Miller Bradley, Imig John, Goorani Samaneh, Schupbach Perrin, Hays Franklin, Benbrook Doris M, Sorokin Andrey
Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, United States.
Drug Discovery Center, Department of Pharmacology and Toxicology, Medical College of Wisconsin, Milwaukee, WI, United States.
Front Physiol. 2025 Aug 5;16:1620591. doi: 10.3389/fphys.2025.1620591. eCollection 2025.
Renal microvascular injury occurs in most patients with diabetes, representing one of the main causes underlying chronic kidney disease development. We have previously published that overexpression of adaptor protein p66Shc is implicated in the loss of renal microvascular reactivity in rats with diabetic nephropathy (DN) induced by injection of streptozotocin (STZ). Since sulfur heteroarotinoid A2 (SHetA2) is known to interfere with p66Shc signaling, we tested whether SHetA2 would restore renal microvascular reactivity and mitigate kidney injury in our rat model of DN. Dahl salt sensitive wild-type (SS) and p66Shc knockout rats were used in a well-established rat model of DN, characterized by progressive proteinuria, hyperfiltration, and display of renal histological lesions. SHetA2 was either added acutely to isolated rat afferent arterioles or chronically administrated to rats during DN development. The ability of SHetA2 treatment to restore afferent arteriolar contraction in response to increased perfusion pressure or ATP was evaluated using the perfused juxtamedullary nephron preparation. The progression of renal damage was evaluated by measuring urinary protein excretion. Comparison of renal microvascular responses to perfusion pressure in p66Shc knockout rats and parental SS rats, in the presence and absence of acute preincubation with SHetA2, revealed ability of SHetA2 to restore renal microvascular reactivity in SS rats with little effect upon p66Shc knockouts. Moreover, chronic treatment with SHetA2 prevented loss of renal microvascular responses. Even though targeting p66Shc with SHetA2 restored renal afferent arteriolar reactivity caused by DN, it had limited effect upon a biomarker of renal injury. Thus, additional studies are necessary to develop SHetA2 for prevention and treatment of DN-induced kidney damage.
大多数糖尿病患者会发生肾微血管损伤,这是慢性肾脏病发展的主要原因之一。我们之前发表过,衔接蛋白p66Shc的过表达与注射链脲佐菌素(STZ)诱导的糖尿病肾病(DN)大鼠肾微血管反应性丧失有关。由于已知硫杂类视黄醇A2(SHetA2)会干扰p66Shc信号传导,我们测试了SHetA2是否能恢复我们DN大鼠模型中的肾微血管反应性并减轻肾损伤。在一个成熟的DN大鼠模型中使用了Dahl盐敏感野生型(SS)大鼠和p66Shc基因敲除大鼠,该模型的特征是进行性蛋白尿、超滤过以及出现肾组织学病变。SHetA2要么急性添加到分离的大鼠入球小动脉中,要么在DN发展过程中长期给予大鼠。使用灌注的近髓肾单位制备物评估SHetA2治疗恢复入球小动脉对灌注压升高或ATP反应性收缩的能力。通过测量尿蛋白排泄来评估肾损伤的进展。比较p66Shc基因敲除大鼠和其亲代SS大鼠在有和没有急性预孵育SHetA2的情况下对灌注压的肾微血管反应,发现SHetA2能够恢复SS大鼠的肾微血管反应性,而对p66Shc基因敲除大鼠影响很小。此外,SHetA2的慢性治疗可防止肾微血管反应性丧失。尽管用SHetA2靶向p66Shc可恢复由DN引起的肾入球小动脉反应性,但它对肾损伤生物标志物的影响有限。因此,需要进一步研究来开发用于预防和治疗DN诱导的肾损伤的SHetA2。
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