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氧化应激和炎症是通过芳香烃受体信号在特发性膜性肾病中介导的。

Oxidative stress and inflammation are mediated via aryl hydrocarbon receptor signalling in idiopathic membranous nephropathy.

机构信息

School of Pharmacy, Zhejiang Chinese Medical University, No. 548 Binwen Road, Hangzhou, Zhejiang, 310053, China.

Department of Nephrology, Shaanxi Traditional Chinese Medicine Hospital, No. 2 Xihuamen, Xi'an, Shaanxi, 710003, China.

出版信息

Free Radic Biol Med. 2023 Oct;207:89-106. doi: 10.1016/j.freeradbiomed.2023.07.014. Epub 2023 Jul 13.


DOI:10.1016/j.freeradbiomed.2023.07.014
PMID:37451370
Abstract

Membranous nephropathy (MN) patients are diagnosed by the presence of phospholipase A receptor (PLA2R) before they progress to renal failure. However, the subepithelium-like immunocomplex deposit-mediated downstream molecular pathways are poorly understood. The aryl hydrocarbon receptor (AHR), NF-ƙB and Nrf2 pathways play central roles in the pathogenesis and progression of chronic kidney disease. However, their mutual effects on MN require further examination. Thus, we investigated the effect of AHR signalling on the NF-ƙB and Nrf2 pathways in IMN patients, cationic bovine serum albumin (CBSA)-injected rats and zymosan activation serum (ZAS)-treated podocytes. IMN patients show significantly decreased serum total protein and albumin levels, increased urine protein levels and intrarenal IgG and PLA2R protein expression in glomeruli compared with controls. IMN patients exhibited increased mRNA expression of intrarenal AHR and its target genes, including CYP1A1, CYP1A2, CYP1B1 and COX-2. This increase was accompanied by significantly upregulated protein expression of CD3, NF-ƙB p65 and COX-2 and significantly downregulated Nrf2 and HO-1 expression. Similarly, CBSA-induced rats showed severe proteinuria and activated intrarenal AHR signalling. This was accompanied by significantly upregulated protein expression of intrarenal p-IκBα, NF-κB p65 and its gene products, including COX-2, MCP-1, iNOS, 12-LOX, p47 and p67, and significantly downregulated protein expression of Nrf2 and its gene products, including HO-1, catalase, GCLC, GCLM, MnSOD and NQO1. These results were further verified in ZAS-induced podocytes. Treatment with the AHR antagonist CH223191 and AHRsiRNA significantly preserved podocyte-specific protein expression and improved the NF-ƙB and Nrf2 pathways in ZAS-induced podocytes. In contrast, similar results were obtained in ZAS-induced podocytes treated with the NF-ƙB inhibitor BAY 11-7082 and NF-κBp65 siRNA. However, neither method had a significant effect on AHR signalling. Collectively, these results indicate that the NF-ƙB pathway is a downstream target of AHR signalling. Our findings suggest that blocking AHR signalling inhibits oxidative stress and inflammation, thereby improving proteinuria and renal injury.

摘要

膜性肾病(MN)患者在进展为肾衰竭之前通过存在磷脂酶 A 受体(PLA2R)来诊断。然而,上皮下样免疫复合物沉积介导的下游分子途径知之甚少。芳香烃受体(AHR)、NF-κB 和 Nrf2 途径在慢性肾脏病的发病机制和进展中起核心作用。然而,它们在 MN 中的相互作用需要进一步研究。因此,我们研究了 AHR 信号对 IMN 患者、阳离子牛血清白蛋白(CBSA)注射大鼠和酵母聚糖激活血清(ZAS)处理的足细胞中 NF-κB 和 Nrf2 途径的影响。与对照组相比,IMN 患者的血清总蛋白和白蛋白水平明显降低,尿液蛋白水平和肾内 IgG 和 PLA2R 蛋白表达增加。IMN 患者肾内 AHR 及其靶基因,包括 CYP1A1、CYP1A2、CYP1B1 和 COX-2 的 mRNA 表达增加。这种增加伴随着肾内 CD3、NF-κB p65 和 COX-2 的蛋白表达显著上调,以及 Nrf2 和 HO-1 的表达显著下调。同样,CBSA 诱导的大鼠表现出严重的蛋白尿,并激活了肾内 AHR 信号。这伴随着肾内 p-IκBα、NF-κB p65 及其基因产物,包括 COX-2、MCP-1、iNOS、12-LOX、p47 和 p67 的蛋白表达显著上调,以及 Nrf2 及其基因产物,包括 HO-1、过氧化氢酶、GCLC、GCLM、MnSOD 和 NQO1 的蛋白表达显著下调。这些结果在 ZAS 诱导的足细胞中得到了进一步验证。用 AHR 拮抗剂 CH223191 和 AHRsiRNA 治疗可显著保存足细胞特异性蛋白表达,并改善 ZAS 诱导的足细胞中 NF-κB 和 Nrf2 途径。相反,在 ZAS 诱导的足细胞中用 NF-κB 抑制剂 BAY 11-7082 和 NF-κBp65 siRNA 处理也得到了类似的结果。然而,这两种方法对 AHR 信号均无明显影响。综上所述,这些结果表明 NF-κB 途径是 AHR 信号的下游靶点。我们的研究结果表明,阻断 AHR 信号可抑制氧化应激和炎症,从而改善蛋白尿和肾损伤。

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