非瑟酮通过抑制 ACSL4 介导的肾小管铁死亡改善小鼠纤维化性肾病。
Fisetin ameliorates fibrotic kidney disease in mice via inhibiting ACSL4-mediated tubular ferroptosis.
机构信息
Kidney Research Institute, Division of Nephrology, West China Hospital of Sichuan University, Chengdu, 610041, China.
Research Core Facility of West China Hospital, Sichuan University, Chengdu, 610041, China.
出版信息
Acta Pharmacol Sin. 2024 Jan;45(1):150-165. doi: 10.1038/s41401-023-01156-w. Epub 2023 Sep 11.
Kidney fibrosis is the hallmark of chronic kidney disease (CKD) progression, whereas no effective anti-fibrotic therapies exist. Recent evidence has shown that tubular ferroptosis contributes to the pathogenesis of CKD with persistent proinflammatory and profibrotic responses. We previously reported that natural flavonol fisetin alleviated septic acute kidney injury and protected against hyperuricemic nephropathy in mice. In this study, we investigated the therapeutic effects of fisetin against fibrotic kidney disease and the underlying mechanisms. We established adenine diet-induced and unilateral ureteral obstruction (UUO)-induced CKD models in adult male mice. The two types of mice were administered fisetin (50 or 100 mg·kg·d, i.g.) for 3 weeks or 7 days, respectively. At the end of the experiments, the mice were euthanized, and blood and kidneys were gathered for analyzes. We showed that fisetin administration significantly ameliorated tubular injury, inflammation, and tubulointerstitial fibrosis in the two types of CKD mice. In mouse renal tubular epithelial (TCMK-1) cells, treatment with fisetin (20 μM) significantly suppressed adenine- or TGF-β1-induced inflammatory responses and fibrogenesis, and improved cell viability. By quantitative real-time PCR analysis of ferroptosis-related genes, we demonstrated that fisetin treatment inhibited ferroptosis in the kidneys of CKD mice as well as in injured TCMK-1 cells, as evidenced by decreased ACSL4, COX2, and HMGB1, and increased GPX4. Fisetin treatment effectively restored ultrastructural abnormalities of mitochondrial morphology and restored the elevated iron, the reduced GSH and GSH/GSSG as well as the increased lipid peroxide MDA in the kidneys of CKD mice. Notably, abnormally high expression of the ferroptosis key marker ACSL4 was verified in the renal tubules of CKD patients (IgAN, MN, FSGS, LN, and DN) as well as adenine- or UUO-induced CKD mice, and in injured TCMK-1 cells. In adenine- and TGF-β1-treated TCMK-1 cells, ACSL4 knockdown inhibited tubular ferroptosis, while ACSL4 overexpression blocked the anti-ferroptotic effect of fisetin and reversed the cytoprotective, anti-inflammatory, and anti-fibrotic effects of fisetin. In summary, we reveal a novel aspect of the nephroprotective effect of fisetin, i.e. inhibiting ACSL4-mediated tubular ferroptosis against fibrotic kidney diseases.
肾脏纤维化是慢性肾脏病(CKD)进展的标志,但目前尚无有效的抗纤维化治疗方法。最近的证据表明,肾小管铁死亡导致 CKD 持续产生促炎和促纤维化反应。我们之前报道过天然类黄酮漆黄素可减轻脓毒症急性肾损伤并预防高尿酸血症肾病。在这项研究中,我们研究了漆黄素对纤维化肾脏疾病的治疗作用及其潜在机制。我们建立了成年雄性小鼠腺嘌呤饮食诱导和单侧输尿管梗阻(UUO)诱导的 CKD 模型。这两种类型的小鼠分别接受漆黄素(50 或 100mg·kg·d,灌胃)治疗 3 周或 7 天。实验结束时,处死小鼠,采集血液和肾脏进行分析。结果表明,漆黄素给药可显著改善两种 CKD 小鼠的肾小管损伤、炎症和肾小管间质纤维化。在小鼠肾小管上皮细胞(TCMK-1)中,用漆黄素(20μM)处理可显著抑制腺嘌呤或 TGF-β1 诱导的炎症反应和纤维化,并提高细胞活力。通过对铁死亡相关基因的实时定量 PCR 分析,我们证明漆黄素治疗抑制了 CKD 小鼠肾脏和受损 TCMK-1 细胞中的铁死亡,表现为 ACSL4、COX2 和 HMGB1 减少,GPX4 增加。漆黄素治疗有效恢复了 CKD 小鼠肾脏线粒体形态的超微结构异常,并恢复了升高的铁、降低的 GSH 和 GSH/GSSG 以及升高的脂质过氧化物 MDA。值得注意的是,CKD 患者(IgAN、MN、FSGS、LN 和 DN)以及腺嘌呤或 UUO 诱导的 CKD 小鼠和受损 TCMK-1 细胞的肾小管中异常高表达铁死亡关键标志物 ACSL4。在腺嘌呤和 TGF-β1 处理的 TCMK-1 细胞中,ACSL4 敲低抑制了肾小管铁死亡,而 ACSL4 过表达阻断了漆黄素的抗铁死亡作用,并逆转了漆黄素的细胞保护、抗炎和抗纤维化作用。总之,我们揭示了漆黄素的肾脏保护作用的一个新方面,即抑制 ACSL4 介导的肾小管铁死亡对抗纤维化肾脏疾病。
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