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岩藻依聚糖减轻糖尿病肾病中的肾纤维化 抑制NLRP3炎性小体介导的足细胞焦亡

Fucoidan Alleviates Renal Fibrosis in Diabetic Kidney Disease Inhibition of NLRP3 Inflammasome-Mediated Podocyte Pyroptosis.

作者信息

Wang Mei-Zi, Wang Jie, Cao Dong-Wei, Tu Yue, Liu Bu-Hui, Yuan Can-Can, Li Huan, Fang Qi-Jun, Chen Jia-Xin, Fu Yan, Wan Bing-Ying, Wan Zi-Yue, Wan Yi-Gang, Wu Guo-Wen

机构信息

Department of Traditional Chinese Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, China.

Institute of Chinese Medicine, Nanjing University, Nanjing, China.

出版信息

Front Pharmacol. 2022 Mar 18;13:790937. doi: 10.3389/fphar.2022.790937. eCollection 2022.

Abstract

Fucoidan (FPS) has been widely used to treat renal fibrosis (RF) in patients with diabetic kidney disease (DKD); however, the precise therapeutic mechanisms remain unclear. Recently, research focusing on inflammation-derived podocyte pyroptosis in DKD has attracted increasing attention. This phenomenon is mediated by the activation of the nucleotide-binding oligomerization domain (Nod)-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome, leading to RF during DKD progression. Therefore, we designed a series of experiments to investigate the ameliorative effects of FPS on RF in DKD and the mechanisms that are responsible for its effect on NLRP3 inflammasome-mediated podocyte pyroptosis in the diabetic kidney. The modified DKD rat models were subjected to uninephrectomy, intraperitoneal injection of streptozotocin, and a high-fat diet. Following induction of renal injury, the animals received either FPS, rapamycin (RAP), or a vehicle for 4 weeks. For research, we exposed murine podocytes to high glucose and MCC950, an NLRP3 inflammasome inhibitor, with or without FPS or RAP. Changes in the parameters related to RF and inflammatory podocyte injury were analyzed . Changes in podocyte pyroptosis, NLRP3 inflammasome activation, and activation of the adenosine monophosphate-activated protein kinase (AMPK)/mammalian target of rapamycin complex 1 (mTORC1)/NLRP3 signaling axis involved in these changes were analyzed and . FPS and RAP ameliorated RF and inflammatory podocyte injury in the DKD model rats. Moreover, FPS and RAP attenuated podocyte pyroptosis, inhibited NLRP3 inflammasome activation, and regulated the AMPK/mTORC1/NLRP3 signaling axis and . Notably, our data showed that the regulative effects of FPS, both and , on the key signaling molecules, such as p-AMPK and p-raptor, in the AMPK/mTORC1/NLRP3 signaling axis were superior to those of RAP, but similar to those of metformin, an AMPK agonist, . We confirmed that FPS, similar to RAP, can alleviate RF in DKD by inhibiting NLRP3 inflammasome-mediated podocyte pyroptosis via regulation of the AMPK/mTORC1/NLRP3 signaling axis in the diabetic kidney. Our findings provide an in-depth understanding of the pathogenesis of RF, which will aid in identifying precise targets that can be used for DKD treatment.

摘要

岩藻多糖(FPS)已被广泛用于治疗糖尿病肾病(DKD)患者的肾纤维化(RF);然而,其确切的治疗机制仍不清楚。最近,针对DKD中炎症诱导的足细胞焦亡的研究越来越受到关注。这种现象是由含核苷酸结合寡聚化结构域(Nod)样受体家族pyrin结构域的3(NLRP3)炎性小体的激活介导的,在DKD进展过程中导致RF。因此,我们设计了一系列实验来研究FPS对DKD中RF的改善作用以及其对糖尿病肾病中NLRP3炎性小体介导的足细胞焦亡产生影响的机制。改良的DKD大鼠模型接受单侧肾切除术、腹腔注射链脲佐菌素和高脂饮食。诱导肾损伤后,动物接受FPS、雷帕霉素(RAP)或赋形剂治疗4周。为了进行研究,我们将小鼠足细胞暴露于高糖和MCC950(一种NLRP3炎性小体抑制剂)中,同时添加或不添加FPS或RAP。分析了与RF和炎性足细胞损伤相关的参数变化。分析了足细胞焦亡、NLRP3炎性小体激活以及参与这些变化的腺苷单磷酸激活蛋白激酶(AMPK)/雷帕霉素哺乳动物靶蛋白复合物1(mTORC1)/NLRP3信号轴的激活情况。FPS和RAP改善了DKD模型大鼠的RF和炎性足细胞损伤。此外,FPS和RAP减轻了足细胞焦亡,抑制了NLRP3炎性小体激活,并调节了AMPK/mTORC1/NLRP3信号轴。值得注意的是,我们的数据表明,FPS对AMPK/mTORC1/NLRP3信号轴中关键信号分子(如p-AMPK和p-raptor)的调节作用在体内和体外均优于RAP,但与AMPK激动剂二甲双胍相似。我们证实,与RAP类似,FPS可以通过调节糖尿病肾病中的AMPK/mTORC1/NLRP3信号轴,抑制NLRP3炎性小体介导的足细胞焦亡,从而减轻DKD中的RF。我们的研究结果为深入了解RF的发病机制提供了依据,这将有助于确定可用于DKD治疗的精确靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96ef/8972405/5c886b50ace1/fphar-13-790937-g001.jpg

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