Department of Nephrology, Affiliated Hospital of ZunYi Medical University, ZunYi 563003, China; Organ Transplant Center, Affiliated Hospital of ZunYi Medical University, ZunYi 563000, China.
Department of Nephrology, Affiliated Hospital of ZunYi Medical University, ZunYi 563003, China.
Biomed Pharmacother. 2023 Mar;159:114286. doi: 10.1016/j.biopha.2023.114286. Epub 2023 Jan 25.
Sepsis is a systemic inflammatory response to infection, where sepsis-associated acute kidney injury (AKI) is a common morbid disease with a high morbidity and mortality, and however at present no effective therapy exists. Increasing evidence have shown that mitochondrial damage and inflammatory response are important initiating factors in pathogenesis of septic AKI. Natural flavonoid pectolinarigenin exerted anti-inflammatory properties in previous studies, while its role in septic AKI remains unknown. In the study, pectolinarigenin administration significantly ameliorated the dramatic rise of serum creatinine and blood urea nitrogen in lipopolysaccharide (LPS)- and cecal ligation/puncture (CLP)-induced septic mice, respectively. Consistently, LPS/CLP-induced renal damage as implied by histopathological score and the increased injury markers NGAL and KIM-1, which was attenuated by pectolinarigenin. Meanwhile, LPS/CLP triggered proinflammatory cytokine production and inflammation related proteins in the kidneys. However, pectolinarigenin inhibited renal expression of IL-6, IL-1β, TNF-α, and MCP-1 to improve inflammatory response. Furthermore, pectolinarigenin upregulated Bcl-2 protein expression and suppressed apoptotic protein of BAX and cleaved caspase-3 in the kidneys of CLP-induced septic AKI. Mechanistically, LPS could induce the high expression of IL-6 and trigger the phosphorylation of Jak2 and Stat3, while pectolinarigenin remarkably reduced their corresponding levels. Notably, CLP-induced kidney injury of mice significantly reduced the expression of PGC-1α, OPA1 and increased the expression of Drp1, Cyt-C, where pectolinarigenin pretreatment significantly restored their corresponding expression in mice. In summary, pectolinarigenin improved septic AKI via inhibiting JAK2/STAT3 signaling and mitochondria dysfunction.
脓毒症是一种全身炎症反应性疾病,与脓毒症相关的急性肾损伤(AKI)是一种常见的多发病,发病率和死亡率均较高,但目前尚无有效的治疗方法。越来越多的证据表明,线粒体损伤和炎症反应是脓毒症 AKI 发病机制中的重要起始因素。天然类黄酮柚皮素在以前的研究中表现出抗炎特性,但其在脓毒症 AKI 中的作用尚不清楚。在这项研究中,柚皮素给药显著改善了脂多糖(LPS)和盲肠结扎/穿刺(CLP)诱导的脓毒症小鼠血清肌酐和血尿素氮的急剧升高。一致地,柚皮素减轻了 LPS/CLP 诱导的肾脏损伤,表现在组织病理学评分和增加的损伤标志物 NGAL 和 KIM-1 上。同时,LPS/CLP 触发了肾脏中促炎细胞因子的产生和炎症相关蛋白。然而,柚皮素抑制了肾脏中 IL-6、IL-1β、TNF-α 和 MCP-1 的表达,从而改善了炎症反应。此外,柚皮素上调了 Bcl-2 蛋白的表达,并抑制了 CLP 诱导的脓毒症 AKI 肾脏中 BAX 和裂解 caspase-3 的凋亡蛋白。在机制上,LPS 可诱导 IL-6 的高表达,并触发 Jak2 和 Stat3 的磷酸化,而柚皮素显著降低了它们的相应水平。值得注意的是,CLP 诱导的小鼠肾脏损伤显著降低了 PGC-1α、OPA1 的表达,增加了 Drp1、Cyt-C 的表达,而柚皮素预处理显著恢复了小鼠相应的表达。总之,柚皮素通过抑制 JAK2/STAT3 信号和线粒体功能障碍改善了脓毒症 AKI。
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