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利拉鲁肽通过抑制炎症因子 TNF-α 介导的 NF-κB 和 MAPK 通路对肥胖小鼠肾小球足细胞的保护作用。

Protective effects of liraglutide on glomerular podocytes in obese mice by inhibiting the inflammatory factor TNF-α-mediated NF-κB and MAPK pathway.

机构信息

Department of Endocrinology, The Second Affiliated Hospital of Anhui Medical University, Hefei 230601, China.

Department of Endocrinology, Chaohu Hospital of Anhui Medical University, Hefei 238000, China.

出版信息

Obes Res Clin Pract. 2019 Jul-Aug;13(4):385-390. doi: 10.1016/j.orcp.2019.03.003. Epub 2019 Apr 2.

Abstract

OBJECTIVE

To evaluate the protective effects of Glucagon-like peptide-1(GLP-1) receptor agonist (liraglutide) on glomerular podocytes of obese mice, and explore the possible underlying mechanism.

METHODS

Twelve of the thirty-four healthy and clean male mice were randomly selected as the normal control group. The remaining twenty-two mice were included in the high-fat diet (HFD) feeding group. After twelve weeks of high-fat diet and normal diet, two mice each from the HFD feeding group and the normal control group were randomly selected and sacrificed to suggested that the modeling was successful in the HFD feeding group. Then, twenty mice were randomly divided into HFD + liraglutide group (liraglutide group, n = 10) and HFD group (n = 10). The morphology and the structure of glomerular podocytes were observed using electron microscopy. Podocyte foot process diameter, glomerular basement membrane thickness were measured. ELISA was performed to determine the serum tumor necrosis factor α (TNF-α) level. The expression levels of TNF-α protein and nuclear factor-kappa B (NF-κB) in kidney tissues, extracellularsignal regulating kinase(ERK), c-Jun N-terminal kinase (JNK) and p38MAPK in the mitogenactivated protein kinases(MAPK) pathway were detected by western blotting.

RESULTS

HFD-feeding caused significant renal injury, podocyte pathological changes, podocyte foot process diameter and glomerular basement membrane thickness were significantly increased compared with the control group. Liraglutide injection significantly alleviated HFD-induced effects on renal functions and podocyte morphology, as 24 h urine protein, urinary albumin and podocyte histomorphology. Moreover, HFD-induced Inflammatory reaction were obviously attenuated by Liraglutide administration, so did the HFD-induced activation of TNF-α-mediated NF-κB and MAPK pathways.

CONCLUSION

Liraglutide reduced urinary albumin excretion in obesity-related glomerulopathy model mice, and improved podocyte morphology and structural damage. The mechanism may be partly related to the inhibition of TNF-α-mediated NF-κB and MAPK pathways.

摘要

目的

评估胰高血糖素样肽-1(GLP-1)受体激动剂(利拉鲁肽)对肥胖小鼠肾小球足细胞的保护作用,并探讨其可能的作用机制。

方法

随机选取 34 只健康清洁雄性小鼠中的 12 只作为正常对照组。其余 22 只小鼠纳入高脂饮食(HFD)喂养组。12 周高脂饮食及正常饮食后,HFD 喂养组和正常对照组各随机取 2 只小鼠处死,提示 HFD 喂养组建模成功。然后,将 20 只小鼠随机分为 HFD+利拉鲁肽组(利拉鲁肽组,n=10)和 HFD 组(n=10)。电镜观察肾小球足细胞形态和结构。测量足细胞足突直径、肾小球基底膜厚度。采用酶联免疫吸附试验(ELISA)法测定血清肿瘤坏死因子-α(TNF-α)水平。采用 Western blot 法检测肾组织中 TNF-α 蛋白及核因子-κB(NF-κB)的表达水平,以及丝裂原激活蛋白激酶(MAPK)通路中细胞外信号调节激酶(ERK)、c-Jun N-末端激酶(JNK)和 p38MAPK 的表达水平。

结果

HFD 喂养导致明显的肾脏损伤,与对照组相比,足细胞病理变化、足细胞足突直径和肾小球基底膜厚度明显增加。利拉鲁肽注射明显减轻 HFD 引起的肾功能和足细胞形态变化,24 h 尿蛋白、尿白蛋白和足细胞组织形态。此外,利拉鲁肽给药明显减轻 HFD 诱导的炎症反应,HFD 诱导的 TNF-α 介导的 NF-κB 和 MAPK 通路激活也明显减弱。

结论

利拉鲁肽可减少肥胖相关性肾小球病变模型小鼠尿白蛋白排泄,改善足细胞形态和结构损伤。其机制可能部分与抑制 TNF-α 介导的 NF-κB 和 MAPK 通路有关。

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