烈香杜鹃提取物通过 NF-κB/NLRP3 通路对脂多糖诱导的急性肾损伤的保护机制。

Protective mechanisms of Leontopodium leontopodioides extracts on lipopolysaccharide-induced acute kidney injury viathe NF-κB/NLRP3 pathway.

机构信息

Inner Mongolia Key Laboratory of Mongolian Medicine Pharmacology for Cardio-Cerebral Vascular System, Inner Mongolia Minzu University, Tongliao 028000, China; College of Preventive Medicine, Medical College, Inner Mongolia Minzu University, Tongliao 028000, China.

Inner Mongolia Key Laboratory of Mongolian Medicine Pharmacology for Cardio-Cerebral Vascular System, Inner Mongolia Minzu University, Tongliao 028000, China; Institute of Pharmaceutical Chemistry and Pharmacology, Inner Mongolia Minzu University, Tongliao 028000, China.

出版信息

Chin J Nat Med. 2023 Jan;21(1):47-57. doi: 10.1016/S1875-5364(23)60384-X.

Abstract

Sepsis-induced uncontrolled systemic inflammatory response syndrome (SIRS) is a critical cause of multiple organ failure. Acute kidney injury (AKI) is one of the most serious complications associated with an extremely high mortality rate in SIRS, and it lacked simple, safe, and effective treatment strategies. Leontopodium leontopodioides (Willd.) Beauv (LLB) is commonly used in traditional Chinese medicine for the treatment of acute and chronic nephritis. However, it remains unclear whether lipopolysaccharide (LPS) affects LPS-induced AKI. To identify the molecular mechanisms of LLB in LPS-induced HK-2 cells and mice, LLB was prepared by extraction with 70% methanol, while a lipopolysaccharide (LPS)-induced HK-2 cell model and an AKI model were established in this study. Renal histopathology staining was performed to observe the morphology changes. The cell supernatant and kidney tissues were collected for determining the levels of inflammatory factors and protein expression by ELISA, immunofluorescence, and Western blot. The results indicated that LLB significantly reduced the expression of IL-6 and TNF-α in LPS-induced HK-2 cells, as well as the secretion of IL-6, TNF-α, and IL-1β in the supernatant. The same results were observed in LPS-induced AKI serum. Further studies revealed that LLB remarkably improved oxidative stress and apoptosis based on the content of MDA, SOD, and CAT in serum and TUNEL staining results. Notably, LLB significantly reduced the mortality due to LPS infection. Renal histopathology staining results supported these results. Furthermore, immunofluorescence and Western blot results confirmed that LLB significantly reduced the expression of the protein related to the NF-κB signaling pathway and NLRP3, ASC, and Caspase-1 which were significantly increased through LPS stimulation. These findings clearly demonstrated the potential use of LLB in the treatment of AKI and the crucial role of the NF-κB/NLRP3 pathway in the process through which LLB attenuates AKI induced by LPS.

摘要

脓毒症引起的失控性全身炎症反应综合征(SIRS)是多器官衰竭的一个关键原因。急性肾损伤(AKI)是 SIRS 最严重的并发症之一,其死亡率极高,目前缺乏简单、安全和有效的治疗策略。雪兔子(Leontopodium leontopodioides (Willd.) Beauv)在传统中药中常用于治疗急、慢性肾炎。然而,其是否影响脂多糖(LPS)诱导的 AKI 尚不清楚。为了明确 LLB 在 LPS 诱导的 HK-2 细胞和小鼠中的分子机制,本研究采用 70%甲醇提取 LLB,建立 LPS 诱导的 HK-2 细胞模型和 AKI 模型。通过肾组织病理染色观察形态学变化,收集细胞上清液和肾组织,采用 ELISA、免疫荧光和 Western blot 检测炎症因子和蛋白表达水平。结果表明,LLB 显著降低 LPS 诱导的 HK-2 细胞中 IL-6 和 TNF-α的表达以及上清液中 IL-6、TNF-α和 IL-1β的分泌。在 LPS 诱导的 AKI 血清中也观察到相同的结果。进一步研究表明,基于血清 MDA、SOD 和 CAT 的含量以及 TUNEL 染色结果,LLB 显著改善了氧化应激和细胞凋亡。值得注意的是,LLB 显著降低了 LPS 感染导致的死亡率。肾组织病理染色结果支持这些结果。此外,免疫荧光和 Western blot 结果证实,LLB 显著降低了 LPS 刺激下 NF-κB 信号通路和 NLRP3、ASC 和 Caspase-1 相关蛋白的表达,这些蛋白的表达明显增加。这些发现清楚地表明了 LLB 在 AKI 治疗中的潜在用途,以及 NF-κB/NLRP3 通路在 LLB 减轻 LPS 诱导的 AKI 过程中的关键作用。

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