School of Medicine, China Medical University, Taichung, 40402, Taiwan; Division of Nephrology, Department of Internal Medicine, China Medical University Hospital, Taichung, 40402, Taiwan; Clinical Nutrition, China Medical University Hospital, Taichung, 40402, Taiwan.
Department of Emergency, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, 427, Taiwan.
Eur J Pharmacol. 2024 Aug 15;977:176676. doi: 10.1016/j.ejphar.2024.176676. Epub 2024 May 28.
Wogonin, a vital bioactive compound extracted from the medicinal plant, Scutellaria baicalensis, has been wildly used for its potential in mitigating the progression of chronic diseases. Chronic kidney disease (CKD) represents a significant global health challenge due to its high prevalence, morbidity and mortality rates, and associated complications. This study aimed to assess the potential of wogonin in attenuating renal fibrosis and to elucidate the underlying molecular mechanisms using a unilateral ureteral obstruction (UUO) mouse model as a CKD mimic. Male mice, 8 weeks old, underwent orally administrated of either 50 mg/kg/day of wogonin or positive control of 5 mg/kg/day candesartan following UUO surgery. NRK52E cells were exposed to tumor growth factors-beta (TGF-β) to evaluate the anti-fibrotic effects of wogonin. The results demonstrated that wogonin treatment effectively attenuated TGF-β-induced fibrosis markers in NRK-52E cells. Additionally, administration of wogonin significantly improved histopathological alterations and downregulated the expression of pro-fibrotic factors (Fibronectin, α-smooth muscle actin, Collagen IV, E-cadherin, and TGF-β), oxidative stress markers (Catalase, superoxide dismutase 2, NADPH oxidase 4, and thioredoxin reductase 1), inflammatory molecules (Cyclooxygenase-2 and TNF-α), and the infiltration of neutrophils and macrophages in UUO mice. Furthermore, wogonin treatment mitigated endoplasmic reticulum (ER) stress-associated molecular markers (GRP78, GRP94, ATF4, CHOP, and the caspase cascade) and suppressed apoptosis. The findings indicate that wogonin treatment ameliorates key fibrotic aspects of CKD by attenuating ER stress-related apoptosis, inflammation, and oxidative stress, suggesting its potential as a future therapeutic target.
汉黄芩素是一种从药用植物黄芩中提取的重要生物活性化合物,因其在减轻慢性疾病进展方面的潜力而被广泛应用。慢性肾脏病(CKD)由于其高患病率、发病率和死亡率以及相关并发症,是一个重大的全球健康挑战。本研究旨在评估汉黄芩素在减轻肾纤维化方面的潜力,并使用单侧输尿管梗阻(UUO)小鼠模型作为 CKD 模型来阐明其潜在的分子机制。雄性 8 周龄小鼠接受汉黄芩素(50mg/kg/天)或阳性对照坎地沙坦(5mg/kg/天)的口服给药,继以 UUO 手术后。NRK52E 细胞暴露于肿瘤生长因子-β(TGF-β)以评估汉黄芩素的抗纤维化作用。结果表明,汉黄芩素治疗可有效抑制 TGF-β诱导的 NRK-52E 细胞纤维化标志物。此外,汉黄芩素给药可显著改善组织病理学改变,并下调促纤维化因子(纤连蛋白、α-平滑肌肌动蛋白、IV 型胶原、E-钙黏蛋白和 TGF-β)、氧化应激标志物(过氧化氢酶、超氧化物歧化酶 2、NADPH 氧化酶 4 和硫氧还蛋白还原酶 1)、炎症分子(环氧化酶-2 和 TNF-α)和 UUO 小鼠中性粒细胞和巨噬细胞的浸润。此外,汉黄芩素治疗可减轻内质网(ER)应激相关分子标志物(GRP78、GRP94、ATF4、CHOP 和半胱天冬酶级联)并抑制细胞凋亡。这些发现表明,汉黄芩素通过减轻与 ER 应激相关的细胞凋亡、炎症和氧化应激来改善 CKD 的关键纤维化方面,表明其作为未来治疗靶点的潜力。