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盐皮质激素受体拮抗剂可预防代谢应激与慢性肾脏病对小鼠肾纤维化和炎症的协同作用。

Mineralocorticoid Receptor Antagonism Prevents the Synergistic Effect of Metabolic Challenge and Chronic Kidney Disease on Renal Fibrosis and Inflammation in Mice.

作者信息

Palacios-Ramirez Roberto, Lima-Posada Ixchel, Bonnard Benjamin, Genty Marie, Fernandez-Celis Amaya, Hartleib-Geschwindner Judith, Foufelle Fabienne, Lopez-Andres Natalia, Bamberg Krister, Jaisser Frederic

机构信息

Centre de Recherche des Cordeliers, Team Diabetes, Metabolic Diseases and Comorbidities, Sorbonne Université, Inserm, Université de Paris, Paris, France.

Cardiovascular Translational Research, Navarrabiomed (Miguel Servet Foundation), Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.

出版信息

Front Physiol. 2022 Apr 7;13:859812. doi: 10.3389/fphys.2022.859812. eCollection 2022.

DOI:10.3389/fphys.2022.859812
PMID:35464084
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9022039/
Abstract

Obesity and/or metabolic diseases are frequently associated with chronic kidney disease and several factors associated with obesity may contribute to proteinuria and extracellular matrix production. Mineralocorticoid receptor antagonists have proven their clinical efficacy in diabetic kidney disease with preclinical data suggesting that they may also be efficient in non-diabetic chronic kidney disease associated to metabolic diseases. In the present study we developed a novel mouse model combining severe nephron reduction and High Fat Diet challenge that led to chronic kidney disease with metabolic alterations. We showed that the Mineralocorticoid Receptor antagonist canrenoate improved metabolic function, reduced albuminuria and prevented the synergistic effect of high fat diet on renal fibrosis and inflammation in chronic kidney disease mice.

摘要

肥胖和/或代谢性疾病常与慢性肾脏病相关,一些与肥胖相关的因素可能导致蛋白尿和细胞外基质生成。盐皮质激素受体拮抗剂已在糖尿病肾病中证明了其临床疗效,临床前数据表明它们在与代谢性疾病相关的非糖尿病慢性肾脏病中可能也有效。在本研究中,我们构建了一种新型小鼠模型,该模型结合了严重的肾单位减少和高脂饮食刺激,从而导致伴有代谢改变的慢性肾脏病。我们发现,盐皮质激素受体拮抗剂坎利酸钾可改善代谢功能、减少蛋白尿,并防止高脂饮食对慢性肾脏病小鼠肾纤维化和炎症的协同作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b237/9022039/19e48616b2dc/fphys-13-859812-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b237/9022039/7e61e41de932/fphys-13-859812-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b237/9022039/6b691d571057/fphys-13-859812-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b237/9022039/b56c57b5046d/fphys-13-859812-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b237/9022039/19e48616b2dc/fphys-13-859812-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b237/9022039/7e61e41de932/fphys-13-859812-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b237/9022039/6b691d571057/fphys-13-859812-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b237/9022039/b56c57b5046d/fphys-13-859812-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b237/9022039/19e48616b2dc/fphys-13-859812-g004.jpg

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本文引用的文献

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Hydrogen Sulfide Attenuated Sepsis-Induced Myocardial Dysfunction Through TLR4 Pathway and Endoplasmic Reticulum Stress.硫化氢通过Toll样受体4信号通路和内质网应激减轻脓毒症诱导的心肌功能障碍。
Front Physiol. 2021 Jun 9;12:653601. doi: 10.3389/fphys.2021.653601. eCollection 2021.
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Fibrosis in Chronic Kidney Disease: Pathogenesis and Consequences.
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Hypertension. 2024 Apr;81(4):776-786. doi: 10.1161/HYPERTENSIONAHA.123.21888. Epub 2024 Jan 19.
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