Shaanxi Key Laboratory of Degradable Biomedical Materials, School of Chemical Engineering, Northwest University, China; Shaanxi R&D Center of Biomaterials and Fermentation Engineering, School of Chemical Engineering, Northwest University, Xi'an, 710069, China; Biotech. & Biomed. Research Institute, Northwest University, 229 North Taibai Road, Xi'an, 710069, China.
Center for Vascular Biology Research, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
Pharmacol Res. 2020 May;155:104746. doi: 10.1016/j.phrs.2020.104746. Epub 2020 Mar 7.
Diabetic nephropathy (DN) is a common and serious complication of diabetes and causes kidney failure. Ginsenoside Rg5 (Rg5) is an important monomer in the main protopanaxadiol component of black ginseng. Rg5 has exhibited some beneficial biological effects, such as anti-cancer, neuroprotection, and anti-depression, but the effect of Rg5 on DN and its potential mechanism remains unclear. The aim of this study is to investigate the effect of Rg5 on kidney injury of C57BL/6 diabetic mice induced by high-fat diet and streptozotocin. After treatment with different concentration of Rg5 (30 and 60 mg kg·d) for 6 consecutive weeks, the fasting blood glucose, insulin levels, serum creatinine, serum urea, and serum UA in Rg5-treated DN mice were significantly reduced, while the renal histopathology was remarkably improved, compared with untreated DN mice. Moreover, ROS production, oxidative stress markers (MDA, SOD, and GSH-PX), Nox4 and TXNIP expressions of kidney in DN mice were significantly reduced after Rg5 treatment. Additionally, the expression levels of the NLRP3 inflammasome (NLRP3, ASC, and Caspase-1) and the inflammatory cytokines IL-1β and IL-18 were significantly inhibited, and the expression of NF-kB and the phosphorylation of p38 MAPK were also decreased with Rg5 treatment compared with no treatment in DN mice. Together, our results indicate that Rg5 attenuated renal injury in diabetic mice by inhibiting oxidative stress and NLRP3 inflammasome activation to reduce inflammatory responses, indicating that Rg5 is a potential compound to prevent or control diabetic renal injury.
糖尿病肾病(DN)是糖尿病的一种常见且严重的并发症,可导致肾衰竭。人参皂苷 Rg5(Rg5)是黑参中主要的原人参二醇成分的重要单体。Rg5 表现出一些有益的生物学作用,如抗癌、神经保护和抗抑郁作用,但 Rg5 对 DN 的作用及其潜在机制尚不清楚。本研究旨在探讨 Rg5 对高脂肪饮食和链脲佐菌素诱导的 C57BL/6 糖尿病小鼠肾脏损伤的影响。用不同浓度的 Rg5(30 和 60 mg kg·d)连续处理 6 周后,Rg5 治疗的 DN 小鼠的空腹血糖、胰岛素水平、血清肌酐、血清尿素和血清 UA 明显降低,而未经治疗的 DN 小鼠的肾组织病理学明显改善。此外,Rg5 处理后,DN 小鼠肾脏的 ROS 产生、氧化应激标志物(MDA、SOD 和 GSH-PX)、Nox4 和 TXNIP 表达明显减少。此外,与未治疗的 DN 小鼠相比,NLRP3 炎性小体(NLRP3、ASC 和 Caspase-1)和炎性细胞因子 IL-1β 和 IL-18 的表达水平显著抑制,并且 NF-kB 的表达和 p38 MAPK 的磷酸化也随着 Rg5 处理而降低。综上所述,我们的结果表明,Rg5 通过抑制氧化应激和 NLRP3 炎性小体激活来减轻糖尿病小鼠的肾脏损伤,从而减轻炎症反应,表明 Rg5 是一种预防或控制糖尿病肾损伤的潜在化合物。
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