肾衰一号方对单侧输尿管梗阻诱导的小鼠肾纤维化的保护作用及调控机制

Protective effects and regulatory mechanisms of Shen-shuai-yi recipe on renal fibrosis in unilateral ureteral obstruction-induced mice.

作者信息

Lin Ping-Lan, Weng Tao-Tao, Duan Lian-Xiang, Zhang Lin-Zhang, Wei Xia, Qi Sheng-Lan, You Jia-Wen, Cao Yu, Ge Guang-Bo, Liu Wei, He Xiao-Li, Hu Jing

机构信息

Department of Nephropathy, The Seventh People's Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Key Laboratory of Liver and Kidney Diseases (Ministry of Education), Department of Pharmacy, Institute of Kidney Disease, Shanghai Key Laboratory of Traditional Chinese Clinical Medicine, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.

出版信息

Heliyon. 2023 Jul 11;9(7):e17908. doi: 10.1016/j.heliyon.2023.e17908. eCollection 2023 Jul.

Abstract

Renal fibrosis (RF) is a common pathological feature of chronic kidney disease (CKD), which remains a major public health problem. As now, there is still lack of chemical or biological drugs to reverse RF. Shen-shuai-yi Recipe (SSYR) is a classical Chinese herbal formula for the treatment of CKD. However, the effects and mechanisms of SSYR in treating RF are still not clear. In this study, the active constituents SSYR for treating RF were explored by UHPLC-Q-Orbitrap HRMS. Bioinformatics analyses were employed to analyze the key pharmacological targets and the core active constituents of SSYR in the treatment of RF. In experimental validation, vehicle or SSYR at doses of 2.12 g/kg/d and 4.25 g/kg/d were given by orally to unilateral ureteric obstruction (UUO) mice. 13 days after treatment, we detected the severity of renal fibrosis, extracellular collagen deposition and pre-fibrotic signaling pathways. Bioinformatics analysis suggested that signal transducer and activator of transcription 3 (STAT3) was the core target and lenticin, luteolin-7-O-rutinoside, hesperidin, kaempferol-3-O-rutinoside, and 3,5,6,7,8,3',4'-heptamethoxyflavone were the key constituents in SSYR for treating RF. SSYR significantly reduced the expressions of fibronectin (FN), α-smooth muscle actin (α-SMA), collagen-I and alleviated renal interstitial collagen deposition in UUO kidneys. In mechanism, SSYR potently blocked the phosphorylation of STAT3 and Smad3 and suppressed the expression of connective tissue growth factor (CTGF). Collectively, SSYR can ameliorate RF inhibiting the phosphorylation of STAT3 and its downstream and reducing the collagen deposition, suggesting that SSYR can be developed as a novel medicine for treating RF.

摘要

肾纤维化(RF)是慢性肾脏病(CKD)的常见病理特征,CKD仍是一个重大的公共卫生问题。目前,仍然缺乏可逆转肾纤维化的化学或生物药物。肾衰益方剂(SSYR)是治疗CKD的经典中药方剂。然而,SSYR治疗肾纤维化的作用及机制仍不明确。本研究采用超高效液相色谱-四极杆-轨道阱高分辨质谱(UHPLC-Q-Orbitrap HRMS)探究SSYR治疗肾纤维化的活性成分。运用生物信息学分析方法分析SSYR治疗肾纤维化的关键药理靶点及核心活性成分。在实验验证中,对单侧输尿管梗阻(UUO)小鼠灌胃给予溶媒或剂量为2.12 g/kg/d和4.25 g/kg/d的SSYR。治疗13天后,检测肾纤维化严重程度、细胞外胶原沉积及纤维化前信号通路。生物信息学分析表明,信号转导子和转录激活子3(STAT3)是核心靶点,亮菌甲素、木犀草素-7-O-芸香糖苷、橙皮苷、山柰酚-3-O-芸香糖苷和3,5,6,7,8,3',4'-七甲氧基黄酮是SSYR治疗肾纤维化的关键成分。SSYR显著降低了UUO小鼠肾脏中纤连蛋白(FN)、α-平滑肌肌动蛋白(α-SMA)、I型胶原的表达,并减轻了肾间质胶原沉积。机制上,SSYR有效阻断了STAT3和Smad3的磷酸化,并抑制了结缔组织生长因子(CTGF)的表达。总体而言,SSYR可通过抑制STAT3及其下游的磷酸化并减少胶原沉积来改善肾纤维化,提示SSYR可开发成为治疗肾纤维化的新型药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d160/10362328/2a685dedcb27/gr1.jpg

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