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Klotho 通过在体外和体内抑制 ROS 和 NF-κB 介导的炎症来保护心脏免受高血糖引起的损伤。

Klotho protects the heart from hyperglycemia-induced injury by inactivating ROS and NF-κB-mediated inflammation both in vitro and in vivo.

机构信息

Department of Cardiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, PR China; Key Laboratory of Assisted Circulation, Ministry of Health, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong 510080, PR China.

Department of Cardiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, PR China.

出版信息

Biochim Biophys Acta Mol Basis Dis. 2018 Jan;1864(1):238-251. doi: 10.1016/j.bbadis.2017.09.029. Epub 2017 Oct 2.

Abstract

Cardiac inflammation and oxidative stress play a key role in the pathogenesis of diabetic cardiomyopathy (DCM). The anti-aging protein Klotho has been found to protect cells from inflammation and oxidative stress. The current study aimed to explore the cardioprotective effects of Klotho on DCM and the underlying mechanisms. H9c2 cells and neonatal cardiomyocytes were incubated with 33mM glucose in the presence or absence of Klotho. Klotho pretreatment effectively inhibited high glucose-induced inflammation, ROS generation, apoptosis, mitochondrial dysfunction, fibrosis and hypertrophy in both H9c2 cells and neonatal cardiomyocytes. In STZ-induced type 1 diabetic mice, intraperitoneal injection of Klotho at 0.01mg/kg per 48h for 3months completely suppressed cardiac inflammatory cytokines and oxidative stress and prevented cardiac cell death and remodeling, which subsequently improved cardiac dysfunction without affecting hyperglycemia. This study revealed that Klotho may exert its protective effects by augmenting nuclear factor erythroid 2-related factor 2 (Nrf2) expression and inactivating nuclear factor κB (NF-κB) activation both in vitro and in vivo. Thus, this work demonstrated for the first time that the anti-aging protein Klotho may be a potential therapeutic agent to treat DCM by inhibiting oxidative stress and inflammation. We also demonstrated the critical roles of the Nrf2 and NF-κB pathways in diabetes-stimulated cardiac injuries and indicated that they may be key therapeutic targets for diabetic complications.

摘要

心脏炎症和氧化应激在糖尿病心肌病(DCM)的发病机制中起关键作用。抗衰老蛋白 Klotho 已被发现可保护细胞免受炎症和氧化应激的影响。本研究旨在探讨 Klotho 对 DCM 的心脏保护作用及其潜在机制。在存在或不存在 Klotho 的情况下,将 H9c2 细胞和新生心肌细胞孵育在 33mM 葡萄糖中。Klotho 预处理可有效抑制高糖诱导的 H9c2 细胞和新生心肌细胞中的炎症、ROS 生成、细胞凋亡、线粒体功能障碍、纤维化和肥大。在 STZ 诱导的 1 型糖尿病小鼠中,腹腔内注射 0.01mg/kg 的 Klotho,每 48 小时 1 次,持续 3 个月,可完全抑制心脏炎症细胞因子和氧化应激,防止心脏细胞死亡和重塑,从而改善心功能,而不影响高血糖。本研究表明,Klotho 可能通过增强核因子红细胞 2 相关因子 2(Nrf2)的表达和抑制核因子 κB(NF-κB)的激活,在体外和体内发挥其保护作用。因此,本研究首次表明,抗衰老蛋白 Klotho 可能通过抑制氧化应激和炎症成为治疗 DCM 的潜在治疗剂。我们还证明了 Nrf2 和 NF-κB 途径在糖尿病刺激的心脏损伤中的关键作用,并表明它们可能是糖尿病并发症的关键治疗靶点。

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