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Unveiling the Therapeutic Potential of Dulaglutide in Mitigating Tacrolimus-Induced Nephrotoxicity Through Targeting the miR-22/HMGB-1/TLR4/MyD88/NF-κB Trajectory.

作者信息

Abdelhady Rasha, Arab Hany H, Fakhr Eldeen Rasha R, Shalaby Heba Nasr, Nawwar Dalia A, Elhemely Mai Abdallah, Sayed Rabab H

机构信息

Pharmacology and Toxicology Department, Faculty of Pharmacy, Fayoum University, Fayoum, Egypt.

Pharmacology and Toxicology Department, Faculty of Pharmacy, Egyptian Chinese University, Cairo, Egypt.

出版信息

Arch Pharm (Weinheim). 2025 Apr;358(4):e3127. doi: 10.1002/ardp.202500023.


DOI:10.1002/ardp.202500023
PMID:40205909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11983086/
Abstract

Tacrolimus (Tac) is an immunosuppressive drug used to reduce the risk of allograft rejection; however, it can induce renal injury. High mobility group box 1 (HMGB-1) protein, which induces inflammation through the aberrant stimulation of the Toll-like receptor 4 (TLR4)/myeloid differentiation primary response protein (MyD88)/nuclear factor kappa B (NF-κB) trajectory, could represent a molecular target for alleviating Tac-induced renal damage. The present study aimed to investigate the potential protective role of the GLP-1 agonist, dulaglutide (Dula), against Tac-induced nephrotoxicity in rats. Rats were administered Tac (5 mg/kg/day) and vehicle or Dula (0.2 mg/kg once a week) for 14 days. Treatment with Dula reduced serum creatinine plus blood urea nitrogen and attenuated Tac-induced renal histopathological changes. Dula treatment also hampered renal inflammation and restored redox homeostasis, as indicated by remarkably reduced tumor necrosis factor-alpha (TNF-α), interleukin-1β (IL-1β), malondialdehyde (MDA), and NADPH oxidase 1 levels alongside marked replenishment in reduced glutathione (GSH) content. These effects were mediated through the upregulation of miR-22 expression and the consequent inhibition of the HMGB-1/TLR4/MyD88/NF-κB trajectory. Collectively, Dula has been demonstrated to protect rats against Tac-induced nephrotoxicity by reducing inflammation, restoring redox homeostasis, and modulation of the miR-22/HMGB-1/TLR4/MyD88/NF-κB trajectory. Dula may be beneficial clinically in preventing Tac-induced renal injury.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c8/11983086/a626443932d6/ARDP-358-e3127-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c8/11983086/78a8513ad8d1/ARDP-358-e3127-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c8/11983086/97a4ab4289b9/ARDP-358-e3127-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c8/11983086/b9ad957f2480/ARDP-358-e3127-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c8/11983086/511c3ade6236/ARDP-358-e3127-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c8/11983086/a626443932d6/ARDP-358-e3127-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c8/11983086/78a8513ad8d1/ARDP-358-e3127-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c8/11983086/97a4ab4289b9/ARDP-358-e3127-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c8/11983086/b9ad957f2480/ARDP-358-e3127-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c8/11983086/511c3ade6236/ARDP-358-e3127-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c8/11983086/a626443932d6/ARDP-358-e3127-g006.jpg

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Unveiling the Therapeutic Potential of Dulaglutide in Mitigating Tacrolimus-Induced Nephrotoxicity Through Targeting the miR-22/HMGB-1/TLR4/MyD88/NF-κB Trajectory.

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本文引用的文献

[1]
Potential regulatory role of the Nrf2/HMGB1/TLR4/NF-κB signaling pathway in lupus nephritis.

Pediatr Rheumatol Online J. 2023-10-23

[2]
Targeting HMGB1: A Potential Therapeutic Strategy for Chronic Kidney Disease.

Int J Biol Sci. 2023

[3]
polysaccharide attenuates renal inflammatory infiltration and fibrosis in diabetic mice by inhibiting the HMGB1/RAGE/TLR4 pathway.

Exp Ther Med. 2023-9-6

[4]
Dulaglutide Ameliorates Intrauterine Adhesion by Suppressing Inflammation and Epithelial-Mesenchymal Transition via Inhibiting the TGF-β/Smad2 Signaling Pathway.

Pharmaceuticals (Basel). 2023-7-5

[5]
Inhibition of BRD4 expression attenuates the inflammatory response and apoptosis by downregulating the HMGB-1/NF-κB signaling pathway following traumatic brain injury in rats.

Neurosci Lett. 2023-8-24

[6]
Dulaglutide and Kidney Function-Related Outcomes in Type 2 Diabetes: A REWIND Post Hoc Analysis.

Diabetes Care. 2023-8-1

[7]
A novel protective modality against rotenone-induced Parkinson's disease: A pre-clinical study with dulaglutide.

Int Immunopharmacol. 2023-6

[8]
Reno-protective effects of GLP-1 receptor agonist and anti-platelets in experimentally induced diabetic kidney disease in male albino rats.

Iran J Basic Med Sci. 2022-12

[9]
Protective effect of silymarin on tacrolimus-induced kidney and liver toxicity.

BMC Complement Med Ther. 2022-12-13

[10]
Effect of once-weekly dulaglutide on renal function in patients with chronic kidney disease.

PLoS One. 2022

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