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虎杖苷通过抑制肾小管细胞焦亡对痛风性肾病起保护作用。

Polydatin protects against gouty nephropathy by inhibiting renal tubular cell pyroptosis.

机构信息

Department of Rheumatology and Immunology, The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.

Institute of Clinical Immunology, Academy of Orthopedics Guangdong Province, Guangzhou, China.

出版信息

Int J Rheum Dis. 2023 Jan;26(1):116-123. doi: 10.1111/1756-185X.14463. Epub 2022 Nov 3.

Abstract

OBJECTIVE

To investigate the protective effect and mechanism of polydatin (PD) against gouty nephropathy (GN) in mice.

METHODS

Twenty-four mice were randomly divided into three groups: the control group (no treatment), the GN group (300 mg/kg hypoxanthine + 150 mg/kg potassium oxonate), and the GN + PD group (300 mg/kg hypoxanthine + 150 mg/kg potassium oxonate + 50 mg/kg PD). Histological changes in the kidneys and the levels of uric acid (UA), blood urea nitrogen (BUN), and serum creatinine (SCr) in the sera were measured. In addition, the expression of gasdermin D (GSDMD) protein in renal tubular epithelial cells, and the expression of NOD-like receptor protein 3 (NLRP3), GSDMD, and caspase-1 proteins in the kidney tissues were determined by immunohistochemistry, immunofluorescence, and Western blot.

RESULTS

In vitro, PD inhibited the expression of NLRP3, caspase-1, and GSDMD and protected the renal tubular epithelial cells from pyroptosis. In vivo, PD treatment significantly ameliorated the pathological changes in kidney tissue, and reversed the decrease of serum UA and BUN in GN model mice. The expression of NLRP3, GSDMD, and caspase-1 proteins was also decreased in the PD-treated GN mice.

CONCLUSION

The results suggest that PD has a protective effect on mice with GN, which may be related to the downregulation of NLRP3, GSDMD, and caspase-1 proteins and the inhibition of renal tubular epithelial cells pyroptosis.

摘要

目的

探讨虎杖苷(PD)对痛风肾病(GN)小鼠的保护作用及其机制。

方法

将 24 只小鼠随机分为三组:对照组(不治疗)、GN 组(300mg/kg 次黄嘌呤+150mg/kg 氧嗪酸钾)和 GN+PD 组(300mg/kg 次黄嘌呤+150mg/kg 氧嗪酸钾+50mg/kg PD)。测量肾脏的组织学变化以及血清中尿酸(UA)、血尿素氮(BUN)和血清肌酐(SCr)的水平。此外,通过免疫组织化学、免疫荧光和 Western blot 测定肾管状上皮细胞中 GSDMD 蛋白的表达以及肾组织中 NLRP3、GSDMD 和 caspase-1 蛋白的表达。

结果

在体外,PD 抑制 NLRP3、caspase-1 和 GSDMD 的表达,保护肾小管上皮细胞免于发生细胞焦亡。在体内,PD 治疗可显著改善 GN 模型小鼠的肾脏组织病理变化,并逆转 GN 模型小鼠血清 UA 和 BUN 的降低。PD 治疗的 GN 小鼠中 NLRP3、GSDMD 和 caspase-1 蛋白的表达也降低。

结论

这些结果表明,PD 对 GN 小鼠具有保护作用,这可能与 NLRP3、GSDMD 和 caspase-1 蛋白的下调以及抑制肾小管上皮细胞细胞焦亡有关。

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