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达沙替尼和槲皮素的衰老细胞选择性清除联合通过 Notch 通路激活自噬来减轻足细胞去分化,从而预防糖尿病肾病。

Senolytic combination of dasatinib and quercetin protects against diabetic kidney disease by activating autophagy to alleviate podocyte dedifferentiation via the Notch pathway.

机构信息

Department of Nephrology, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning 110001, P.R. China.

Department of Laboratory Medicine, The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong 524003, P.R. China.

出版信息

Int J Mol Med. 2024 Mar;53(3). doi: 10.3892/ijmm.2024.5350. Epub 2024 Jan 19.

Abstract

The senolytics dasatinib and quercetin (DQ) alleviate age‑related disorders. However, limited information is available regarding the effects of DQ on diabetic kidney disease (DKD). The present study aimed to explore the effects of DQ on DKD and its potential molecular mechanism(s). Dasatinib (5 mg/kg) and quercetin (50 mg/kg) were administered to diabetic db/db mice by gavage for 20 weeks. Body weight, urine albumin‑creatinine ratio (ACR), serum creatinine (Scr), and blood urea nitrogen (BUN) were recorded at the indicated time periods. Periodic acid‑Schiff and Masson's staining were performed to assess the histopathological changes of kidney tissues. Immunohistochemical analysis, immunofluorescence and western blotting were performed to evaluate the expression levels of extracellular matrix (ECM) proteins, autophagic and podocyte differentiation‑related proteins. In addition, mouse podocytes were administered with high‑glucose, DQ and 3‑methyladenine (3‑MA), and the expression levels of autophagic and podocyte differentiation‑related proteins were measured. Moreover, following overexpression of the Notch intracellular domain (NICD), the expression levels of NICD, autophagic and podocyte differentiation‑related proteins were further assessed. DQ significantly reduced the body weight, blood glucose, ACR, Scr and BUN levels and improved the histopathological changes induced in diabetic db/db mice. In addition, DQ caused a significant downregulation of the expression levels of the ECM proteins, improved autophagy and induced an upregulation of the expression levels of podocyte differentiation‑related proteins. Administration of 3‑MA to mice significantly reduced podocyte differentiation, and overexpression of NICD could reverse the effects of DQ on autophagy and podocyte differentiation . The present study suggests that DQ protects against DKD by activation of autophagy to alleviate podocyte dedifferentiation via the Notch pathway.

摘要

衰老细胞清除剂达沙替尼和槲皮素(DQ)可缓解与年龄相关的疾病。然而,关于 DQ 对糖尿病肾病(DKD)的影响,目前的信息有限。本研究旨在探讨 DQ 对 DKD 的影响及其潜在的分子机制。通过灌胃给予糖尿病 db/db 小鼠达沙替尼(5mg/kg)和槲皮素(50mg/kg),共 20 周。在指定时间记录体重、尿白蛋白/肌酐比(ACR)、血清肌酐(Scr)和血尿素氮(BUN)。进行过碘酸-希夫和马松染色以评估肾脏组织的组织病理学变化。进行免疫组织化学分析、免疫荧光和 Western blot 分析以评估细胞外基质(ECM)蛋白、自噬和足细胞分化相关蛋白的表达水平。此外,给予高糖、DQ 和 3-甲基腺嘌呤(3-MA)处理小鼠足细胞,并测量自噬和足细胞分化相关蛋白的表达水平。此外,过表达 Notch 细胞内结构域(NICD)后,进一步评估 NICD、自噬和足细胞分化相关蛋白的表达水平。DQ 可显著降低糖尿病 db/db 小鼠的体重、血糖、ACR、Scr 和 BUN 水平,并改善其引起的组织病理学变化。此外,DQ 可显著下调 ECM 蛋白的表达水平,改善自噬并诱导足细胞分化相关蛋白的表达上调。给予 3-MA 处理可显著减少足细胞分化,而过表达 NICD 可逆转 DQ 对自噬和足细胞分化的作用。本研究表明,DQ 通过激活自噬来减轻足细胞去分化,从而通过 Notch 通路来保护 DKD,这可能与其缓解糖尿病肾病有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eebd/10852012/a28919291c1b/ijmm-53-03-05350-g00.jpg

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