a Department of Nephrology, Huaihe Hospital of Henan University , Kaifeng , P.R. China.
Artif Cells Nanomed Biotechnol. 2019 Dec;47(1):3368-3373. doi: 10.1080/21691401.2019.1649274.
Diabetic nephropathy (DN) is one of the major diabetic complications that lead to end-stage renal failure. Angiopoietin-like protein-4 (ANGPTL-4) has been reported to be dysregulated in diabetes mellitus and diabetic complications. However, the role of ANGPTL-4 in glomerular mesangial cells (MCs) during DN remains unclear. In the present study, we evaluated the role of ANGPTL-4 in MCs in response to high glucose (HG) condition and the potential mechanism. The results proved that ANGPTL-4 expression is significantly increased in HG-stimulated MCs. Knockdown of ANGPTL-4 suppressed HG-induced cell proliferation of MCs. The production of pro-inflammatory cytokines including TNF-α, IL-1β, IL-6 were decreased in ANGPTL-4 knocked down MCs. Inhibition of ANGPTL-4 markedly suppressed the expressions of extracellular matrix (ECM) proteins, collagen IV (Col IV) and fibronectin (FN), in HG-stimulated MCs. Furthermore, ANGPTL-4 knockdown inhibited the HG-induced activation of NF-κB signaling pathway in MCs. Collectively, knockdown of ANGPTL-4 suppressed HG-induced cell proliferation, inflammatory response, and ECM accumulation inhibiting NF-κB signaling pathway in MCs. These findings suggested that ANGPTL-4 might be a therapeutic target for the prevention and treatment of DN.
糖尿病肾病 (DN) 是导致终末期肾衰竭的主要糖尿病并发症之一。血管生成素样蛋白 4 (ANGPTL-4) 在糖尿病和糖尿病并发症中被报道失调。然而,ANGPTL-4 在糖尿病肾病肾小球系膜细胞 (MC) 中的作用尚不清楚。在本研究中,我们评估了 ANGPTL-4 在高糖 (HG) 刺激的 MCs 中的作用及其潜在机制。结果证明,HG 刺激的 MCs 中 ANGPTL-4 的表达显著增加。ANGPTL-4 的敲低抑制了 HG 诱导的 MCs 增殖。在 ANGPTL-4 敲低的 MCs 中,促炎细胞因子 TNF-α、IL-1β 和 IL-6 的产生减少。ANGPTL-4 的抑制显著抑制了 HG 刺激的 MCs 中细胞外基质 (ECM) 蛋白胶原 IV (Col IV) 和纤维连接蛋白 (FN) 的表达。此外,ANGPTL-4 的敲低抑制了 HG 诱导的 MCs 中 NF-κB 信号通路的激活。综上所述,ANGPTL-4 的敲低抑制了 HG 诱导的 MCs 增殖、炎症反应和 ECM 积累,抑制了 NF-κB 信号通路。这些发现表明,ANGPTL-4 可能是预防和治疗糖尿病肾病的治疗靶点。