Department of Nephrology, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.
Department of Cardiology, Affiliated Danyang People's Hospital of Nantong University, Danyang, China.
J Cell Biochem. 2018 Jul;119(7):5934-5943. doi: 10.1002/jcb.26788. Epub 2018 Mar 30.
Cardiovascular and renal inflammation induced by Aldosterone (Aldo) plays a pivotal role in the pathogenesis of hypertension and renal fibrosis. GSK-3β contributes to inflammatory cardiovascular and renal diseases, but its role in Aldo-induced hypertension, and renal damage is not clear. In the present study, rats were treated with Aldo combined with SB-216763 (a GSK-3β inhibitor) for 4 weeks. Hemodynamic, cardiac, and renal parameters were assayed at the indicated time. Here we found that rats treated with Aldo presented cardiac and renal hypertrophy and dysfunction. Cardiac and renal expression levels of molecular markers attesting inflammation and fibrosis were increased by Aldo infusion, whereas the treatment of SB-216763 reversed these alterations. SB-216763 suppressed cardiac and renal inflammatory cytokines levels (TNF-a, IL-1β, and MCP-1). Meanwhile, SB-216763 increased the protein levels of LC3-II in the cardiorenal tissues as well as p62 degradation, indicating that SB-216763 induced autophagy activation in cardiac, and renal tissues. Importantly, inhibition of autophagy by 3-MA attenuated the role of SB-216763 in inhibiting perivascular fibrosis, and tubulointerstitial injury. These data suggest that SB-216763 protected against Aldo-induced cardiac and renal injury by activating autophagy, and might be a therapeutic option for salt-sensitive hypertension and renal fibrosis.
醛固酮(Aldo)引起的心血管和肾脏炎症在高血压和肾纤维化的发病机制中起着关键作用。GSK-3β 参与炎症性心血管和肾脏疾病,但它在 Aldo 诱导的高血压和肾脏损伤中的作用尚不清楚。在本研究中,大鼠用 Aldo 联合 SB-216763(GSK-3β 抑制剂)处理 4 周。在指定时间测定血流动力学、心脏和肾脏参数。我们发现,用 Aldo 处理的大鼠表现出心脏和肾脏肥大和功能障碍。Aldo 输注增加了心脏和肾脏炎症和纤维化分子标志物的表达水平,而 SB-216763 的治疗则逆转了这些改变。SB-216763 抑制心脏和肾脏炎性细胞因子水平(TNF-a、IL-1β 和 MCP-1)。同时,SB-216763 增加了心脏和肾脏组织中 LC3-II 的蛋白水平以及 p62 的降解,表明 SB-216763 诱导了心脏和肾脏组织中的自噬激活。重要的是,3-MA 抑制自噬减弱了 SB-216763 抑制血管周围纤维化和小管间质损伤的作用。这些数据表明,SB-216763 通过激活自噬来保护 Aldo 诱导的心脏和肾脏损伤,可能是盐敏感性高血压和肾纤维化的治疗选择。