Klotho 通过激活足细胞中的 Nrf2 信号通路改善糖尿病肾病。

Klotho ameliorates diabetic nephropathy by activating Nrf2 signaling pathway in podocytes.

机构信息

Department of Nephrology, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200062, China.

Department of Anesthesiology, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, 200062, China.

出版信息

Biochem Biophys Res Commun. 2021 Jan 1;534:450-456. doi: 10.1016/j.bbrc.2020.11.061. Epub 2020 Nov 27.

Abstract

Oxidative stress plays a key role in the pathogenesis of diabetic nephropathy (DN). The anti-aging protein Klotho has been demonstrated to have antioxidant capacity. Nuclear factor-erythroid 2-related factor 2 (Nrf2) is a central transcription factor regulating antioxidant responses. The present study aimed to explore the effects of Klotho on DN and the underlying mechanisms related to Nrf2. Low glucose (LG) or high glucose (HG) medium-cultured podocytes and diabetic db/db mice were overexpressed with Klotho via adenoviral transfer to evaluate the effects of Klotho on Nrf2 signaling, oxidative stress, podocyte apoptosis, and renal function and histopathology. Klotho overexpression significantly induced the expression and activation of Nrf2 as well as its downstream targets SOD2 and NQO1 in podocytes. Moreover, Klotho overexpression inhibited HG-induced oxidative stress and apoptosis in podocytes. Co-treatment with Nrf2 inhibitor trigonelline prevented Klotho-induced expression of SOD2 and NQO1, and abolished Klotho-conferred antioxidant and anti-apoptotic effects. In db/db mice, Klotho overexpression also activated Nrf2 signaling, and suppressed diabetes-induced oxidative stress and podocyte apoptosis, which were accompanied by improved renal function and decreased glomerulosclerosis. Our data highlight a novel Nrf2-mediated antioxidant mechanism underlying the protective effects of Klotho in podocytes and indicate the therapeutic potential of targeting Klotho to activate Nrf2 in DN.

摘要

氧化应激在糖尿病肾病 (DN) 的发病机制中起关键作用。抗衰老蛋白 Klotho 已被证明具有抗氧化能力。核因子-红细胞 2 相关因子 2 (Nrf2) 是调节抗氧化反应的核心转录因子。本研究旨在探讨 Klotho 对 DN 的影响及其与 Nrf2 相关的潜在机制。通过腺病毒转染使低糖 (LG) 或高糖 (HG) 培养的足细胞和糖尿病 db/db 小鼠过表达 Klotho,以评估 Klotho 对 Nrf2 信号、氧化应激、足细胞凋亡和肾功能及组织病理学的影响。Klotho 的过表达显著诱导了足细胞中 Nrf2 及其下游靶标 SOD2 和 NQO1 的表达和激活。此外,Klotho 的过表达抑制了 HG 诱导的足细胞氧化应激和凋亡。用 Nrf2 抑制剂胡芦巴碱共同处理可阻止 Klotho 诱导的 SOD2 和 NQO1 的表达,并消除 Klotho 赋予的抗氧化和抗凋亡作用。在 db/db 小鼠中,Klotho 的过表达也激活了 Nrf2 信号通路,并抑制了糖尿病引起的氧化应激和足细胞凋亡,同时改善了肾功能并减少了肾小球硬化。我们的数据强调了 Nrf2 介导的抗氧化机制在 Klotho 保护足细胞中的新作用,并表明针对 Klotho 激活 Nrf2 在 DN 中的治疗潜力。

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