Zhang Xinyu, Wang Simeng, Chong Nannan, Chen Dandan, Shu Jianqiang, Sun Jingshu, Sun Zhikang, Wang Rong, Wang Qinglian, Xu Ying
Shandong Provincial Hospital, Shandong University, Jinan, Shandong, China.
Department of Nephrology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
Int Immunopharmacol. 2024 Feb 15;128:111427. doi: 10.1016/j.intimp.2023.111427. Epub 2024 Jan 4.
Podocyte inflammatory injury has been indicated to play a pivotal role in the occurrence and development of diabetic nephropathy (DN). However, the pathogenesis of inflammation remains unclear. Recent researches have shown that GDF-15, a member of the transforming growth factor-β superfamily, were elevated under pathological conditions, such as myocardial ischemia, cancer, as well as inflammation. Here, we demonstrated that GDF-15 could alleviate podocyte inflammatory injury by modulating the NF-κB pathway. GDF-15 and other pro-inflammatory factors, such as TNF-α, IL-1β, and IL-6 were upregulated in the serum of HFD/STZ rat models. GDF-15 was also elevated in diabetic glomeruli and hyperglycemic stimuli treated-podocytes. The silence of GDF-15 in HG-stimulated podocytes further augmented inflammation and podocyte injury, while overexpression of GDF-15 significantly reduced the inflammatory response in podocytes. Mechanistically, we demonstrated that GDF-15 could inhibit the nuclear translocation of NF-κB through IKK and IκBα by interaction with ubiquitin ligase NEDD4L. Taken together, our data suggested a protective mechanism of elevated GDF-15 in DN through obstruction of ubiquitin degradation of IKK by inhibiting NEDD4L expression, thus decreasing the activation of NF-κB and relieving the inflammation. GDF-15 could serve as a potential therapeutic target for DN.
足细胞炎性损伤已被表明在糖尿病肾病(DN)的发生和发展中起关键作用。然而,炎症的发病机制仍不清楚。最近的研究表明,生长分化因子15(GDF-15)作为转化生长因子-β超家族的一员,在心肌缺血、癌症以及炎症等病理条件下水平会升高。在此,我们证明GDF-15可通过调节核因子-κB(NF-κB)信号通路减轻足细胞炎性损伤。在高脂饮食/链脲佐菌素(HFD/STZ)大鼠模型的血清中,GDF-15以及其他促炎因子,如肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)和白细胞介素-6(IL-6)均上调。在糖尿病肾小球和高糖刺激处理的足细胞中,GDF-15也升高。在高糖刺激的足细胞中沉默GDF-15会进一步加重炎症和足细胞损伤,而GDF-15的过表达则显著降低足细胞中的炎症反应。机制上,我们证明GDF-15可通过与泛素连接酶NEDD4L相互作用,经由IκB激酶(IKK)和IκBα抑制NF-κB的核转位。综上所述,我们的数据提示了DN中GDF-15升高的一种保护机制,即通过抑制NEDD4L表达来阻断IKK的泛素降解,从而降低NF-κB的激活并减轻炎症。GDF-15可作为DN的一个潜在治疗靶点。
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