Rosas-Martínez Lorena, Rodríguez-Muñoz Rafael, Namorado-Tonix María Del Carmen, Missirlis Fanis, Del Valle-Mondragón Leonardo, Sánchez-Mendoza Alicia, Reyes-Sánchez José L, Cervantes-Pérez Luz Graciela
Department of Pharmacology, National Institute of Cardiology Ignacio Chávez, Juan Badiano No. 1, Col. Seccion XVI, Tlalpan, Mexico City 14080, Mexico.
Department of Physiology, Biophysics, and Neuroscience, Center for Research and Advanced Studies of National Polytechnic Institute, CINVESTAV-IPN, Instituto Politécnico Nacional 2508, San Pedro Zacatenco, Gustavo A. Madero, Mexico City 07360, Mexico.
Int J Mol Sci. 2024 Dec 7;25(23):13152. doi: 10.3390/ijms252313152.
Chronic hyperglycemia results in morphological and functional alterations of the kidney and microvascular damage, leading to diabetic nephropathy (DN). Since DN progresses to irreversible renal damage, it is important to elucidate a pharmacological strategy aimed for treating DN in the early stage. Here, we used the type 2 diabetic rat model to induce DN and show a nephroprotective effect following the stimulation of PPAR-α, which stabilized renal tight junction components claudin-2, claudin-5, and claudin-16. At 14 weeks old, streptozotocin-induced DN, evidenced by elevated creatinine clearance, proteinuria, and electrolyte excretion, was followed by an elevation in oxidative stress and increasing MMP activities affecting the integrity of claudin-2 and claudin-5. Treatment with a PPAR-α agonists decreased glucose levels in diabetic rats. In addition, we found that the expressions of CLDN-5 in glomeruli, CLDN-2 in proximal tubules, and CLDN-16 in the thick ascending limb of the loop of Henle were increased after treatment. As a result, renal function improved, while the oxidative stress and enzymatic activity of MMP-2 and MMP-9 decreased. In conclusion, PPAR-α stimulation prevented the decrease in claudins through a mechanism involving a correction of hyperglycemia, decreasing it in kidney oxidative stress and MMP-2 and MMP-9 activities, showing a promising nephroprotective action in the early stage of DN.
慢性高血糖会导致肾脏的形态和功能改变以及微血管损伤,进而引发糖尿病肾病(DN)。由于DN会发展为不可逆的肾脏损伤,阐明一种旨在早期治疗DN的药理学策略非常重要。在此,我们使用2型糖尿病大鼠模型诱导DN,并显示在刺激过氧化物酶体增殖物激活受体-α(PPAR-α)后具有肾保护作用,PPAR-α可稳定肾紧密连接成分闭合蛋白-2、闭合蛋白-5和闭合蛋白-16。14周龄时,链脲佐菌素诱导的DN表现为肌酐清除率升高、蛋白尿和电解质排泄增加,随后氧化应激升高以及基质金属蛋白酶(MMP)活性增加,影响闭合蛋白-2和闭合蛋白-5的完整性。用PPAR-α激动剂治疗可降低糖尿病大鼠的血糖水平。此外,我们发现治疗后肾小球中CLDN-5、近端小管中CLDN-2以及髓袢升支粗段中CLDN-16的表达增加。结果,肾功能得到改善,而氧化应激以及MMP-2和MMP-9的酶活性降低。总之,PPAR-α刺激通过一种涉及纠正高血糖的机制防止闭合蛋白减少,降低肾脏氧化应激以及MMP-2和MMP-9的活性,在DN早期显示出有前景的肾保护作用。