Laboratory for Microscopy, Department of Anatomy, Histology and Embryology, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia.
Penn State College of Medicine Division of Nephrology, Hershey, PA 17033, United States.
Acta Histochem. 2020 Jan;122(1):151460. doi: 10.1016/j.acthis.2019.151460. Epub 2019 Oct 24.
Diabetic nephropathy is a progressive condition which develops for many years. We analyzed expression of Snail and serum response factor (SRF), epithelial-mesenchymal transition (EMT) regulatory transcription factors with a key role in renal fibrosis, in different renal areas of diabetic rats during ageing.
Male Sprague-Dawley rats were treated with 55 mg/kg streptozotocin (model of type 1 diabetes mellitus; DM group) or citrate buffer (control). DM group received insulin weekly to prevent ketoacidosis. After 2 weeks, 2, 6 and 12 months kidney samples were collected and analysed in different renal areas.
Snail expression was located within cortex in proximal convoluted tubules, in control and DM groups, in the cytoplasm. Percentage of Snail-positive cells in control groups was high and decreased with time, whereas in DM groups the highest percentage was after 2 weeks. In all time points, smaller percentage of Snail expression was seen in DM groups compared to controls. SRF expression was mostly located in the proximal convoluted tubules, always in the cytoplasm. In control groups SRF was expressed in all time periods in proximal convoluted tubules, with decrement after 12 months. Percentage of SRF-positive cells was higher in control groups compared to DM in all time points, with the exception of 12 months. To a smaller degree, SRF expression was seen in the glomeruli and distal convoluted tubules, with more SRF positive cells in DM compared to their control groups.
While Snail expression remained lower in diabetic tissues, compared to controls, expression of SRF increased in diabetic tissues in the second part of the year. These changes may need long time to develop, and, in line with earlier reports, it is possible that insulin treatment of DM rats once a week reduces possibility of EMT and development of renal fibrosis even in the long term.
糖尿病肾病是一种进展性疾病,可在多年内发展。我们分析了在糖尿病大鼠衰老过程中不同肾脏区域中 Snail 和血清反应因子(SRF)的表达,Snail 和 SRF 是肾纤维化中起关键作用的上皮-间充质转化(EMT)调节转录因子。
雄性 Sprague-Dawley 大鼠用 55mg/kg 链脲佐菌素(1 型糖尿病模型;DM 组)或柠檬酸缓冲液(对照组)处理。DM 组每周接受胰岛素治疗以预防酮症酸中毒。2 周后、2 个月、6 个月和 12 个月收集肾脏样本并在不同的肾脏区域进行分析。
Snail 表达位于对照组和 DM 组近端曲管的皮质中,位于细胞质中。对照组的 Snail 阳性细胞百分比较高,并随时间降低,而 DM 组的最高百分比在 2 周后。在所有时间点,DM 组的 Snail 表达百分比均低于对照组。SRF 表达主要位于近端曲管,始终位于细胞质中。在对照组中,SRF 在所有时间段均在近端曲管中表达,12 个月后减少。在所有时间点,对照组的 SRF 阳性细胞百分比均高于 DM 组,除 12 个月外。在较小程度上,肾小球和远端曲管中也可见到 SRF 表达,DM 组的 SRF 阳性细胞比其对照组更多。
与对照组相比,糖尿病组织中的 Snail 表达仍然较低,而在下半年,糖尿病组织中的 SRF 表达增加。这些变化可能需要很长时间才能发展,并且与早期报告一致,每周一次给 DM 大鼠胰岛素治疗即使在长期内也可能减少 EMT 的可能性和肾纤维化的发展。