Epac 的激活可改善糖尿病肾病的肾小管间质炎症。
Epac activation ameliorates tubulointerstitial inflammation in diabetic nephropathy.
机构信息
Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital, Central South University, Changsha, 410011, China.
出版信息
Acta Pharmacol Sin. 2022 Mar;43(3):659-671. doi: 10.1038/s41401-021-00689-2. Epub 2021 Jun 8.
Tubulointerstitial inflammation plays an important role in the progression of diabetic nephropathy (DN), and tubular epithelial cells (TECs) are crucial promoters of the inflammatory cascade. Exchange protein activated by cAMP (Epac) has been shown to suppress the angiotensin II (Ang-II)-induced release of inflammatory cytokines in tubular cells. However, the role of Epac in TEC-mediated tubulointerstitial inflammation in DN remains unknown. We found that administering the Epac agonist 8-pCPT-2'-O-Me-cAMP (8-O-cAMP) to db/db mice inhibited tubulointerstitial inflammation characterized by macrophage infiltration and increased inflammatory cytokine release and consequently alleviated tubulointerstitial fibrosis in the kidney. Furthermore, 8-O-cAMP administration restored CCAAT/enhancer binding protein β (C/EBP-β) expression and further upregulated the expression of Suppressor of cytokine signaling 3 (SOCS3), while inhibiting p-STAT3, MCP-1, IL-6, and TNF-α expression in the kidney cortex in db/db mice. And in vitro study showed that macrophage migration and MCP-1 expression induced by high glucose (HG, 30 mM) were notably reduced by 8-O-cAMP in human renal proximal tubule epithelial (HK-2) cells. In addition, 8-O-cAMP treatment restored C/EBP-β expression in HK-2 cells and promoted C/EBP-β translocation to the nucleus, where it transcriptionally upregulated SOCS3 expression, subsequently inhibiting STAT3 phosphorylation. Under HG conditions, siRNA-mediated knockdown of C/EBP-β or SOCS3 in HK-2 cells partially blocked the inhibitory effect of Epac activation on the release of MCP-1. In contrast, SOCS3 overexpression inhibited HG-induced activation of STAT3 and MCP-1 expression in HK-2 cells. These findings indicate that Epac activation via 8-O-cAMP ameliorates tubulointerstitial inflammation in DN through the C/EBP-β/SOCS3/STAT3 pathway.
小管间质性炎症在糖尿病肾病 (DN) 的进展中起着重要作用,而肾小管上皮细胞 (TEC) 是炎症级联反应的关键促进剂。环磷酸腺苷 (cAMP) 激活的交换蛋白 (Epac) 已被证明可抑制血管紧张素 II (Ang-II) 在肾小管细胞中诱导释放炎症细胞因子。然而,Epac 在 DN 中 TEC 介导的小管间质性炎症中的作用尚不清楚。我们发现,给予 db/db 小鼠 Epac 激动剂 8-pCPT-2'-O-Me-cAMP (8-O-cAMP) 可抑制以巨噬细胞浸润和炎症细胞因子释放增加为特征的小管间质性炎症,并因此减轻肾脏中的小管间质性纤维化。此外,8-O-cAMP 给药恢复了 CCAAT/增强子结合蛋白 β (C/EBP-β) 的表达,并进一步上调了抑制细胞因子信号转导 3 (SOCS3) 的表达,同时抑制了 db/db 小鼠肾脏皮质中 p-STAT3、MCP-1、IL-6 和 TNF-α的表达。体外研究表明,高葡萄糖 (HG,30mM) 诱导的巨噬细胞迁移和 MCP-1 表达在 HK-2 细胞中被 8-O-cAMP 显著降低。此外,8-O-cAMP 处理恢复了 HK-2 细胞中 C/EBP-β 的表达,并促进了 C/EBP-β 向核内易位,从而转录上调 SOCS3 的表达,随后抑制 STAT3 磷酸化。在 HG 条件下,HK-2 细胞中 C/EBP-β 或 SOCS3 的 siRNA 介导的敲低部分阻断了 Epac 激活对 MCP-1 释放的抑制作用。相反,SOCS3 过表达抑制了 HG 诱导的 HK-2 细胞中 STAT3 和 MCP-1 的表达。这些发现表明,通过 8-O-cAMP 激活 Epac 通过 C/EBP-β/SOCS3/STAT3 通路改善 DN 中的小管间质性炎症。