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氯离子通道-5 减轻单侧输尿管梗阻小鼠的肾纤维化。

ClC-5 alleviates renal fibrosis in unilateral ureteral obstruction mice.

机构信息

Department of Nephrology, Gansu Provincial Hospital of Traditional Chinese Medicine, No. 418 Guazhou Road, Lanzhou, 730050, Gansu, China.

Department of Neurology, Lanzhou University Second Hospital, Lanzhou, 730030, Gansu, China.

出版信息

Hum Cell. 2019 Jul;32(3):297-305. doi: 10.1007/s13577-019-00253-5. Epub 2019 May 3.

Abstract

Renal fibrosis is the major feature of end-stage renal disease with high mortality. Chloride (Cl) moving along Cl channels has been suggested to play to an important role in renal function. This study aims to investigate the role of ClC-5 in renal fibrosis in unilateral ureteral occlusion (UUO) mice. C57BL/6 mice received UUO surgery followed by delivery of adeno-associated virus encoding ClC-5 cDNA (AAVClC-5). Western blotting, real-time PCR and histological analysis were used to investigate the effects of ClC-5 on renal fibrosis and underlying mechanisms. The expression of ClC-5 was significantly decreased in renal cortex of UUO mice and transforming growth factor-β1 (TGF-β1)-stimulated HK2 cells. Overexpression of ClC-5 in vivo markedly ameliorated UUO-induced renal injury and fibrosis. The increased expressions of plasminogen activator inhibitor type 1, connective tissue growth factor, collagen III and collagen IV were also inhibited by ClC-5 upregulation. Moreover, UUO-induced immune cell infiltration and inflammatory cytokines release were attenuated in mice infected with AAVClC-5. In addition, the in vivo and in vitro results showed that ClC-5 overexpression prevented epithelial-to-mesenchymal transition (EMT), concomitantly with a restoration of E-cadherin expression and a decrease of vimentin, α-SMA and S100A4 expressions. Furthermore, ClC-5 overexpression inhibited UUO- or TGF-β1-induced increase in nuclear factor kappa B (NF-κB) acetylation and matrix metalloproteinases-9 (MMP-9) expression. However, downregulation of ClC-5 in HK2 cells further potentiated TGF-β1-induced EMT and increase in NF-κB acetylation and MMP-9 expression. ClC-5 upregulation ameliorates renal fibrosis via inhibiting NF-κB/MMP-9 pathway signaling activation, suggesting that ClC-5 may be a novel therapeutic target for treating renal fibrosis and chronic kidney disease.

摘要

肾脏纤维化是终末期肾病的主要特征,死亡率很高。氯离子(Cl)沿着 Cl 通道移动被认为在肾功能中发挥重要作用。本研究旨在探讨 ClC-5 在单侧输尿管梗阻(UUO)小鼠肾脏纤维化中的作用。C57BL/6 小鼠接受 UUO 手术后,给予腺相关病毒编码 ClC-5 cDNA(AAVClC-5)。Western blot、实时 PCR 和组织学分析用于研究 ClC-5 对肾脏纤维化的影响及其潜在机制。ClC-5 在 UUO 小鼠肾脏皮质和转化生长因子-β1(TGF-β1)刺激的 HK2 细胞中的表达明显降低。体内过表达 ClC-5 可显著改善 UUO 诱导的肾脏损伤和纤维化。ClC-5 的上调还抑制了纤溶酶原激活物抑制剂 1、结缔组织生长因子、胶原 III 和胶原 IV 的表达增加。此外,AAVClC-5 感染可减轻 UUO 诱导的免疫细胞浸润和炎症细胞因子释放。此外,体内和体外结果表明,ClC-5 过表达可防止上皮间质转化(EMT),同时恢复 E-钙黏蛋白的表达,并降低波形蛋白、α-SMA 和 S100A4 的表达。此外,ClC-5 过表达可抑制 UUO 或 TGF-β1 诱导的核因子 kappa B(NF-κB)乙酰化和基质金属蛋白酶-9(MMP-9)表达增加。然而,HK2 细胞中 ClC-5 的下调进一步增强了 TGF-β1 诱导的 EMT 以及 NF-κB 乙酰化和 MMP-9 表达的增加。ClC-5 的上调通过抑制 NF-κB/MMP-9 通路信号激活改善肾脏纤维化,提示 ClC-5 可能是治疗肾脏纤维化和慢性肾脏病的新治疗靶点。

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