Cai Yu-Ting, Li Zeng, Wang Yue-Yue, Li Chao, Ma Qiu-Ying
Department of Nephrology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.
The Key Laboratory of Major Autoimmune Diseases, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, The Key Laboratory of Anti-inflammatory and Immune Medicines, Ministry of Education, Hefei, 230032, China.
Heliyon. 2024 Apr 12;10(8):e29159. doi: 10.1016/j.heliyon.2024.e29159. eCollection 2024 Apr 30.
Acute kidney injury (AKI) is a clinical syndrome with high morbidity and mortality caused by various factor. The specific strategies for AKI are still lacking. GSK3β is widely expressed in the kidneys. In acute models of injury, GSK3β promotes the systemic inflammatory response, increases the proinflammatory release of cytokines, induces apoptosis, and alters cell proliferation. We screened a series of 3-(4-pyridyl)-5-(4-sulfamido-phenyl)-1,2,4-oxadiazole derivatives which are recognized as new GSK3β inhibitors, and found that 5n had the least toxicity and the best cell protection. We then tested the anti-inflammatory and reno-protective effect of 5n in cisplatin-treated tubular epithelial cells. 5n had anti-inflammation effect indicated by phosphor-NF-κB detection. Finally, we found that 5n ameliorated renal injury and inflammation in cisplatin-induced AKI mouse model. Silencing GSK3β inhibited cell injury and inflammation induced by cisplatin. We found that GSK3β interacted with PP2Ac to modulate the activity of NF-κB. In conclusion, 5n, the novel GSK3β inhibitor, protects against AKI via PP2Ac-dependent mechanisms which may provide a potential strategy for the treatment of AKI in clinic.
急性肾损伤(AKI)是一种由多种因素引起的、发病率和死亡率都很高的临床综合征。目前仍缺乏针对AKI的具体治疗策略。糖原合成酶激酶3β(GSK3β)在肾脏中广泛表达。在急性损伤模型中,GSK3β会促进全身炎症反应,增加细胞因子的促炎释放,诱导细胞凋亡,并改变细胞增殖。我们筛选了一系列被认为是新型GSK3β抑制剂的3-(4-吡啶基)-5-(4-磺酰胺基苯基)-1,2,4-恶二唑衍生物,发现5n的毒性最小且具有最佳的细胞保护作用。然后,我们检测了5n在顺铂处理的肾小管上皮细胞中的抗炎和肾脏保护作用。通过磷酸化核因子κB(phosphor-NF-κB)检测表明5n具有抗炎作用。最后,我们发现5n可改善顺铂诱导的AKI小鼠模型中的肾损伤和炎症。沉默GSK3β可抑制顺铂诱导的细胞损伤和炎症。我们发现GSK3β与蛋白磷酸酶2A(PP2Ac)相互作用以调节核因子κB的活性。总之,新型GSK3β抑制剂5n通过PP2Ac依赖性机制预防AKI,这可能为临床治疗AKI提供一种潜在策略。