Zhao Zhenxiong, Li Zhikun, Xu Yubin, Zhao Shiqi, Fan Qing, Zheng Zhencang
Taizhou Central Hospital (Taizhou University Hospital), Taizhou, Zhejiang 318000, China.
Shandong Institute for Food and Drug Control, Jinan, 250117, China.
Curr Res Food Sci. 2024 Sep 21;9:100864. doi: 10.1016/j.crfs.2024.100864. eCollection 2024.
A high purine diet emerges as a significant risk factor for hyperuricemia, and this diet may potentiate hyperuricemia nephropathy. Despite this, the mechanistic underpinnings of kidney damage precipitated by a high purine diet warrant further research. In the current investigation, a hyperuricemia nephropathy rat model was developed through induction via a high purine diet. Subsequently, metabolomic and proteomic analyses were employed to explore the metabolic characteristics of the kidney and shed light on the corresponding mechanistic pathway. Finally, fluorescence imaging and F-fluorodeoxyglucose positron emission tomography computed tomography (F-FDG-PET/CT) were utilized to validate the overarching energy metabolism state. The results revealed extensive damage to the kidneys of hyperuricemia nephropathy rats following eight weeks of induction via a high purine diet. We used metabolomic to found that acyl carnitines and L-carnitine reduced in high purine diet group, indicated abnormal fatty acid metabolism. Irregularities were discerned in metabolites and enzymes associated with fatty acid β-oxidation, glycolysis, and oxidative phosphorylation within the kidneys of hyperuricemia nephropathy rats by proteomic and co-expression network analysis. The application of fluorescence imaging and F-FDG-PET/CT substantiated the inhibition of fatty acid β-oxidation and glycolysis within the kidneys of hyperuricemia nephropathy rats. On the contrary, a compensatory enhancement in the function of oxidative phosphorylation was observed. Given that the primary energy supply for renal function was derived from the metabolic pathway of fatty acids β-oxidation, any disruption within this pathway could contribute to a deficit in the energy provision to the kidneys. Such an energy insufficiency potentially laid the groundwork for eventual renal impairment. In addition, inhibition of the peroxisome proliferator-activated receptors signaling pathway was noted in the present findings, which could further exacerbate the impediment in the β-oxidation function. In conclusion, it was discerned that a deficiency in energy supply plays a critical role in the kidney injury in hyperuricemia nephropathy rats, thereby endorsing paying more attention to renal energy supply in the therapy of hyperuricemia nephropathy.
高嘌呤饮食已成为高尿酸血症的一个重要危险因素,这种饮食可能会加重高尿酸血症肾病。尽管如此,高嘌呤饮食引发肾损伤的机制仍有待进一步研究。在当前的研究中,通过高嘌呤饮食诱导建立了高尿酸血症肾病大鼠模型。随后,采用代谢组学和蛋白质组学分析来探索肾脏的代谢特征,并阐明相应的机制途径。最后,利用荧光成像和氟脱氧葡萄糖正电子发射断层扫描计算机断层扫描(F-FDG-PET/CT)来验证总体能量代谢状态。结果显示,高嘌呤饮食诱导8周后,高尿酸血症肾病大鼠的肾脏出现广泛损伤。我们通过代谢组学发现,高嘌呤饮食组的酰基肉碱和左旋肉碱减少,表明脂肪酸代谢异常。通过蛋白质组学和共表达网络分析,在高尿酸血症肾病大鼠肾脏中发现与脂肪酸β氧化、糖酵解和氧化磷酸化相关的代谢物和酶存在异常。荧光成像和F-FDG-PET/CT的应用证实了高尿酸血症肾病大鼠肾脏中脂肪酸β氧化和糖酵解受到抑制。相反,观察到氧化磷酸化功能出现代偿性增强。鉴于肾功能的主要能量供应来自脂肪酸β氧化代谢途径,该途径内的任何破坏都可能导致肾脏能量供应不足。这种能量不足可能为最终的肾功能损害埋下伏笔。此外,本研究结果还发现过氧化物酶体增殖物激活受体信号通路受到抑制,这可能会进一步加剧β氧化功能的障碍。总之,研究发现能量供应不足在高尿酸血症肾病大鼠的肾损伤中起关键作用,从而支持在高尿酸血症肾病的治疗中更多地关注肾脏能量供应。