常春藤素皂苷元介导 Axin2 / AREG 轴抑制炎症缓解小鼠急性肾损伤
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1. 西南医科大学附属中医医院中西医结合研究中心,四川 泸州 646000;2. 西南医科大学附属中医医院肾病科,四川 泸州 646000;3. 西南医科大学附属中医医院泌尿外科,四川 泸州 646000;4. 西南医科大学附属中医医院儿童诊疗中心,四川 泸州 646000

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Hederagenin mediates Axin2 / AREG axis to inhibit inflammation and alleviate acute kidney injury in mice
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1. Research Center of Integrated Chinese and Western Medicine, the Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou 646000, China; 2. Department of Nephrology, the Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou 646000, China; 3. Department of Urology, the Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou 646000,China; 4. Children’s Diagnosis and Treatment Center, the Affiliated Traditional Chinese Medicine Hospital,Southwest Medical University, Luzhou 646000, China

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    摘要:

    目的 探讨常春藤素皂苷元( hederagenin,HDG) 对顺铂( cisplatin, Cis) 诱导的急性肾损伤(acute kidney injury,AKI)小鼠的保护作用及潜在机制。 方法 将 24 只雄性 C57BL / 6J 小鼠随机分为对照组、AKI 模型组、HDG 低剂量组 HDG 高剂量组,每组各 6 只。 通过腹腔注射 Cis 20 mg / kg 建立小鼠 AKI 模型,HDG 低剂量组及 HDG 高剂量组分别给予 20、40 mg / kg 灌胃 HDG,3 d 后进行取材。 收集小鼠肾进行苏木素-伊红(HE)及糖原(periodic acid-schiff,PAS)染色评估肾病理情况,收集血清检测肌酐、尿素氮的变化,WesternBlot 检测 p-P65、P65、IL-6、TNF-α、IL-1β 等炎症相关蛋白的表达。 体外使用 Cis 200 ng / mL 刺激肾小管上皮细胞(TCMK1)建立炎症细胞模型,设置空白组、Cis 模型组、HDG 低剂量组、HDG 高剂量组、Axin2 过表达组、HDG + Axin2 过表达组,收取细胞蛋白后检测 p-P65、P65、IL-6、TNF-α、IL-1β、Axin2、AREG 的表达变化。 结果与对照组相比,AKI 模型组小鼠血清肌酐和尿素氮水平明显升高(P<0. 05),并伴随肾小管空泡变性、炎细胞浸润及糖原沉积等病理改变,炎症相关蛋白 p-P65、TNF-α、IL-6、IL-1β 及 Axin2 表达均显著上调(P<0. 05)。HDG 干预后,血清肌酐和尿素氮水平呈剂量依赖性下降(高剂量组降幅>低剂量组降幅,P<0. 05),肾组织病理损伤明显减轻,上述炎症因子及 Axin2 表达同步降低(P<0. 05)。 体外实验证实 HDG 可剂量依赖性抑制Gis 诱导的 TCMK1 细胞中 Axin2 及相关炎症因子表达。 转录组测序显示 Axin2 过表达显著上调双调蛋白(AREG)表达(P<0. 05)。 机制研究表明,HDG 通过抑制 Axin2 / AREG 轴降低 p-P65 磷酸化水平(P<0. 05),而 Axin2 过表达可逆转 HDG 对 Cis 诱导肾小管细胞损伤的保护作用。 结论 HDG 通过抑制 Axin2 / AREG 轴的激活减轻炎症,缓解 AKI 小鼠肾损伤。

    Abstract:

    Objective To investigate the protective effect of hederagenin (HDG) on cisplatin (Cis)-induced acute kidney injury (AKI) in mice and its potential mechanism. Methods 24 male C57BL / 6J mice were randomly divided into a control group, AKI model group, HDG low-dose group, and HDG high-dose group, with six mice in each group. AKI model was established by intraperitoneal injection of 20 mg / kg cisplatin(Cis). The HDG low-dose and HDG high-dose groups were given 20, 40 mg / kg HDG by intragastric administration, respectively, and samples were collected 3 days later. The kidneys of the mice were collected for hematoxylin-eosin (HE) and periodic-acidschiff (PAS) staining to evaluate the kidney pathology, and serum was collected to detect changes in serum creatinine(Scr) and blood urea nitrogen ( BUN). The expression of p-P65, P65, IL-6, TNF-α, IL-1β, and other inflammatory-related proteins was detected by Western Blot. A TCMK1 ( renal tubular epithelial cell) inflammatorycell model was established by Cis (200 ng / mL) stimulation in vitro. Blank group, Cis model group, HDG low-dose group, HDG high-dose group, Axin2 overexpression group, HDG + Axin2 overexpression group were set up. In the Axin2-overexpression group, the expression of p-P65, P65, IL-6, TNF-α, IL-1β, Axin2, and AREG was detected among total cell proteins. Results Compared with the control group, AKI model mice exhibited significantly elevated serum creatinine and blood urea nitrogen levels ( P<0. 05), accompanied by pathological alterations including vacuolar degeneration of renal tubules, inflammatory cell infiltration, and glycogen deposition, and the expression of inflammation-related proteins (p-P65, TNF-α, IL-6, IL-1β) and Axin2 was markedly upregulated in AKI mice (P<0. 05). HDG treatment induced a dose-dependent reduction in serum creatinine and blood urea nitrogen levels (highdose > low-dose, P<0. 05), alleviated renal histopathological damage, and concurrently suppressed the expressionof these inflammatory mediators and Axin2 (P<0. 05). HDG was confirmed that dose-dependently inhibited Cisinduced upregulation of Axin2, and inflammatory cytokines in vitro experiments. Transcriptome sequencing revealed that Axin2 overexpression significantly increased amphiregulin (AREG) expression (P<0. 05). Mechanistically,HDG reduced p-P65 phosphorylation by suppressing the Axin2 / AREG axis (P<0. 05), while Axin2 overexpression abolished the protective effects of HDG against Cis-induced renal tubular cell injury. Conclusions HDG protects against renal injury in AKI mice by reducing inflammation through the inhibition of Axin2 / AREG axis activation.

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徐玲慧,梁颖兰,粟宏伟,李健春,李贵平,王丽,邹远霞.常春藤素皂苷元介导 Axin2 / AREG 轴抑制炎症缓解小鼠急性肾损伤[J].中国实验动物学报,2025,33(02):1~12.

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  • 收稿日期:2024-07-29
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  • 在线发布日期: 2025-04-22
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