首页|五桑饮增强SIRT1和Nrf2表达并减轻糖尿病小鼠肾损伤和纤维化

五桑饮增强SIRT1和Nrf2表达并减轻糖尿病小鼠肾损伤和纤维化

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目的:探讨五桑饮减轻糖尿病诱导的小鼠肾损伤及相关机制.方法:小鼠经含高脂高糖饲料喂养后,腹腔注射链脲佐菌素,从而建立糖尿病模型,并随机分为糖尿病模型组和五桑饮治疗组,另设正常对照组.采用生化分析、HE、PAS和Masson染色观察五桑饮对糖尿病肾病小鼠肾功能、肾组织形态学和纤维化等相关参数的作用.采用TUNEL染色分析小鼠肾组织凋亡,DHE染色分析肾组织细胞内活性氧水平.比色法分析肾组织氧化应激指标,包括脂质过氧化产物丙二醛(malondialdehyde,MDA),抗氧化酶超氧化物歧化酶(superoxide dismutase,SOD)和过氧化氢酶(catalase,CAT).RT-qPCR检测α-平滑肌肌动蛋白(α-smooth muscle actin,α-SMA)、Ⅰ型胶原、Ⅲ型胶原、Bax和Bcl-2的mRNA表达水平.采用Western blot法分析肾组织沉默信息调节因子1(silent information regulator 1,SIRT1)和核因子E2相关因子2(nuclear factor E2-related factor 2,Nrf2)蛋白表达.结果:五桑饮给药8周后,与对照组相比,模型组小鼠肾脏肥大指数、空腹血糖、糖化血红蛋白、甘油三酯、总胆固醇、血清肌酐和血尿素氮显著升高(P<0.05).五桑饮组小鼠的这些指标均显著低于模型组(P<0.05).五桑饮组小鼠的24 h尿白蛋白排泄率和24 h尿总蛋白也比模型组小鼠显著升高.对小鼠肾组织进行HE、PAS和Masson染色显示:模型组小鼠肾小球肥大、基底膜增厚、出现肾纤维化改变,五桑饮组各种病变均明显减轻,肾组织纤维化相关分子α-SMA、Ⅰ型和Ⅲ型胶原的mRNA表达均较模型组显著降低(P<0.05).与模型组相比,五桑饮组小鼠肾组织凋亡水平,细胞内活性氧水平,肾组织脂质过氧化产物MDA含量显著降低,而SOD和CAT抗氧化酶的活性显著升高.五桑饮处理后小鼠肾组织SIRT1和Nrf2蛋白的水平明显高于模型组(P<0.05).结论:五桑饮能改善糖尿病肾病小鼠肾功能,减轻肾脏病理损伤、纤维化、肾细胞凋亡和氧化应激反应,其肾保护作用可能与SIRT1和Nrf2蛋白的表达增强有关.
Wusangyin regulates SIRT1-Nrf2 pathway to attenuate renal injury and fibrosis in diabetic mice
AIM:To explore the mechanism of Wusangyin in alleviating renal injury induced by diabetes in mice.METHODS:A diabetic model was established through intraperitoneal injection of streptozotocin following a high-fat and high-sugar diet in mice.The mice were randomly divided into a diabetes model group,a Wusangyin treatment group,and a normal control group.Various assays,including biochemical analyses,HE,PAS,and Masson staining,were employed to assess the impact of Wusangyin on renal function,histomorphology,fibrosis,and related parameters in diabetic nephropathy mice.TUNEL staining was utilized to analyze apoptosis in mouse kidney tissue,and DHE staining was employed to assess intracellular reactive oxygen species levels in kidney tissue cells.Colorimetric analysis of oxidative stress indicators in renal tissue,including lipid peroxidation product malondialdehyde(MDA),antioxidant enzyme super-oxide dismutase(SOD),and catalase(CAT).RT-qPCR was used to detect the mRNA expression of α-smooth muscle ac-tin(α-SMA),collagen Ⅰ,collagen Ⅲ,Bax and Bcl-2.Western blot was used to analyze the expression of silent informa-tion regulator 1(SIRT1)and nuclear factor E2-related factor 2(Nrf2)proteins in renal tissue.RESULTS:After 8 weeks of administration of Wusangyin,compared with control group,the mice in model group showed significant increases in kid-ney hypertrophy index,fasting blood glucose,glycated hemoglobin,triglyceride,total cholesterol,serum creatinine,and blood urea nitrogen(P<0.05).These indicators of the mice in Wusangyin group were significantly lower than those in model group(P<0.05).The 24-hour urinary albumin excretion rate and 24-hour urinary total protein of the mice in Wu-sangyin group were also markedly higher than those in model group.The HE,PAS,and Masson staining of mouse kidney tissues showed that glomerular hypertrophy,basement membrane thickening and renal fibrosis occurred in model group.At the same time,all kinds of lesions in Wusangyin group were significantly alleviated,and renal fibrosis-related mole-cules,α-SMA,collagen Ⅰ and collagen Ⅲ,were significantly reduced compared with model group(P<0.05).Further-more,the Wusangyin group exhibited reduced apoptosis,intracellular reactive oxygen species,and MDA content of renal tissue lipid peroxidation products,along with increased activity of antioxidant enzymes(SOD and CAT).The protein ex-pression levels of SIRT1 and Nrf2 were significantly elevated in the kidney tissue of Wusangyin-treated mice compared with model group(P<0.05).CONCLUSION:Wusangyin can potentially enhance renal function and attenuate renal pathological damage,fibrosis,cell apoptosis and oxidative stress in diabetic nephropathy mice.The observed renal protec-tive effects may be attributed to increased expression of SIRT1 and Nrf2 proteins.

diabetic nephropathyrenal fibrosisWusangyinsilent information regulator 1nuclear factor E2-related factor 2

李文月、娄玉、杨晓萍、盖云

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上海中医药大学附属第七人民医院全科医学科,上海 200137

糖尿病肾病 肾纤维化 五桑饮 沉默信息调节因子1 核因子E2相关因子2

浦东新区卫生健康委领军人才培养项目浦东新区国家中医药发展综合改革试验区建设项目

PWR12020-02PDZY-2023-1107

2024

中国病理生理杂志
中国病理生理学会

中国病理生理杂志

CSTPCD北大核心
影响因子:1.065
ISSN:1000-4718
年,卷(期):2024.40(4)
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