Research Center of Intergated Traditional Chinese and Western Medicine, and Department of Nephrology, Affiliated Traditional Medicine Hospital, Southwest Medical University, Luzhou, China.
Southwest Medical University, Luzhou, China.
Phytother Res. 2021 Mar;35(3):1521-1533. doi: 10.1002/ptr.6919. Epub 2020 Oct 28.
Persistent chronic inflammation and fibrosis product accumulation aggravate tubulointerstitial fibrosis (TIF), leading to the progression of chronic kidney disease. The aim of this study was designed to investigate the effect of protocatechualdehyde (PCA), a natural phenolic acid compound isolated from Salvia miltiorrhiza, on the unilateral ureteral obstruction (UUO)-induced fibrosis and inflammation and to elucidate the underlying mechanism in primary renal tubular epithelial cells (TECs). Results from the histology suggested that the moderate to severe deteriorations of renal dysfunction and the pathological changes in UUO could be relieved by PCA treatment. Mechanistic studies revealed that the effect of PCA was associated with the downregulation of Smad3 and NF-κB driven fibrosis and inflammation respectively. It is worth noting that PCA could inhibit the aberrant expression of inflammation cytokines such as iNOS, MCP-1, TNF-α in UUO, and IL-1β-treated TECs. In addition, PCA also suppressed the expression of Smad3-dependent long noncoding RNA (lncRNA), 9884. Importantly, when overexpressing of lncRNA9884 in TECs by transfection of pcDNA3.1-lncRNA9884 plasmid, it revealed significant reversal of protein expression levels as that observed with only PCA, suggesting that PCA inhibits inflammation by mediating lncRNA9884/MCP-1 signaling pathway. Collectively, the current study establishes a foundational basis for PCA in future treatment of obstructive nephropathy.
持续的慢性炎症和纤维化产物堆积加剧了肾小管间质纤维化(TIF),导致慢性肾脏病的进展。本研究旨在探讨原儿茶醛(PCA),一种从丹参中分离得到的天然酚酸化合物,对单侧输尿管梗阻(UUO)诱导的纤维化和炎症的影响,并阐明其在原代肾小管上皮细胞(TECs)中的作用机制。组织学结果表明,PCA 处理可缓解 UUO 导致的肾功能中度至重度恶化和病理变化。机制研究表明,PCA 的作用与下调 Smad3 和 NF-κB 驱动的纤维化和炎症有关。值得注意的是,PCA 可抑制 UUO 中炎症细胞因子如 iNOS、MCP-1、TNF-α和 IL-1β处理的 TECs 中的异常表达。此外,PCA 还抑制了 Smad3 依赖性长非编码 RNA(lncRNA),9884 的表达。重要的是,当通过 pcDNA3.1-lncRNA9884 质粒转染在 TECs 中过表达 lncRNA9884 时,其蛋白表达水平与仅用 PCA 处理时的水平显著逆转,表明 PCA 通过介导 lncRNA9884/MCP-1 信号通路抑制炎症。总之,本研究为 PCA 在未来阻塞性肾病的治疗奠定了基础。