Lu Zhaoyu, Ji Chunlan, Luo Xuewen, Lan Yong, Han Lijuan, Chen Yang, Liu Xusheng, Lin Qinzhan, Lu Fuhua, Wu Xiuqing, Guo Rui, Zou Chuan
The Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China.
Department of Nephrology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.
Front Pharmacol. 2021 Jan 21;11:606227. doi: 10.3389/fphar.2020.606227. eCollection 2020.
Our previous study showed that emodin enema modulates gut microbiota and delays CKD progression. However, the poor solubility, limited colonic irrigation retention time, and inadequate colon adhesion of emodin hinder its clinical application. Based on the deficiencies of emodin, we prepared monomethoxy-poly (ethylene glycol)-poly (lactic acid)-chitosan-2-mercaptobenzimidazole nanoparticles with incorporated emodin (emodin-NP) and studied their efficacy in delaying CKD progression. 5/6 nephrectomized Male Sprague Dawley rats were administered via colonic irrigation with emodin-NP every two days for eight weeks. We found that treatment with emodin-NP improved the kidney function of the rats and limited the expansion of tubulointerstitial fibrosis. Treatment with emodin-NP once every two days is comparable to emodin treatment once a day. Furthermore, emodin-NP via colonic irrigation remarkably reduced IL-1β, IL-6, and LPS levels in serum, improved intestinal barrier functions, and downregulated the key proteins (TLR4, MyD88, and NF-κB) expression in intestinal TLR4 signaling pathway. 16S rDNA analyses showed that emodin-NP can regulate microbiota disturbance in CKD. Taken together, these results suggest that emodin-NP alleviates kidney dysfunction and tubulointerstitial fibrosis by mediation through the modification of gut microbiota disorders. Emodin-NP may be a new method to treat CKD.
我们之前的研究表明,大黄素灌肠可调节肠道微生物群并延缓慢性肾脏病(CKD)的进展。然而,大黄素的溶解度差、结肠灌洗保留时间有限以及结肠黏附性不足阻碍了其临床应用。基于大黄素的这些缺陷,我们制备了负载大黄素的单甲氧基聚(乙二醇)-聚(乳酸)-壳聚糖-2-巯基苯并咪唑纳米颗粒(大黄素纳米颗粒),并研究了它们在延缓CKD进展方面的疗效。对5/6肾切除的雄性Sprague Dawley大鼠每两天进行一次大黄素纳米颗粒结肠灌洗,持续八周。我们发现,大黄素纳米颗粒治疗改善了大鼠的肾功能,并限制了肾小管间质纤维化的扩展。每两天一次大黄素纳米颗粒治疗与每天一次大黄素治疗效果相当。此外,通过结肠灌洗给予大黄素纳米颗粒可显著降低血清中白细胞介素-1β、白细胞介素-6和脂多糖水平,改善肠道屏障功能,并下调肠道Toll样受体4(TLR4)信号通路中的关键蛋白(TLR4、髓样分化因子88和核因子κB)表达。16S核糖体DNA分析表明,大黄素纳米颗粒可调节CKD中的微生物群紊乱。综上所述,这些结果表明,大黄素纳米颗粒通过调节肠道微生物群紊乱来减轻肾功能障碍和肾小管间质纤维化。大黄素纳米颗粒可能是一种治疗CKD的新方法。
Hepatobiliary Pancreat Dis Int. 2017-8-15
Zhongguo Zhong Yao Za Zhi. 2019-2
Drug Des Devel Ther. 2025-7-6
Front Pharmacol. 2025-4-16
Int J Nanomedicine. 2025-3-12
Front Med (Lausanne). 2023-4-17
J Dent Res. 2019-3-20
Int J Mol Sci. 2019-1-18
J Transl Med. 2019-1-3