首页|冬虫夏草通过IL-6反式信号通路改善小鼠肾间质纤维化

冬虫夏草通过IL-6反式信号通路改善小鼠肾间质纤维化

Cordyceps sinensis ameliorates renal interstitial fibrosis in mice by IL-6 trans-signaling pathway

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目的 探究冬虫夏草(cordyceps sinensis,CS)通过抑制IL-6反式信号通路介导的成纤维细胞活化,进而治疗肾纤维化的分子机制.方法 建立小鼠单侧缺血再灌注(unilateral ischemia/reperfusion,UIR)肾纤维化模型,同时给药虫草菌粉、可溶性糖蛋白 130Fc(soluble glycoprotein 130 Fc,sgp130Fc)或Hyper-IL-6.Masson染色评估肾小管间质纤维化程度;PAS染色评估肾损伤情况;Western blot检测纤维化标志物[α-平滑肌肌动蛋白(alpha-smooth muscle actin,α-SMA),纤连蛋白(fibronectin,FN)]和IL-6反式信号通路相关蛋白[磷酸化信号转导及转录激活因子 3(phosphorylated signal transducer and activator of transcription 3,p-STAT3),可溶性IL-6 受体(soluble interleukin-6 receptor,sIL-6R)]的表达水平;通过免疫组化、免疫荧光和qPCR等手段检测纤维化蛋白表达量以及定位情况.体外细胞实验进一步探究虫草提取物虫草素对成纤维细胞中IL-6反式信号的影响.结果 体内实验结果显示,在慢性期给药虫草菌粉可显著减轻小鼠患肾的炎症和纤维化,降低血清肌酐水平和胶原沉积.Western blot结果显示,CS治疗组α-SMA、FN的表达水平降低,IL-6信号通路蛋白p-STAT3、sIL-6R蛋白表达水平降低,单核细胞趋化蛋白-1(monocyte chemoattractant protein-1,MCP-1)、CXC趋化因子配体 12(C-X-C motif chemokine ligand 12,CXCL12)的mRNA表达水平均下降.此外,Hyper-IL-6可部分抵消虫草菌粉的治疗效果.体外实验结果显示,虫草素可抑制NRK-52E分泌IL-6,而IL-6-sIL-6R复合物处理可诱导成纤维细胞NRK-49F活化,表现为α-SMA、FN和p-STAT3表达量显著升高.虫草素和sgp130Fc处理显著抑制IL-6反式信号通路引起的成纤维细胞的活化.结论 CS可显著抑制小鼠肾小管上皮细胞分泌IL-6,并抑制成纤维细胞中IL-6反式信号通路的激活,从而改善肾间质纤维化.
Objective To investigate the effect of cordyceps sinensis(CS)on the activation of fibroblasts through IL-6 trans-signaling pathway and its specific mechanism in the treatment of renal fibrosis.Methods Renal fibrosis mouse model was established by unilateral ischemia/reperfusion(UIR),and the mice were administered intragastrically CS,soluble glycoprotein 130 Fc(sgp130Fc)or Hyper-IL-6.Masson's trichrome staining was utilized to identify tubulointerstitial fibrosis.PAS staining was utilized to assess the extent of renal injury.Western blot was employed to analyze the expression levels of fibrosis markers[alpha-smooth muscle actin(α-SMA),fibronectin(FN)]and proteins associated with IL-6 trans-signaling pathway[phosphorylated signal transducer and activator of transcription 3(p-STAT3),soluble interleukin-6 receptor(sIL-6R)].The expression and localization of proteins were additionally detected by immunohistochemistry,immunofluorescence and qPCR.The effect of cordyceps sinensis extract cordycepin on IL-6 trans-signaling in fibroblasts was further investigated in vitro.Results The results from in vivo experiments showed that administration of CS during the chronic phase demonstrated a beneficial protective impact on inflammation and fibrosis in the affected kidney,and serum creatinine levels and collagen deposition were decreased.Western blot analysis revealed a decrease in the expression levels of α-SMA,FN,as well as IL-6 trans-signaling pathway protein p-STAT3,sIL-6R in the treatment group.Additionally,the mRNA expression levels of chemokines monocyte chemoattractant protein-1(MCP-1)and C-X-C motif chemokine ligand 12(CXCL12)were also decreased in the CS treatment group.Additionally,Hyper-IL-6 can partially counteract the therapeutic effects of CS.In vitro experiments further demonstrated that cordycepin inhibited the secretion of IL-6 from NRK-52E.Combined treatment of recombinant IL-6 and sIL-6R protein activated NRK-49F,leading to a significant increase in α-SMA,FN,and p-STAT3 expression levels.Cordycepin or sgp130Fc treatment significantly inhibited the proliferation of fibroblasts induced by IL-6 trans-signaling pathway.Conclusion CS can significantly reduce IL-6 secretion by renal tubular epithelial cells and inhibit the activation of IL-6 trans-signaling pathway in fibroblasts,thereby ameliorating renal interstitial fibrosis.

cordyceps sinensis(CS)chronic kidney disease(CKD)fibroblastIL-6 trans-signaling pathwayrenal fibrosismouse

孙滢雪、陈军、唐培宸、张健、陈威泽、颜芷昕、宋娜娜

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复旦大学附属中山医院肾内科 上海 200032

海军军医大学第二附属医院病理科 上海 200433

国宝企业发展中心 上海 200001

上海浦东复旦大学张江科技研究院 上海 200120

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冬虫夏草(CS) 慢性肾脏病(CKD) 成纤维细胞 IL-6反式信号通路 肾纤维化 小鼠

2025

复旦学报(医学版)
复旦大学

复旦学报(医学版)

北大核心
影响因子:1.206
ISSN:1672-8467
年,卷(期):2025.52(1)