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水苏碱激活AMPK/SIRT1信号通路促进自噬并缓解脓毒血症诱导的急性肾损伤

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目的:探讨水苏碱(STA)在脓毒血症诱导的急性肾损伤(AKI)中的作用及潜在机制,为临床疾病治疗提供新思路.方法:细胞水平上,在人肾上皮细胞系HEK293中给予脂多糖(LPS)、STA处理,采用蛋白质免疫印迹法、实时荧光定量PCR(RT-qPCR)、免疫荧光、活性氧(ROS)检测试剂盒检测细胞ROS水平、肿瘤坏死因子α(TNFα)、白细胞介素1β(IL-1β)、白细胞介素6(IL-6)及自噬标志物LC3B Ⅱ、LC3B Ⅰ、p62的表达水平,同时检测腺苷酸活化蛋白激酶(p-AMPKα/AMPKα)和沉寂信息调节因子(SIRT1)的蛋白水平.动物水平上,采用C57BL/6雄性小鼠经腹腔注射LPS构建脓毒血症诱导的AKI模型,治疗组小鼠于LPS注射前7 d开始,每日给予30 mg/kg STA灌胃,通过苏木精-伊红(HE)染色、蛋白质免疫印迹、RT-qPCR检测肾脏组织炎症因子水平、自噬标志物水平及AMPK/SIRT1信号通路激活情况.结果:细胞水平上,LPS处理后HEK293细胞中的ROS显著增多,炎症因子TNFα、IL-1β和IL-6的水平显著提高,LC3BⅡ/LC3B Ⅰ比值下降,p62蛋白水平上调,p-AMPKα和SIRT1蛋白水平降低(P<0.05),给予STA处理后,降低了 LPS诱导的细胞中ROS及炎症因子水平,LC3BⅡ/LC3B Ⅰ比值上升、p62水平下降,p-AMPKα和SIRT1表达水平显著升高(P<0.05).动物水平上,蛋白质免疫印迹及RT-qPCR结果显示,LPS诱导的小鼠肾脏组织中炎症因子TNFα、IL-1β和IL-6水平升高,LC3B Ⅱ/LC3B Ⅰ、p-AMPKα/AMPKα、SIRT1蛋白水平降低,p62水平升高;STA+LPS组小鼠肾脏组织炎症因子水平表达降低,LC3BⅡ/LC3B Ⅰ、p-AMPKα/AMPKα、SIRT1表达升高,p62表达下降(P<0.05).结论:STA通过激活AMPK/SIRT1信号通路促进细胞自噬,缓解脓毒血症诱导的急性肾损伤.
Stachydrine Activates the AMPK/SIRT1 Signaling Pathway to Promote Autophagy and Alleviate Sepsis-induced Acute Kidney Injury
Objective:To investigate the role and potential mechanism of STA in sepsis-induced acute kidney injury(AKI),and to provide new ideas for clinical treatment.Methods:At the cellular level,HEK293 cells were treated with lipopolysac-charide(LPS)and STA.Detected the level of ROS,inflammatory factors tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1 β),interleukin-6(IL-6),and autophagy markers LC3B Ⅱ and LC3B The protein levels of p-AMPKα/AMPKα and SIRT1 were detected.At the animal level,C57BL/6 male mice were intraperitoneally injected with LPS to establish a sepsis induced AKI model.The treatment group was given STA 30 mg/kg daily by gavage from 7 days before LPS injection.Hematoxylin-eosin(HE)staining,Western blotting,and RT-qPCR were used to detect the levels of inflammatory factors,autophagy markers,and ac-tivation of AMPK/SIRT1 signaling pathway in kidney tissue.Results:At the cellular level,ROS was significantly increased in HEK293 cells after LPS treatment,the levels of inflammatory factors TNF-α,IL-1β and IL-6 were significantly increased,the LC3B Ⅱ/LC3B Ⅰ ratio was decreased,p62 protein level was up-regulated,and p-AMPKα and SIRT1 protein levels were de-creased(P<0.05).STA treatment significantly reduced LPS-induced ROS and inflammatory cytokines levels,increased LC3B Ⅱ/LC3B Ⅰ ratio,decreased p62 level,and increased p-AMPKα and SIRT1 expression levels(P<0.05).At the animal level,West-ern blot and RT-qPCR results showed that the levels of inflammatory factors TNFα,IL-1β and IL-6 were increased,the protein levels of LC3B Ⅱ/LC3B Ⅰ,p-AMPKα/AMPKα and SIRT1 were decreased,and the level of p62 was increased in the kidney tissue of mice induced by LPS.The STA+LPS group had significantly decreased expression of inflammatory factors in kidney tissue,signifi-cantly increased expression of LC3BⅡ/LC3B Ⅰ,p-AMPKα/AMPKα,and SIRT1,and a significantly decreased expression of p62(P<0.05).Conclusion:STA can alleviate sepsis-induced acute kidney injury by activating AMPK/SIRT1 signaling pathway to promote autophagy.

SepsisAcute kidney injuryStachydrineAutophagyInflammation

张楚杰、燕宪亮、刘畅

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徐州医科大学附属淮安医院急诊科(淮安 223003)

徐州医科大学附属医院急诊科(徐州 221000)

徐州医科大学附属淮安医院重症医学科(淮安 223003)

脓毒血症 急性肾损伤 水苏碱 自噬 炎症

2024

中国中西医结合肾病杂志
中国中西医结合学会

中国中西医结合肾病杂志

CSTPCD
影响因子:1.061
ISSN:1009-587X
年,卷(期):2024.25(11)