Liang Luqun, Ruan Yuanyuan, Yu Xiong, Tan Wanlin, Xu Xiaoxiao, Jia Jing, Peng Jin, Wang Fangfang, Peng Yulin, Chen Yuting, Liu Lingling, Guo Bing, Zhang Jiquan, Wang Yuanyuan
Department of Pathophysiology, Guizhou Medical University, No. 6 Ankang Road, Guiyang 561113, China.
Guizhou Provincial Key Laboratory of Pathogenesis and Drug Research on Common Chronic Diseases, Guizhou Medical University, No. 6 Ankang Road, Guiyang 561113, China.
Int J Mol Sci. 2025 Mar 25;26(7):2985. doi: 10.3390/ijms26072985.
Acute kidney injury (AKI) is a common critical clinical disease with high morbidity and mortality rates. Ischemia-reperfusion (IR) is the main cause of AKI, and there is no effective treatment or prevention. Therefore, it is critical to screen for effective therapeutic agents and to find therapeutic targets. DKS26 is a derivative of oleanolic acid (OA) optimized for bioavailability while retaining the anti-inflammatory, antioxidant, and anti-apoptotic properties of OA. This study aimed to investigate the therapeutic effects of DKS26 on AKI and its underlying molecular mechanisms. We established an AKI model in vivo and in vitro and observed that DKS26 had an ameliorative effect on IR or H/R-induced renal tubular epithelial cell injury and reduced oxidative stress, inflammation, and apoptosis. Meanwhile, Swiss TargetPrediction and AutoDock Vina analysis revealed that DKS26 may interact with vitamin D receptors (VDR) through hydrogen bonding, suggesting that DKS26 may exert effects through VDR. In this study, we found that DKS26 treatment enhanced the stability of the VDR protein, promoted the binding of VDR to -NF-κB P65, reduced the entry of -NF-κB P65 into the nucleus, and inhibited the transcription of downstream inflammatory genes as well as their own expression, thus exerting its protective effect. In summary, these findings suggest that DKS26 may be a promising preventive strategy and provide a theoretical and experimental basis for AKI treatment.
急性肾损伤(AKI)是一种常见的严重临床疾病,发病率和死亡率都很高。缺血再灌注(IR)是AKI的主要原因,目前尚无有效的治疗或预防方法。因此,筛选有效的治疗药物并找到治疗靶点至关重要。DKS26是齐墩果酸(OA)的衍生物,在保留OA抗炎、抗氧化和抗凋亡特性的同时,对生物利用度进行了优化。本研究旨在探讨DKS26对AKI的治疗作用及其潜在的分子机制。我们在体内和体外建立了AKI模型,观察到DKS26对IR或H/R诱导的肾小管上皮细胞损伤具有改善作用,并能降低氧化应激、炎症和细胞凋亡。同时,Swiss TargetPrediction和AutoDock Vina分析显示,DKS26可能通过氢键与维生素D受体(VDR)相互作用,提示DKS26可能通过VDR发挥作用。在本研究中,我们发现DKS26处理可增强VDR蛋白的稳定性,促进VDR与-NF-κB P65的结合,减少-NF-κB P65进入细胞核,并抑制下游炎症基因的转录及其自身表达,从而发挥其保护作用。总之,这些发现表明DKS26可能是一种有前景的预防策略,并为AKI治疗提供了理论和实验依据。
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