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五味子甲素通过调控 NRF2 通路抑制炎症反应减轻脓毒症诱导的急性肾损伤。

Schisantherin A attenuates sepsis-induced acute kidney injury by suppressing inflammation via regulating the NRF2 pathway.

机构信息

Division of Nephrology, Department of Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, United States of America.

School of Public Health, Medical College of Soochow University, 199 Ren'ai Road, Suzhou 215123, Jiangsu, China.

出版信息

Life Sci. 2020 Oct 1;258:118161. doi: 10.1016/j.lfs.2020.118161. Epub 2020 Jul 27.

Abstract

AIMS

Tubulointerstitial inflammation is recognized as a key determinant of progressive sepsis-induced acute kidney injury (AKI). Schisantherin A (SchA) has been shown to be capable of regulating inflammatory processes. In the present study, we explored the possibility of SchA in preventing lipopolysaccharide (LPS)-induced kidney inflammation and injury.

MATERIALS AND METHODS

AKI was induced by a single intraperitoneal injection of LPS in CD1 mice, administration of SchA was used for treatment. The protective effect of SchA on renal function and inflammation were analyzed respectively; the NRK-52E cell line was employed for the in vitro study and relative molecular mechanism was explored.

KEY FINDINGS

Administration with SchA markedly attenuated LPS-induced damage on renal function and histopathological changes of the kidney. Additionally, pretreatment with SchA could inhibit the expression of inflammatory factors in the kidneys. In NRK-52E cells, SchA treatment significantly inhibited LPS-induced NF-κB activation and pro-inflammatory cytokine expression. Moreover, SchA could promote NRF2 pathway activation, and further blockade of NRF2 activation reversed the SchA-induced inhibition of NF-κB activation.

SIGNIFICANCE

These presented results indicated that SchA may have great potential for protecting against sepsis-induced AKI.

摘要

目的

肾小管间质性炎症被认为是导致进行性脓毒症引起的急性肾损伤(AKI)的关键决定因素。已表明五味子甲素(SchA)能够调节炎症过程。在本研究中,我们探讨了 SchA 预防脂多糖(LPS)诱导的肾脏炎症和损伤的可能性。

材料和方法

采用 LPS 单次腹腔注射诱导 CD1 小鼠 AKI,给予 SchA 进行治疗。分别分析 SchA 对肾功能和炎症的保护作用;采用 NRK-52E 细胞系进行体外研究,探讨相关分子机制。

主要发现

SchA 给药可明显减轻 LPS 诱导的肾功能损伤和肾脏组织病理学变化。此外,SchA 预处理可抑制肾脏中炎症因子的表达。在 NRK-52E 细胞中,SchA 处理可显著抑制 LPS 诱导的 NF-κB 激活和促炎细胞因子表达。此外,SchA 可促进 NRF2 通路激活,而进一步阻断 NRF2 激活可逆转 SchA 诱导的 NF-κB 激活抑制作用。

意义

这些结果表明,SchA 可能具有预防脓毒症引起的 AKI 的巨大潜力。

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