Jiang Wenbing, Zhao Wei, Ye Fanhao, Huang Shiwei, Wu Youyang, Chen Hao, Zhou Rui, Fu Guosheng
Department of Cardiology, The Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou 325000, China.
Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou 310016, China.
Ann Transl Med. 2020 Mar;8(6):293. doi: 10.21037/atm.2020.02.172.
Contrast induced diabetic nephropathy (CIN) is an important cause of hospital-acquired acute renal failure. Our aim was to observe the effect of protein kinase C β2 (PKCβ2) knockdown on human proximal tubular epithelial cells (HK-2 cells) against meglumine diatrizoate and advanced glycation end products (AGEs)-induced apoptosis and autophagy.
Cell viability was detected using cell counting kit-8 (CCK-8) assay in HK-2 cells after disposal with meglumine diatrizoate and AGEs with or without PKCβ2 siRNA/inhibitor LY333531. Flow cytometry and western blot were used to test cell apoptosis and the related protein levels in meglumine diatrizoate and AGEs co-treated HK-2 cells with or without PKCβ2 siRNA/inhibitor LY333531. Autophagy related proteins were detected using western blot. Immunofluorescence staining was used to examine the autophagy-specific protein light chain 3 (LC3), and autophagosome and autolysosome formation was observed under a transmission electron microscopy.
CCK-8 assay results showed that meglumine diatrizoate inhibited AGEs-induced HK-2 cell viability. Furthermore, meglumine diatrizoate promoted cell apoptosis and the expression level of caspase3 in AGEs-induced HK-2. Western blot results showed that meglumine diatrizoate elevated the expression levels of PKCβ2 and p-PKCβ2 in AGEs-induced HK-2 cells, and up-regulated the expression level of Beclin-1 and the ratio of LC3 II/LC3 I, and down-regulated the expression level of p62 in AGEs-induced HK-2 cells. We found that PKCβ2 knockdown alleviated meglumine diatrizoate and AGEs-induced HK-2 cell apoptosis and autophagy. Intriguingly, PKCβ2 inhibitor LY333531 reversed 3-methyladenine (3-MA)-induced autophagy inhibition in meglumine diatrizoate and AGEs-induced HK-2 cells.
Our findings reveal that inhibiting PKCβ2 protects HK-2 cells against meglumine diatrizoate and AGEs-induced apoptosis and autophagy, which provide a novel therapeutic insight for CIN in diabetic patients.
对比剂诱导的糖尿病肾病(CIN)是医院获得性急性肾衰竭的重要原因。我们的目的是观察蛋白激酶Cβ2(PKCβ2)基因敲低对人近端肾小管上皮细胞(HK-2细胞)抵抗泛影葡胺和晚期糖基化终产物(AGEs)诱导的细胞凋亡和自噬的影响。
用细胞计数试剂盒-8(CCK-8)法检测经或未经PKCβ2 siRNA/抑制剂LY333531处理的泛影葡胺和AGEs作用后的HK-2细胞活力。采用流式细胞术和蛋白质印迹法检测经或未经PKCβ2 siRNA/抑制剂LY333531处理的泛影葡胺和AGEs共同作用后的HK-2细胞凋亡及相关蛋白水平。用蛋白质印迹法检测自噬相关蛋白。采用免疫荧光染色检测自噬特异性蛋白轻链3(LC3),并在透射电子显微镜下观察自噬体和自溶酶体的形成。
CCK-8法检测结果显示,泛影葡胺抑制AGEs诱导的HK-2细胞活力。此外,泛影葡胺促进AGEs诱导的HK-2细胞凋亡及caspase3表达水平升高。蛋白质印迹法结果显示,泛影葡胺可提高AGEs诱导的HK-2细胞中PKCβ2和p-PKCβ2的表达水平,上调Beclin-1表达水平及LC3 II/LC3 I比值,下调AGEs诱导的HK-2细胞中p62表达水平。我们发现PKCβ2基因敲低可减轻泛影葡胺和AGEs诱导的HK-2细胞凋亡和自噬。有趣的是,PKCβ2抑制剂LY333531可逆转3-甲基腺嘌呤(3-MA)诱导的泛影葡胺和AGEs诱导的HK-2细胞自噬抑制。
我们的研究结果表明,抑制PKCβ2可保护HK-2细胞免受泛影葡胺和AGEs诱导的细胞凋亡和自噬,这为糖尿病患者的CIN提供了一种新的治疗思路。