Department of Nephropathy, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, People's Republic of China.
Department of Infectious Disease, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, People's Republic of China.
Drug Des Devel Ther. 2021 Jul 16;15:3131-3150. doi: 10.2147/DDDT.S310882. eCollection 2021.
Kidney tubular epithelial injury is one of the key factors in the progression of diabetic nephropathy (DN). Wogonin is a kind of flavonoid, which has many pharmacological effects, such as anti-inflammation, anti-oxidation and anti-fibrosis. However, the effect of wogonin in renal tubular epithelial cells during DN is still unknown.
STZ-induced diabetic mice were given doses of wogonin (10, 20, and 40 mg/kg) by intragastric administration for 16 weeks. The metabolic indexes from blood and urine and pathological damage of renal tubules in mice were evaluated. Human tubular epithelial cells (HK-2) were cultured in high glucose (HG) condition containing wogonin (2μM, 4μM, 8μM) for 24 h. Tubular epithelial cell inflammation and autophagic dysfunction both in vivo and in vitro were assessed by Western blot, qRT-PCR, IHC, and IF analyses.
The treatment of wogonin attenuated urinary albumin and histopathological damage in tubulointerstitium of diabetic mice. We also found that wogonin down-regulated the expression of pro-inflammatory cytokines and autophagic dysfunction in vivo and in vitro. Molecular docking and Cellular Thermal Shift Assay (CETSA) results revealed that mechanistically phosphoinositide 3-kinase (PI3K) was the target of wogonin. We then found that inhibiting PI3K eliminated the protective effect of wogonin. Wogonin regulated autophagy and inflammation via targeting PI3K, the important connection point of PI3K/Akt/NF-κB signaling pathway.
Our study is the first to demonstrate the novel role of wogonin in mitigating tubulointerstitial fibrosis and renal tubular cell injury via regulating PI3K/Akt/NF-κB signaling pathway-mediated autophagy and inflammation. Wogonin might be a latent remedial drug against tubular epithelial injury in DN by targeting PI3K.
肾小管上皮细胞损伤是糖尿病肾病(DN)进展的关键因素之一。汉黄芩素是一种黄酮类化合物,具有多种药理作用,如抗炎、抗氧化和抗纤维化。然而,汉黄芩素在 DN 肾小管上皮细胞中的作用尚不清楚。
采用链脲佐菌素(STZ)诱导糖尿病小鼠,经灌胃给予汉黄芩素(10、20 和 40mg/kg)16 周。评估小鼠的血液和尿液代谢指标以及肾小管的病理损伤。将人肾小管上皮细胞(HK-2)在含有汉黄芩素(2μM、4μM、8μM)的高糖(HG)条件下培养 24 小时。通过 Western blot、qRT-PCR、免疫组化和免疫荧光分析评估体内和体外肾小管上皮细胞炎症和自噬功能障碍。
汉黄芩素治疗可减轻糖尿病小鼠的尿白蛋白和肾小管间质的组织病理学损伤。我们还发现,汉黄芩素可下调体内和体外促炎细胞因子的表达和自噬功能障碍。分子对接和细胞热转移分析(CETSA)结果表明,汉黄芩素的作用机制是磷酸肌醇 3-激酶(PI3K)。然后我们发现,抑制 PI3K 消除了汉黄芩素的保护作用。汉黄芩素通过靶向 PI3K 调节自噬和炎症,PI3K 是 PI3K/Akt/NF-κB 信号通路的重要连接点。
本研究首次证明汉黄芩素通过调节 PI3K/Akt/NF-κB 信号通路介导的自噬和炎症,在减轻肾小管间质纤维化和肾小管细胞损伤方面发挥新的作用。汉黄芩素通过靶向 PI3K 可能成为治疗 DN 肾小管上皮损伤的潜在治疗药物。