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足细胞钙调节和糖尿病肾病肾损伤中的 NOX4/TRPC6 通路。

A NOX4/TRPC6 Pathway in Podocyte Calcium Regulation and Renal Damage in Diabetic Kidney Disease.

机构信息

Department of Physiology, Medical College of Wisconsin, Milwaukee, Wisconsin.

Neurobiology Laboratory, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina; and.

出版信息

J Am Soc Nephrol. 2018 Jul;29(7):1917-1927. doi: 10.1681/ASN.2018030280. Epub 2018 May 23.

Abstract

Loss of glomerular podocytes is an indicator of diabetic kidney disease (DKD). The damage to these cells has been attributed in part to elevated intrarenal oxidative stress. The primary source of the renal reactive oxygen species, particularly HO, is NADPH oxidase 4 (NOX4). We hypothesized that NOX4-derived HO contributes to podocyte damage in DKD elevation of podocyte calcium. We used Dahl salt-sensitive (SS) rats with a null mutation for the gene (SS) and mice with knockout of the nonselective calcium channel TRPC6 or double knockout of TRPC5 and TRPC6. We performed whole animal studies and used biosensor measurements, electron microscopy, electrophysiology, and live calcium imaging experiments to evaluate the contribution of this pathway to the physiology of the podocytes in freshly isolated glomeruli. Upon induction of type 1 diabetes with streptozotocin, SS rats exhibited significantly lower basal intracellular Ca levels in podocytes and less DKD-associated damage than SS rats did. Furthermore, the angiotensin II-elicited calcium flux was blunted in glomeruli isolated from diabetic SS rats compared with that in glomeruli from diabetic SS rats. HO stimulated TRPC-dependent calcium influx in podocytes from wild-type mice, but this influx was blunted in podocytes from 6-knockout mice and, in a similar manner, in podocytes from 5/6 double-knockout mice. Finally, electron microscopy revealed that podocytes of glomeruli isolated from 6-knockout or 5/6 double-knockout mice were protected from damage induced by HO to the same extent. These data reveal a novel signaling mechanism involving NOX4 and TRPC6 in podocytes that could be pharmacologically targeted to abate the development of DKD.

摘要

肾小球足细胞的丧失是糖尿病肾病 (DKD) 的一个指标。这些细胞的损伤部分归因于肾内氧化应激的升高。肾活性氧的主要来源,特别是 HO,是 NADPH 氧化酶 4 (NOX4)。我们假设,NOX4 衍生的 HO 导致 DKD 中足细胞损伤,导致足细胞钙升高。我们使用缺乏基因 (SS) 的 Dahl 盐敏感 (SS) 大鼠和敲除非选择性钙通道 TRPC6 或 TRPC5 和 TRPC6 双敲除的小鼠进行了整体动物研究,并使用生物传感器测量、电子显微镜、电生理学和活钙成像实验来评估该途径对新鲜分离的肾小球中足细胞生理学的贡献。在用链脲佐菌素诱导 1 型糖尿病后,SS 大鼠的足细胞中细胞内 Ca 水平明显降低,与 SS 大鼠相比,DKD 相关损伤较少。此外,与来自糖尿病 SS 大鼠的肾小球相比,来自糖尿病 SS 大鼠的肾小球中血管紧张素 II 诱发的钙流减弱。HO 刺激野生型小鼠足细胞中 TRPC 依赖性钙内流,但在 6 敲除小鼠的足细胞中这种内流减弱,并且以类似的方式在 5/6 双敲除小鼠的足细胞中减弱。最后,电子显微镜显示,来自 6 敲除或 5/6 双敲除小鼠的肾小球分离的足细胞受到 HO 诱导的损伤的保护程度相同。这些数据揭示了一种涉及足细胞中 NOX4 和 TRPC6 的新型信号机制,该机制可通过药理学靶向来减轻 DKD 的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd4c/6050934/a825f43eb9ed/ASN.2018030280absf1.jpg

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