.1111/fcp.12296. Epub 2017 Jun 28.
Heme oxygenase (HO)-1 has exhibited nephro-protective actions in different animal models; however, its full mechanistic potential in diabetic nephropathy (DN) has not yet been elucidated. Hence, the present study has been undertaken by inducing DN in rats using streptozotocin (50 mg/kg i.p.), with or without either HO-1 inducer; hemin (HM; 40 μmol/kg, s.c.), or HO-1 blocker; zinc protoporphyrin-IX (ZnPP; 50 μmol/kg, i.p.), for one month. Compared to control, rats with DN suffered from hyperglycemia and hyperlipidemia, with signs of renal damage, as assessed by distortion in renal histopathologic architecture and kidney function. Renal oxidative/nitrosative stress was evident by increased malondialdehyde, nitric oxide, myeloperoxidase, with decreased reduced glutathione, superoxide dismutase, and catalase. DN group also exhibited high renal expression of the pro-inflammatory cytokine; tumor necrosis factor (TNF)-α, and the apoptotic marker; caspase 3, assessed by Western blot. Renal HO-1 protein expression and activity were increased in DN rats compared to control. Administration of HM, but not ZnPP, to DN rats improved kidney function, histopathologic features, lipid profile, TNF-α, and caspase 3 expressions, with no effect on blood glucose level. HM increased, while ZnPP decreased renal HO-1 activity in DN rats. It is noteworthy that neither intervention affected HO-1 activity or renal oxidative capacity in non-diabetic rats. Interestingly, the expression of HO-1 was upregulated by both HM and ZnPP in DN rats. In conclusion, activation of HO-1 via HM ameliorated renal damage in STZ-induced DN in rats, probably through antioxidant, anti-nitrosative, anti-inflammatory, and anti-apoptotic mechanisms.
血红素加氧酶(HO)-1在不同动物模型中已表现出肾保护作用;然而,其在糖尿病肾病(DN)中的全部机制潜力尚未阐明。因此,本研究通过腹腔注射链脲佐菌素(50 mg/kg)在大鼠中诱导DN,同时使用或不使用HO-1诱导剂血红素(HM;40 μmol/kg,皮下注射)或HO-1阻滞剂锌原卟啉-IX(ZnPP;50 μmol/kg,腹腔注射),持续一个月。与对照组相比,DN大鼠出现高血糖和高血脂,并伴有肾损伤迹象,这通过肾脏组织病理学结构和肾功能的改变来评估。肾氧化/亚硝化应激表现为丙二醛、一氧化氮、髓过氧化物酶增加,而还原型谷胱甘肽、超氧化物歧化酶和过氧化氢酶减少。DN组还表现出促炎细胞因子肿瘤坏死因子(TNF)-α和凋亡标志物半胱天冬酶3的肾高表达,通过蛋白质免疫印迹法评估。与对照组相比,DN大鼠肾HO-1蛋白表达和活性增加。给DN大鼠施用HM而非ZnPP可改善肾功能、组织病理学特征、血脂谱、TNF-α和半胱天冬酶3的表达,对血糖水平无影响。HM增加而ZnPP降低DN大鼠的肾HO-1活性。值得注意的是,两种干预均未影响非糖尿病大鼠的HO-1活性或肾氧化能力。有趣的是,HM和ZnPP均上调了DN大鼠中HO-1的表达。总之,通过HM激活HO-1可改善链脲佐菌素诱导的大鼠DN中的肾损伤,可能是通过抗氧化、抗亚硝化、抗炎和抗凋亡机制实现的。