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Gpbar1介导的SIRT1-PGC-1α轴维持线粒体稳态并减轻梗阻性黄疸中的肾损伤。

Gpbar1-mediated SIRT1-PGC-1α axis maintains mitochondrial homeostasis and mitigates renal injury in obstructive jaundice.

作者信息

Li Mingchen, Luo Kai, Sun Xu, Zhao Yuting, Chen Haiyang, Quan Courtney, Xu Caiming, Zhang Guixin

机构信息

Department of General Surgery, The Second Hospital of Dalian Medical University, Dalian, 116011, China.

Laboratory of Integrative Medicine, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China.

出版信息

Sci Rep. 2025 Jul 1;15(1):21425. doi: 10.1038/s41598-025-05022-z.

Abstract

Obstructive jaundice (OJ)-induced kidney injury has a high mortality rate, severely affecting patient prognosis. Gpbar1, a bile acid receptor, plays a key role in maintaining tissue homeostasis in organs such as the liver and pancreas during OJ. However, its role in obstructive jaundice-induced kidney injury remains unexplored. This study investigated the protective role of Gpbar1 in OJ-induced kidney injury. Sprague-Dawley rats underwent common bile duct ligation to establish an OJ model. Organ damage was evaluated by pathological examination, TUNEL staining, and liver/kidney function tests to assess both OJ model establishment and kidney injury. Mitochondrial function changes were assessed through electron microscopy, SOD, MDA, GSH and ATP detection. Immunohistochemistry and Western blot were used to assess Gpbar1, SIRT1, and PGC-1α expression. HK-2 cells were treated with deoxycholic acid to establish a renal tubular epithelial cell injury model. Lentiviral vectors were used to overexpress or knock down Gpbar1, combined with interventions using SIRT1 and PGC-1α agonists and inhibitors. The Gpbar1-SIRT1-PGC-1α axis was validated by qRT-PCR and WB. The protective role of the Gpbar1-SIRT1-PGC-1α axis in OJ-induced kidney injury was studied using CCK-8, transmission electron microscopy, ROS detection, and mitochondrial membrane potential assays. In the rat OJ model, the model group exhibited injury-related pathological changes compared to control group. Liver and kidney function markers and TUNEL-positive cells significantly increased, and structural and functional damage in the kidneys occurred. Mitochondrial structural disorder occurred in the kidneys, with significant reductions in SOD, GSH, and ATP levels, while MDA levels were significantly increased, indicating impaired antioxidant capacity and energy metabolism dysfunction. IHC, WB, and qRT-PCR revealed that protein and mRNA levels of Gpbar1, SIRT1, and PGC-1α in kidney tissues were lower in the model group. In the cellular model, DCA treatment and Gpbar1 knockdown significantly reduced cell viability, caused mitochondrial structural disorder, increased ROS levels and decreased JC-1 ratio, while Gpbar1 overexpression reversed these changes. After treatment with the SIRT1 inhibitor EX527, PGC-1α expression significantly decreased. We used SIRT1 inhibitors, activators and PGC-1α inhibitors to conduct positive and negative regulation experiments and confirmed the hierarchical regulatory effect of Gpbar1 on SIRT1-PGC-1α. Gpbar1 influences oxidative stress resistance via the SIRT1-PGC-1α axis, promotes mitochondrial functional homeostasis, and alleviates kidney injury induced by obstructive jaundice.

摘要

梗阻性黄疸(OJ)诱导的肾损伤死亡率很高,严重影响患者预后。Gpbar1作为一种胆汁酸受体,在OJ期间肝脏和胰腺等器官维持组织稳态方面发挥关键作用。然而,其在梗阻性黄疸诱导的肾损伤中的作用仍未得到探索。本研究调查了Gpbar1在OJ诱导的肾损伤中的保护作用。将Sprague-Dawley大鼠进行胆总管结扎以建立OJ模型。通过病理检查、TUNEL染色及肝/肾功能测试评估器官损伤,以评估OJ模型的建立及肾损伤情况。通过电子显微镜、超氧化物歧化酶(SOD)、丙二醛(MDA)、谷胱甘肽(GSH)及三磷酸腺苷(ATP)检测评估线粒体功能变化。采用免疫组织化学和蛋白质印迹法评估Gpbar1、沉默信息调节因子1(SIRT1)和过氧化物酶体增殖物激活受体γ共激活因子1α(PGC-1α)的表达。用脱氧胆酸处理人肾小管上皮细胞系(HK-2)细胞以建立肾小管上皮细胞损伤模型。使用慢病毒载体过表达或敲低Gpbar1,并联合使用SIRT1和PGC-1α激动剂及抑制剂进行干预。通过实时定量聚合酶链反应(qRT-PCR)和蛋白质印迹法验证Gpbar1-SIRT1-PGC-1α轴。使用细胞计数试剂盒-8(CCK-8)、透射电子显微镜、活性氧(ROS)检测及线粒体膜电位测定研究Gpbar1-SIRT1-PGC-1α轴在OJ诱导的肾损伤中的保护作用。在大鼠OJ模型中,与对照组相比,模型组出现了与损伤相关的病理变化。肝肾功能标志物及TUNEL阳性细胞显著增加,肾脏发生结构和功能损伤。肾脏出现线粒体结构紊乱,SOD、GSH和ATP水平显著降低而MDA水平显著升高,表明抗氧化能力受损及能量代谢功能障碍。免疫组织化学、蛋白质印迹法和qRT-PCR显示模型组肾组织中Gpbar1、SIRT1和PGC-1α的蛋白质和mRNA水平较低。在细胞模型中,脱氧胆酸处理和Gpbar1敲低显著降低细胞活力,导致线粒体结构紊乱,增加ROS水平并降低JC-1比率,而Gpbar1过表达可逆转这些变化。用SIRT1抑制剂EX527处理后,PGC-1α表达显著降低。我们使用SIRT1抑制剂、激活剂和PGC-1α抑制剂进行了正反调节实验,并证实了Gpbar1对SIRT1-PGC-1α的分级调节作用。Gpbar1通过SIRT1-PGC-1α轴影响抗氧化应激能力,促进线粒体功能稳态,并减轻梗阻性黄疸诱导的肾损伤。

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