首页|益智仁通过氧化三甲胺调节NF-κB通路减轻糖尿病肾脏疾病炎症反应

益智仁通过氧化三甲胺调节NF-κB通路减轻糖尿病肾脏疾病炎症反应

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目的:探讨益智仁通过氧化三甲胺(TMAO)调节核转录因子-κB(NF-κB)信号通路减轻糖尿病肾脏疾病炎症反应的机制。方法:选择SPF级4周龄C57BKs雄性小鼠42只,其中12只正常小鼠随机分为正常对照组和氧化三甲胺0。2%组,30只造模小鼠给予高糖高脂饮食,造模成功后随机分为模型对照组、益智仁100、500 mg/kg组、卡格列净13 mg/kg组及氧化三甲胺抑制剂1%组。连续灌胃8周后,测定小鼠体质量、血糖、24 h尿量、24 h尿白蛋白(UA)、血肌酐(Scr)、血尿素氮(BUN)、尿蛋白/肌酐比值(ACR)、TMAO、肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)、肾脏病理组织及磷酸化核转录因子-κB/核转录因子-κB(p-P65/P65)蛋白比值。结果:与正常对照组比较,模型对照组小鼠体质量、血糖、24 h尿量、24 h UA、血清Scr、BUN、ACR、TMAO、TNF-α、IL-1β含量、肾组织p-P65/P65蛋白比值及胶原沉积均显著升高(P<0。01),氧化三甲胺组p-P65/P65蛋白比值显著升高(P<0。05);与模型对照组比较,益智仁100、500 mg/kg组、卡格列净13 mg/kg组及氧化三甲胺抑制剂1%组24 h尿量、血清Scr、ACR、TAMO含量、肾组织胶原沉积及p-P65/P65蛋白比值均明显降低(P<0。05或P<0。01),益智仁500、100 mg/kg组及卡格列净13 mg/kg组24 hUA含量显著降低(P<0。01),益智仁500 mg/kg组、卡格列净13 mg/kg组及氧化三甲胺抑制剂1%组血清BUN、TNF-α 含量明显降低(P<0。05或P<0。01),益智仁500 mg/kg组及氧化三甲胺抑制剂1%组IL-1β 含量明显降低(P<0。05);相关性分析结果显示,TMAO水平与炎症因子TNF-α与IL-1β水平呈正相关(P<0。01)。结论:益智仁对DKD小鼠肾功能和炎症状态有明显的改善作用,其机制可能与降低TMAO水平,抑制NF-κB信号通路有关。
Mitigation of Inflammatory Reaction of Diabetic Kidney Disease by Yizhiren (益智仁) Regulating NF-κB Pathway through Trimethylamine Oxide
Objective:To explore the mechanism of Yizhiren (益智仁) regulating NF-κB signaling pathway through trimethylamine oxide (TMAO) to alleviate inflammatory reaction of diabetic kidney disease (DKD).Methods:A total of 42 SPF-grade 4-week-old C57BK male mice were selected,of which 12 normal mice were randomly divided into a normal control group and a 0.2% AMTO group,and 30 modeling mice were given a high-sugar and high-fat diet and were randomly divided into model control group,500 mg/kg and 100mg/kg Yizhiren groups,13 mg/kg canagliflozin group,and 1% TAMO inhibitor group.After oral administration for continuously eight weeks,the body weight,blood glucose,24 h urine volume,24 h urinary albumin (UA),serum creatinine (SCR),blood urea nitrogen (BUN),urinary protein/creatinine ra-tio (ACR),TMAO,tumor necrosis factor-α (TNF-α),IL-1β,renal pathological tissue,and phosphorylated nuclear transcription factor-κB/nuclear transcription factor-κB (P-P65/P65) protein ratio were measured.Results:Compared with the normal control group,the body weight,blood glucose,24 h urine volume,the contents of 24 h UA,Scr,BUN,ACR,TMAO,TNF-α,and IL-1β,the ratio of P-P65/P65 pro-tein,and collagen deposition of mice in the model control group were significantly increased (P<0.01).The ratio of P-P65/P65 protein in the 0.2% TMAO group was increased significantly (P<0.05).Compared with the model control group,24 h urine volume,the contents of Scr,ACR,and TAMO,collagen deposition,and P-P65/P65 protein ratio in the 500 and 100 mg/kg Yizhiren groups,13 mg/kg canagliflozin group,and 1% TAMO inhibitor group were significantly decreased (P<0.01 or P<0.05).The 24 h UA was significantly decreased in the 500 and 100 mg/kg Yizhiren groups and 13 mg/kg canagliflozin group (P<0.01).The contents of BUN and TNF-α in the 500 mg/kg Yizhiren group,13 mg/kg canagliflozin group,and 1% TAMO inhibitor group were significantly decreased (P<0.01 or P<0.05).The levels of IL-1β in the 500 mg/kg Yizhiren group and 1% TAMO inhibitor group were significantly decreased (P<0.05).The correlation analysis showed that TMAO level was positively correlated with the levels of inflammatory cytokines TNF-α and IL-1β (P<0.01).Conclusion:Yizhiren can significantly improve renal function and inflammatory state in DKD mice,and the mechanism may be related to reducing TMAO levels and inhibiting the NF-κB signaling pathway.

Yizhiren (益智仁)Diabetic kidney diseaseInflammationTrimethylamine oxideNF-κB pathwayIL-1βTNF-α

倪雅丽、姚宇剑、武素、谢毅强

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海南省第二人民医院,五指山 572299

海南省中医院,海口 570203

海南医学院,海口 570100

益智仁 糖尿病肾脏疾病 炎症 氧化三甲胺 NF-κB通路 白细胞介素-1β 肿瘤坏死因子-α

2024

中药药理与临床
中国药理学会 四川省中医药科学院

中药药理与临床

北大核心
影响因子:0.996
ISSN:1001-859X
年,卷(期):2024.40(10)