姜黄素通过抑制足细胞间充质转分化和诱导自噬减轻糖尿病肾病大鼠及 MPC5 细胞损伤。
Curcumin alleviates diabetic nephropathy via inhibiting podocyte mesenchymal transdifferentiation and inducing autophagy in rats and MPC5 cells.
机构信息
Department of Nephrology, Zhejiang Provincial People's Hospital, Hangzhou, China.
People's Hospital of Hangzhou Medical College, Hangzhou, China.
出版信息
Pharm Biol. 2019 Dec;57(1):778-786. doi: 10.1080/13880209.2019.1688843.
Curcumin could ameliorate diabetic nephropathy (DN), but the mechanism remains unclear. The efficacy of curcumin on epithelial-to-mesenchymal transition (EMT) of podocyte and autophagy and was explored. Thirty male Sprague-Dawley rats were divided into the normal, model and curcumin (300 mg/kg/d, i.g., for 8 weeks) groups. Rats received streptozotocin (50 mg/kg, i.p.) and high-fat-sugar diet to induce DN. Biochemical indicators and histomorphology of renal tissues were observed. In addition, cultured mouse podocytes (MPC5) was induced to EMT with serum from DN rats, and then exposed to curcumin (40 µM) with or without fumonisin B1, an Akt specific activator or 3BDO, the mTOR inducer. Western blot analysed the levels of EMT and autophagy associated proteins. Administration of curcumin obviously reduced the levels of blood glucose, serum creatinine, urea nitrogen and urine albumen (by 28.4, 37.6, 33.5 and 22.4%, respectively), and attenuated renal histomorphological changes in DN rats. Podocytes were partially fused and autophagic vacuoles were increased in curcumin-treated rats. Furthermore, curcumin upregulated the expression of E-cadherin and LC3 proteins and downregulated the vimentin, TWIST1, p62, p-mTOR, p-Akt and P13K levels in DN rats and MPC5 cells. However, fumonisin B1 or 3BDO reversed the effects of curcumin on the expression of these proteins in cells. The protection against development of DN by curcumin treatment involved changes in inducing autophagy and alleviating podocyte EMT, through the PI3k/Akt/mTOR pathway, providing the scientific basis for further research and clinical applications of curcumin.
姜黄素可以改善糖尿病肾病(DN),但其机制尚不清楚。本研究探讨了姜黄素对足细胞上皮间质转化(EMT)和自噬的作用。30 只雄性 Sprague-Dawley 大鼠随机分为正常组、模型组和姜黄素(300mg/kg/d,灌胃,8 周)组。大鼠腹腔注射链脲佐菌素(50mg/kg)和高脂高糖饮食诱导 DN。观察大鼠生化指标和肾脏组织形态学变化。此外,用 DN 大鼠血清诱导培养的小鼠足细胞(MPC5)发生 EMT,然后用姜黄素(40μM)联合或不联合 Akt 特异性激活剂 fumonisin B1 或 mTOR 诱导剂 3BDO 处理细胞。Western blot 分析 EMT 和自噬相关蛋白的水平。姜黄素治疗可明显降低 DN 大鼠的血糖、血肌酐、尿素氮和尿白蛋白水平(分别降低 28.4%、37.6%、33.5%和 22.4%),减轻肾脏组织形态学改变。姜黄素治疗组的足细胞部分融合,自噬空泡增多。此外,姜黄素上调了 E-钙黏蛋白和 LC3 蛋白的表达,下调了 vimentin、TWIST1、p62、p-mTOR、p-Akt 和 P13K 蛋白在 DN 大鼠和 MPC5 细胞中的表达。然而,fumonisin B1 或 3BDO 逆转了姜黄素对这些蛋白表达的影响。姜黄素治疗对 DN 的保护作用涉及通过 PI3k/Akt/mTOR 通路诱导自噬和减轻足细胞 EMT,为进一步研究和临床应用姜黄素提供了科学依据。