Department of Nephrology, The Key Laboratory of Kidney Disease and Blood Purification of Hunan Province, Second Xiangya Hospital at Central South University, Changsha, China.
The State Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha, China.
J Cell Mol Med. 2019 Jun;23(6):3995-4004. doi: 10.1111/jcmm.14285. Epub 2019 Apr 16.
Renal interstitial fibrosis is a common pathological feature in progressive kidney diseases currently lacking effective treatment. Nicotinamide (NAM), a member of water-soluble vitamin B family, was recently suggested to have a therapeutic potential for acute kidney injury (AKI) in mice and humans. The effect of NAM on chronic kidney pathologies, including renal fibrosis, is unknown. Here we have tested the effects of NAM on renal interstitial fibrosis using in vivo and in vitro models. In vivo, unilateral urethral obstruction (UUO) induced renal interstitial fibrosis as indicated Masson trichrome staining and expression of pro-fibrotic proteins, which was inhibited by NAM. In UUO, NAM suppressed tubular atrophy and apoptosis. In addition, NAM suppressed UUO-associated T cell and macrophage infiltration and induction of pro-inflammatory cytokines, such as TNF-α and IL-1β. In cultured mouse proximal tubule cells, NAM blocked TGF-β-induced expression of fibrotic proteins, while it marginally suppressed the morphological changes induced by TGF-β. NAM also suppressed the expression of pro-inflammatory cytokines (eg MCP-1 and IL-1β) during TGF-β treatment of these cells. Collectively, the results demonstrate an anti-fibrotic effect of NAM in kidneys, which may involve the suppression of tubular injury and inflammation.
肾间质纤维化是目前进展性肾脏疾病的一种常见病理特征,缺乏有效的治疗方法。烟酰胺(NAM)是水溶性维生素 B 族的成员,最近有研究表明其对小鼠和人类的急性肾损伤(AKI)具有治疗潜力。NAM 对慢性肾脏疾病的作用,包括肾纤维化,尚不清楚。本研究使用体内和体外模型检测了 NAM 对肾间质纤维化的影响。在体内,单侧输尿管梗阻(UUO)诱导的肾间质纤维化如 Masson 三色染色和促纤维化蛋白的表达,被 NAM 所抑制。在 UUO 中,NAM 抑制了肾小管萎缩和凋亡。此外,NAM 抑制了 UUO 相关的 T 细胞和巨噬细胞浸润以及促炎细胞因子(如 TNF-α和 IL-1β)的诱导。在培养的小鼠近端肾小管细胞中,NAM 阻断了 TGF-β诱导的纤维化蛋白表达,而对 TGF-β诱导的形态变化抑制作用较小。NAM 还抑制了 TGF-β处理这些细胞过程中促炎细胞因子(如 MCP-1 和 IL-1β)的表达。总之,这些结果表明 NAM 对肾脏具有抗纤维化作用,这可能涉及抑制肾小管损伤和炎症。