1,25(OH)D 通过下调 TLR4-MyD88-NF-κB 通路来预防糖尿病肾病。

1,25(OH)D provides protection against diabetic kidney disease by downregulating the TLR4-MyD88-NF-κB pathway.

机构信息

Department of Endocrinology, General Hospital of Ningxia Medical University, Yinchuan 750004, China.

Department of Endocrinology, General Hospital of Tianjin Medical University, Tianjin 300041, China.

出版信息

Exp Mol Pathol. 2020 Jun;114:104434. doi: 10.1016/j.yexmp.2020.104434. Epub 2020 Mar 30.

Abstract

The over-activation of Toll-like receptors (TLRs) is a typical immune response to injury. Previous work has suggested that controlling the over-activation of TLR4-MyD88-NF-κB may represent a new therapeutic option for diabetic kidney disease (DKD). 1,25(OH)D has also been shown to exert a protective effect on DKD, although the mechanism involved has yet to be elucidated. The aim of this study was to investigate whether 1,25(OH)D protects against DKD by down-regulating the innate immune TLR-NF-κB pathway. NRK-52E cells were cultured under normal or high-glucose conditions. We then used siRNA to knock down TLR4 expression under high-glucose conditions. NRK-52E cells cultured under high-glucose conditions, and streptozotocin (STZ)-induced diabetic rats, were treated with different doses of 1,25(OH)D and used as in vitro and in vivo models, respectively. Renal biochemical indicators were then measured to evaluate the influence of 1,25(OH)D treatment on DKD in diabetic rats. Histological analysis was also performed to determine the extent of infiltration by inflammatory cells and tubulointerstitial fibrosis. Using RT-qPCR, western blotting, immunohistochemistry and immunofluorescence, we determined the expression levels of TLR4, MyD88, NF-κB p65, MCP-1 and α-SMA to investigate whether 1,25(OH)D could reduce the development of tubulointerstitial fibrosis. Knocking down TLR4 abolished the tubulointerstitial fibrosis caused by high-glucose conditions. High doses of 1,25(OH)D consistently reduced the expression of TLR4-MyD88-NF-κB in NRK-52E cells. Moreover, high doses of 1,25(OH)D had an obvious protective effect on kidney injury and inhibited the infiltration of inflammatory cells and tubulointerstitial fibrosis in diabetic rats. In conclusion, high doses of 1,25(OH)D protected against tubulointerstitial fibrosis both in vitro and in vivo by downregulating the expression of TLR4-MyD88-NF-κB.

摘要

Toll 样受体(TLRs)的过度激活是对损伤的典型免疫反应。先前的工作表明,控制 TLR4-MyD88-NF-κB 的过度激活可能代表糖尿病肾病(DKD)的一种新的治疗选择。1,25(OH)2D 也已被证明对 DKD 具有保护作用,尽管其涉及的机制尚未阐明。本研究旨在探讨 1,25(OH)2D 是否通过下调固有免疫 TLR-NF-κB 通路来防止 DKD。NRK-52E 细胞在正常或高葡萄糖条件下培养。然后,我们在高葡萄糖条件下使用 siRNA 敲低 TLR4 表达。NRK-52E 细胞在高葡萄糖条件下培养,并使用链脲佐菌素(STZ)诱导的糖尿病大鼠作为体外和体内模型,分别用不同剂量的 1,25(OH)2D 处理。然后测量肾生化指标以评估 1,25(OH)2D 处理对糖尿病大鼠 DKD 的影响。还进行了组织学分析,以确定炎性细胞浸润和肾小管间质纤维化的程度。通过 RT-qPCR、western blot、免疫组化和免疫荧光,我们测定了 TLR4、MyD88、NF-κB p65、MCP-1 和 α-SMA 的表达水平,以研究 1,25(OH)2D 是否可以减少肾小管间质纤维化的发生。敲低 TLR4 消除了高葡萄糖条件引起的肾小管间质纤维化。高剂量的 1,25(OH)2D 一致降低了 NRK-52E 细胞中 TLR4-MyD88-NF-κB 的表达。此外,高剂量的 1,25(OH)2D 对肾脏损伤具有明显的保护作用,并抑制了糖尿病大鼠中炎性细胞和肾小管间质纤维化的浸润。总之,高剂量的 1,25(OH)2D 通过下调 TLR4-MyD88-NF-κB 的表达,在体外和体内均对肾小管间质纤维化具有保护作用。

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