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药理学抑制信号转导与转录激活因子3可延缓高尿酸血症诱导的慢性肾脏病中肾纤维化的进展。

Pharmacologic inhibiting STAT3 delays the progression of kidney fibrosis in hyperuricemia-induced chronic kidney disease.

作者信息

Pan Jing, Shi Min, Guo Fan, Ma Liang, Fu Ping

机构信息

Kidney Research Institute, Division of Nephrology, West China Hospital of Sichuan University, Chengdu 610041, China; Department of Thoracic Oncology, Cancer Center, West China Hospital of Sichuan University, Chengdu 610041, China.

Kidney Research Institute, Division of Nephrology, West China Hospital of Sichuan University, Chengdu 610041, China.

出版信息

Life Sci. 2021 Nov 15;285:119946. doi: 10.1016/j.lfs.2021.119946. Epub 2021 Sep 10.

Abstract

AIMS

Kidney fibrosis is a histological hallmark of chronic kidney disease (CKD), where hyperuricemia is a key independent risk factor. Considerable evidence indicated that STAT3 is one of the crucial signaling pathways in the progression of kidney fibrosis. Here, we investigated that pharmacological blockade of STAT3 delayed the progression of renal fibrosis in hyperuricemia-induced CKD.

MAIN METHODS

In the study, we used the mixture of adenine and potassium oxonate to perform kidney injury and fibrosis in hyperuricemic mice, accompanied by STAT3 activation in tubular and interstitial cells.

KEY FINDINGS

Treatment with STAT3 inhibitor S3I-201 improved renal dysfunction, reduced serum uric acid level, and delayed the progression of kidney fibrosis. Furthermore, S3I-201 could suppress fibrotic signaling pathway of TGF-β/Smads, JAK/STAT and NF-κB, as well as inhibit the expression of multiple profibrogenic cytokines/chemokines in the kidneys of hyperuricemic mice.

SIGNIFICANCE

These data suggested that STAT3 inhibition was a potent anti-fibrotic strategy in hyperuricemia-related CKD.

摘要

目的

肾纤维化是慢性肾脏病(CKD)的组织学特征,其中高尿酸血症是关键的独立危险因素。大量证据表明,信号转导和转录激活因子3(STAT3)是肾纤维化进展中的关键信号通路之一。在此,我们研究了STAT3的药物性阻断是否能延缓高尿酸血症诱导的CKD中肾纤维化的进展。

主要方法

在本研究中,我们使用腺嘌呤和氧嗪酸钾混合物诱导高尿酸血症小鼠的肾损伤和纤维化,同时肾小管和间质细胞中存在STAT3激活。

主要发现

用STAT3抑制剂S3I-201治疗可改善肾功能不全,降低血清尿酸水平,并延缓肾纤维化的进展。此外,S3I-201可抑制转化生长因子-β/ Smads、JAK/STAT和核因子-κB的纤维化信号通路,并抑制高尿酸血症小鼠肾脏中多种促纤维化细胞因子/趋化因子的表达。

意义

这些数据表明,抑制STAT3是高尿酸血症相关CKD的一种有效的抗纤维化策略。

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