Shao Yun-Xia, Gong Qian, Qi Xiang-Ming, Wang Kun, Wu Yong-Gui
Department of Nephrology, The First Affiliated Hospital, Anhui Medical University Hefei, Hefei, China.
Department of Nephrology, The Second People's Hospital of Wuhu, Wuhu, China.
Front Pharmacol. 2019 May 22;10:566. doi: 10.3389/fphar.2019.00566. eCollection 2019.
Paeoniflorin (PF) is the primary component of total glucosides of paeony (TGP). It exerts multiple effects, including immunoregulatory and anti-inflammatory effects. Our previous study has found that PF has a remarkable renal-protective effect in diabetic mice, but exact mechanism has not been clarified. This study mainly explores whether PF affects macrophage infiltration and activation in diabetic kidney through TLR4 pathway. Thus, this study was conducted to investigate the effect of PF on a streptozotocin (STZ)-induced experimental DN model. The results suggested that the onset and clinical symptoms of DN in mice were remarkably ameliorated after the administration of PF. Moreover, the number of infiltrating macrophages in the mouse kidneys was also markedly decreased. Instead of inhibiting the activation of macrophages directly, PF could influence macrophages by suppressing iNOS expression as well as the production of TNF-α, IL-1β, and MCP-1 both and . These effects might be attributable to the inhibition of the TLR4 signaling pathway. The percentage of M1-phenotype cells as well as the mRNA levels of iNOS, TNF-α, IL-1β, and MCP-1 were downregulated when PF-treated polarized macrophages were cultured under conditions of high glucose (HG) levels. In addition, the expression of TLR4, along with that of downstream signaling molecule proteins, was also reduced. Our study has provided new insights into the potential of PF as a promising therapeutic agent for treating DN and has illustrated the underlying mechanism of PF from a new perspective.
芍药苷(PF)是白芍总苷(TGP)的主要成分。它具有多种作用,包括免疫调节和抗炎作用。我们之前的研究发现,PF对糖尿病小鼠具有显著的肾脏保护作用,但确切机制尚未阐明。本研究主要探讨PF是否通过TLR4途径影响糖尿病肾脏中的巨噬细胞浸润和活化。因此,本研究旨在研究PF对链脲佐菌素(STZ)诱导的实验性糖尿病肾病(DN)模型的影响。结果表明,给予PF后,小鼠DN的发病和临床症状得到显著改善。此外,小鼠肾脏中浸润巨噬细胞的数量也明显减少。PF并非直接抑制巨噬细胞的活化,而是通过抑制诱导型一氧化氮合酶(iNOS)的表达以及肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)和单核细胞趋化蛋白-1(MCP-1)的产生来影响巨噬细胞。这些作用可能归因于对TLR4信号通路的抑制。当在高糖(HG)水平条件下培养经PF处理的极化巨噬细胞时,M1表型细胞的百分比以及iNOS、TNF-α、IL-1β和MCP-1的mRNA水平均下调。此外,TLR4及其下游信号分子蛋白的表达也降低。我们的研究为PF作为治疗DN的有前景的治疗药物的潜力提供了新的见解,并从新的角度阐明了PF的潜在机制。