首页|螺内酯抑制VEGF对高糖及醛固酮诱导的人肾足细胞损伤的保护作用机制

螺内酯抑制VEGF对高糖及醛固酮诱导的人肾足细胞损伤的保护作用机制

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目的 研究螺内酯(SPI)对高糖和醛固酮(ALD)对足细胞增殖、凋亡和血管内皮生长因子(VEGF)表达的影响,探讨SPI的肾脏保护机制.方法 使用高糖和不同浓度醛固酮处理人肾足细胞,并在此基础上加用SPI干预,分为正常葡萄糖浓度5.6 mmol/L对照组(NG组),高糖组(HG组,30 mmol/L),ALD处理组(高糖+10-11mol/L、10-9mol/L、10-7mol/L ALD),ALD+SPI 干预组(高糖+10-7 mol/LALD+10-7mol/L SPI)CCK-8 和流式细胞术检测足细胞的增殖和凋亡,qPCR和Western blot检测VEGF的表达.结果 与NG组比较,HG组显著抑制足细胞增殖并增加其凋亡(P<0.05).不同浓度的ALD对足细胞的增殖有抑制作用,且浓度越高,抑制作用越明显(P<0.05).高糖和ALD显著促进足细胞VEGF的mRNA和蛋白表达(P<0.05);SPI干预显著削弱了醛固酮对足细胞增殖和凋亡的作用,并逆转高糖和ALD对VEGF表达的促进作用(P<0.05).结论 SPI可能通过抑制VEGF的表达来逆转高糖和ALD对足细胞增殖的抑制和凋亡的促进作用,从而对肾脏产生保护作用.
Protective effects of spironolactone on high-glucose and aldosterone-induced injury of human renal podocyte by inhibiting VEGF
Objective This study aims to investigate the renoprotective mechanism of spironolactone(SPI)by studying its effects on the proliferation,apoptosis,and vascular endothelial growth factor(VEGF)expression of podocytes induced by high glucose and aldosterone(ALD).Methods Human podocytes were treated with high glucose and ALD at varying concentrations,and subsequently intervened with SPI.The proliferation and apoptosis of podocytes were assessed using CCK-8 and flow cytometry,respectively.Expression level of VEGF was detected by quantitative real-time polymerase chain reaction(qPCR)and Western blot.Results Compared with those treated with normal glucose concentration,high-glucose treatment significantly inhibited proliferation and increased apoptosis of podocytes(P<0.05).Induction of ALD at varying concentrations inhibited the proliferation of podocytes in a dose-dependent manner(P<0.05).Induction of high glucose and ALD significantly upregulated mRNA and protein expression of VEGF in podocytes(P<0.05).SPI intervention significantly attenuated the effects of ALD on podocyte proliferation and apoptosis,and reversed the promotional effect of high-glucose and ALD treatment on VEGF expression(P<0.05).Conclusion SPI may exert renoprotective effects by inhibiting the expression of VEGF,thereby reversing the inhibitory effect of high-glucose and ALD on inhibiting proliferation and promoting apoptosis of podocytes.

diabetic nephropathyhuman renal podocytespironolactonealdosteronevascular endothelial growth factor

娜仁其木格、奥日瀚、戚海月、梁红宇

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010020 呼和浩特市,内蒙古自治区人民医院内分泌科

糖尿病肾病 人肾足突细胞 螺内酯 醛固酮 血管内皮生长因子

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(24)