Department of Nephrology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China.
Department of Nephrology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China.
Int Immunopharmacol. 2018 Feb;55:9-19. doi: 10.1016/j.intimp.2017.11.040. Epub 2017 Dec 5.
Inflammation plays a pivotal role in the development and progression of diabetic nephropathy (DN). Oridonin (Ori), a component isolated from Rabdosia rubescens, possesses remarkable anti-inflammatory, immunoregulatory and antitumor properties. However, the renoprotective effects of Ori and the underlying molecular mechanisms have not been explored in DN. In this study, we aimed to investigate the protective effects and potential mechanisms responsible for the anti-inflammatory effects of Ori in diabetes-induced renal injury in vivo and in vitro. Our results showed that Ori significantly attenuated diabetes-induced renal injury and markedly decreased urinary protein excretion levels, serum creatinine concentrations and blood urea nitrogen concentrations in rats. Ori also significantly alleviated infiltration of inflammatory cells (cluster of differentiation (CD)68) in kidney tissues and reduced the levels of pro-inflammatory cytokines, including tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), IL-1β and monocyte chemotactic protein 1 (MCP-1), both in vivo and in vitro. TLR4 is a principal mediator of innate immune and inflammatory responses and participates in the development of DN. Our molecular studies indicated that Ori administration significantly down-regulated TLR4 overexpression in DN. Additional studies were conducted to investigate the effect of Ori on the p38-mitogen-activated protein kinase (p38-MAPK) and nuclear factor (NF)-κB pathways. The results showed that Ori inhibited IκBα, p65, and p38 phosphorylation, as well as NF-κB DNA-binding activity. In conclusion, these results demonstrated that Ori exerts protective effects in diabetes-induced renal injury in vivo and in vitro. These effects may be ascribed to its anti-inflammatory and modulatory effects on the TLR4/p38-MAPK and TLR4/NF-κB signaling pathways.
炎症在糖尿病肾病 (DN) 的发生和发展中起着关键作用。冬凌草甲素 (Ori) 是从冬凌草中分离得到的一种成分,具有显著的抗炎、免疫调节和抗肿瘤作用。然而,Ori 在糖尿病肾病中的肾保护作用及其潜在的分子机制尚未得到研究。在这项研究中,我们旨在研究 Ori 在体内和体外糖尿病诱导的肾损伤中的保护作用及其潜在的抗炎作用机制。
我们的研究结果表明,Ori 显著减轻糖尿病诱导的大鼠肾脏损伤,显著降低尿蛋白排泄水平、血清肌酐浓度和血尿素氮浓度。Ori 还显著减轻肾脏组织中炎性细胞(分化群 (CD)68)的浸润,并降低促炎细胞因子的水平,包括肿瘤坏死因子-α (TNF-α)、白细胞介素-6 (IL-6)、白细胞介素-1β和单核细胞趋化蛋白 1 (MCP-1),无论是在体内还是在体外。TLR4 是先天免疫和炎症反应的主要介质,参与 DN 的发生。我们的分子研究表明,Ori 给药显著下调了 DN 中的 TLR4 过表达。进一步的研究表明,Ori 对 p38-丝裂原活化蛋白激酶 (p38-MAPK) 和核因子 (NF)-κB 通路的影响。结果表明,Ori 抑制了 IκBα、p65 和 p38 的磷酸化以及 NF-κB DNA 结合活性。
总之,这些结果表明 Ori 在体内和体外均具有抗糖尿病诱导的肾脏损伤的作用。这些作用可能归因于其抗炎作用以及对 TLR4/p38-MAPK 和 TLR4/NF-κB 信号通路的调节作用。
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