Xuan Chen, Chen Donghui, Zhang Shuangna, Li Chaofan, Fang Qingyun, Chen Dinghua, Liu Jiabao, Jiang Xin, Zhang Yingjie, Shen Wanjun, Cai Guangyan, Chen Xiangmei, Li Ping
School of Basic Medical Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China.
Department of Nephrology, First Medical Center of Chinese PLA General Hospital, State Key Laboratory of Kidney Diseases, National Clinical Research Center for Kidney Diseases, Beijing Key Laboratory of Medical Devices and Integrated Traditional Chinese and Western Drug Development for Severe Kidney Diseases, Beijing Key Laboratory of Digital Intelligent TCM for the Prevention and Treatment of Pan-vascular Diseases, Key Disciplines of National Administration of Traditional Chinese Medicine (zyyzdxk-2023310), Beijing, 100000, China.
Adv Sci (Weinh). 2025 Jul;12(25):e2414587. doi: 10.1002/advs.202414587. Epub 2025 Apr 4.
At the convergence point of multiple cytokine signals, signal transducer and activator of transcription 3 (STAT3) is a highly promising therapeutic target for diabetic nephropathy. Isoquercitrin, a natural small-molecule inhibitor of STAT3, may have beneficial effects on diabetic nephropathy; however, the underlying mechanism remains unclear. Isoquercitrin significantly mitigated renal inflammation and fibrosis by inhibiting STAT3 activity in mice with diabetic nephropathy. Moreover, STAT3 is a direct molecular target of isoquercitrin, which as corroborated by tight and stable noncovalent binding between them. This interaction is mechanistically supported by the affinity of isoquercitrin for the Ser668-Gln635-Gln633 region within the pY+1 binding pocket of the SH2 domain. This binding obstructs pivotal processes like STAT3 phosphorylation and dimerization, thereby suppressing its transcriptional function. Finally, a kidney-targeted nanocarrier, Iso@PEG-GK, is developed to load isoquercitrin, thus enhancing its therapeutic precision for diabetic nephropathy. Iso@PEG-GK significantly improved the absorption and renal distribution of isoquercitrin. This study is the first to demonstrate that isoquercitrin exerts a significant protective effect against diabetic nephropathy and may provide a novel therapeutic drug for this disease.
在多种细胞因子信号的汇聚点,信号转导子和转录激活子3(STAT3)是糖尿病肾病一个极具前景的治疗靶点。异槲皮苷是一种天然的STAT3小分子抑制剂,可能对糖尿病肾病具有有益作用;然而,其潜在机制仍不清楚。异槲皮苷通过抑制糖尿病肾病小鼠的STAT3活性,显著减轻了肾脏炎症和纤维化。此外,STAT3是异槲皮苷的直接分子靶点,二者之间紧密而稳定的非共价结合证实了这一点。异槲皮苷对SH2结构域pY +1结合口袋内的Ser668-Gln635-Gln633区域的亲和力在机制上支持了这种相互作用。这种结合阻碍了STAT3磷酸化和二聚化等关键过程,从而抑制其转录功能。最后,开发了一种肾脏靶向纳米载体Iso@PEG-GK来负载异槲皮苷,从而提高其对糖尿病肾病的治疗精准度。Iso@PEG-GK显著改善了异槲皮苷的吸收和肾脏分布。本研究首次证明异槲皮苷对糖尿病肾病具有显著的保护作用,并可能为该疾病提供一种新型治疗药物。