Wang Yaning, Lin Chao, Ren Qiang, Liu Yunqi, Yang Xiangdong
Department of Nephrology, Qilu Hospital of Shandong University Jinan 250012, Shandong, China ; Department of Nephrology, Binzhou Medical University Hospital Binzhou 256603, Shandong, China.
Department of Joint Surgery, Binzhou Medical University Hospital Binzhou 256603, Shandong, China.
Int J Clin Exp Pathol. 2015 Jun 1;8(6):6828-34. eCollection 2015.
Numerous cytokines participate in the occurrence and development of inflammation and renal interstitial fibrosis. Previous studies confirmed that TGF-β1 overexpressed in diabetic nephropathy. As a downstream signal protein of TGF-β1 family, SMAD has an important role in the process of α-SMA mediated renal interstitial fibrosis. This study aimed to study astragaloside effect on TGF-β1, SMAD2/3, and α-SMA expression in the kidney tissue of diabetic KKAy mice, to reveal its potential impact on renal interstitial fibrosis. 20 type II diabetic KKAy mice were randomly equally divided into model group and astragaloside group, while 10 male C57BL/6J mice were selected as the control. Astragaloside at 40 mg/(kg•d) was given when the KKAy mice fed with high-fat diet to 14 weeks old. The mice were killed at 24 weeks old and the kidney tissue samples were collected. Pathology morphological changes were observed. TGF-β1, SMAD2/3, and α-SMA expression levels were determined by immunohistochemistry. Compared with control, mice kidney in model group appeared obvious fibrosis and up-regulated blood glucose level, TGF-β1, SMAD2/3, and α-SMA expression (P < 0.05). Mice in astragaloside group exhibited alleviated renal interstitial fibrosis compared with the model. Its blood glucose level, TGF-β1, SMAD2/3, and α-SMA expression levels were significantly lower than the model group (P < 0.05). Astragaloside can delay the renal fibrosis process in diabetic mice by influencing the TGF-β/SMADS signaling pathway and down-regulating TGF-β1, SMAD2/3, and α-SMA expression.
众多细胞因子参与炎症和肾间质纤维化的发生与发展。以往研究证实,糖尿病肾病中转化生长因子-β1(TGF-β1)过度表达。作为TGF-β1家族的下游信号蛋白,SMAD在α-平滑肌肌动蛋白(α-SMA)介导的肾间质纤维化过程中起重要作用。本研究旨在探讨黄芪苷对糖尿病KKAy小鼠肾组织中TGF-β1、SMAD2/3和α-SMA表达的影响,以揭示其对肾间质纤维化的潜在作用。将20只II型糖尿病KKAy小鼠随机等分为模型组和黄芪苷组,另选10只雄性C57BL/6J小鼠作为对照组。当KKAy小鼠高脂喂养至14周龄时给予黄芪苷40mg/(kg•d)。24周龄时处死小鼠,收集肾组织样本。观察病理形态学变化。采用免疫组化法检测TGF-β1、SMAD2/3和α-SMA表达水平。与对照组相比,模型组小鼠肾脏出现明显纤维化,血糖水平、TGF-β1、SMAD2/3和α-SMA表达上调(P<0.05)。与模型组相比,黄芪苷组小鼠肾间质纤维化减轻。其血糖水平、TGF-β1、SMAD2/3和α-SMA表达水平均显著低于模型组(P<0.05)。黄芪苷可通过影响TGF-β/SMADS信号通路,下调TGF-β1、SMAD2/3和α-SMA表达,延缓糖尿病小鼠肾纤维化进程。