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五味子乙素通过抑制过度炎症和氧化应激缓解糖尿病肾病。

Schisandrin B alleviates diabetic nephropathy through suppressing excessive inflammation and oxidative stress.

机构信息

Chemical Biology Research Center, School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, Zhejiang, China.

Chemical Biology Research Center, School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, Zhejiang, China; Diabetes Center, Department of Endocrinology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

出版信息

Biochem Biophys Res Commun. 2019 Jan 1;508(1):243-249. doi: 10.1016/j.bbrc.2018.11.128. Epub 2018 Nov 24.

Abstract

Diabetic nephropathy (DN) is a progressive kidney disease due to glomerular capillary damage in diabetic patients, with inflammation and oxidative stress implicated as crucial pathogenic factors. There is an urgent need to develop effective therapeutic drug. Natural medicines are rich resources for active lead compounds. They would provide new opportunities for the treatment of DN. The present study was designed to investigate the protective effects of Schisandrin B (SchB) on DN and to delineate the underlying mechanism. Oral administration of SchB in the diabetic mouse model significantly alleviated hyperglycemia-induced renal injury, which was accompanied by maintenance of urine creatinine and albumin levels at similar to those of control non-diabetic mice. Histological examination of renal tissue indicated that both development of fibrosis and renal cell apoptosis were dramatically inhibited by SchB. The protective effect of SchB on DN associated with suppression of inflammatory response and oxidative stress. These results strongly suggested that SchB could be a potential therapeutic agent for treatment of DN. Moreover, our findings provided a fuller understanding of the regulatory role of NF-κB and Nrf2 in DN, indicating that they could be important therapeutic targets.

摘要

糖尿病肾病(DN)是一种由于糖尿病患者肾小球毛细血管损伤导致的进行性肾脏疾病,炎症和氧化应激被认为是关键的致病因素。因此,迫切需要开发有效的治疗药物。天然药物是活性先导化合物的丰富资源。它们将为治疗 DN 提供新的机会。本研究旨在探讨五味子乙素(SchB)对 DN 的保护作用,并阐明其潜在机制。在糖尿病小鼠模型中口服给予 SchB 可显著缓解高血糖引起的肾损伤,同时使尿肌酐和白蛋白水平保持在类似于正常非糖尿病小鼠的水平。肾组织的组织学检查表明,SchB 可显著抑制纤维化和肾细胞凋亡的发展。SchB 对 DN 的保护作用与抑制炎症反应和氧化应激有关。这些结果强烈表明,SchB 可能是治疗 DN 的一种潜在治疗剂。此外,我们的研究结果提供了对 NF-κB 和 Nrf2 在 DN 中的调节作用的更全面理解,表明它们可能是重要的治疗靶点。

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