Liu Xing, Zhai Xiuwen, Wang Xiaoyu, Zhu Xiaodong, Wang Ziyue, Jiang Zhengyu, Bao Hao, Chen ZhaoHong
National Clinical Research Center of Kidney Diseases, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China.
Clinical Research Center, The Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, Nanjing, China.
Antioxid Redox Signal. 2025 May;42(13-15):787-806. doi: 10.1089/ars.2024.0653. Epub 2024 Dec 24.
Diabetic kidney disease (DKD) is the leading cause of end-stage kidney disease, and podocyte injury is one of the major contributors to DKD. As a crucial transcriptional factor that regulates cellular response to oxidative stress, nuclear factor erythroid 2-related factor 2 (Nrf2) is an attractive therapeutic target for DKD. In this study, we evaluated the therapeutic potential of DDO-1039, a novel small-molecule Nrf2 activator developed with protein-protein interaction strategy, on podocyte injury in DKD. DDO-1039 treatment significantly increased Nrf2 protein level and Nrf2 nuclear translocation, thereby upregulating Nrf2 target genes [heme oxygenase 1, NAD(P)H quinone dehydrogenase 1, glutamate-cysteine ligase modifier, and tyrosine-protein kinase receptor] both and . DDO-1039 attenuated glomerular sclerosis and podocyte injury in the high-fat diet/streptozotocin-induced (HFD/STZ) diabetic mice and db/db diabetic mice. It also significantly improved hyperglycemia in both diabetic mice and mitigated proteinuria in HFD/STZ mice. Meanwhile, DDO-1039 attenuated oxidative stress and inflammation as well as apoptosis and in podocytes stimulated with palmitic acid and high glucose. Interestingly, we identified podocyte protective factor Tyro3 as a novel Nrf2-regulated gene. In addition, podocyte ferroptosis is reduced activation of glutathione peroxidase 4 by the novel Nrf2 activator. DDO-1039 activates the Nrf2-based cytoprotective system to mitigate podocyte injury in the context of diabetes, suggesting the potential of DDO-1039 in the treatment of DKD. 42, 787-806.
糖尿病肾病(DKD)是终末期肾病的主要原因,而足细胞损伤是DKD的主要促成因素之一。作为调节细胞对氧化应激反应的关键转录因子,核因子红细胞2相关因子2(Nrf2)是DKD一个有吸引力的治疗靶点。在本研究中,我们评估了采用蛋白质-蛋白质相互作用策略开发的新型小分子Nrf2激活剂DDO-1039对DKD中足细胞损伤的治疗潜力。DDO-1039治疗显著提高了Nrf2蛋白水平和Nrf2核转位,从而上调了Nrf2靶基因[血红素加氧酶1、NAD(P)H醌脱氢酶1、谷氨酸-半胱氨酸连接酶修饰剂和酪氨酸蛋白激酶受体]。DDO-1039减轻了高脂饮食/链脲佐菌素诱导(HFD/STZ)的糖尿病小鼠和db/db糖尿病小鼠的肾小球硬化和足细胞损伤。它还显著改善了两种糖尿病小鼠的高血糖,并减轻了HFD/STZ小鼠的蛋白尿。同时,DDO-1039减轻了棕榈酸和高糖刺激的足细胞中的氧化应激、炎症以及凋亡。有趣的是,我们确定足细胞保护因子Tyro3是一种新的Nrf2调控基因。此外,新型Nrf2激活剂通过激活谷胱甘肽过氧化物酶4减少了足细胞铁死亡。DDO-1039激活基于Nrf2的细胞保护系统,以减轻糖尿病背景下的足细胞损伤,提示DDO-1039在DKD治疗中的潜力。42, 787 - 806。
Biochem Biophys Res Commun. 2021-1-1