柴胡皂苷 D 通过抑制 LncRNA-gm33782介导的糖酵解改善肾纤维化
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1. 成都医学院临床医学院,成都 610500;2. 成都医学院第一附属医院,成都 610500;3. 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;4. 北京中日友好医院,北京 100020

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Saikosaponin D ameliorates renal fibrosis by suppressing LncRNA-gm33782-mediated glycolysis
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1. School of Clinical Medicine, Chengdu Medical College, Chengdu 610500, China; 2. the First Affiliated Hospital of Chengdu Medical College, Chengdu 610500, China; 3. Research Center for Integrative Medicine, Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou 646000, China; 4. China-Japan Friendship Hospital, Beijing 100020, China

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    摘要:

    目的 探讨柴胡皂苷 D( SSD)是否通过调控长链非编码 RNA-gm33782(LncRNA-gm33782)影响糖酵解途径,从而减轻慢性肾病(CKD)模型中的肾损伤和纤维化。 方法 建立单侧输尿管梗阻(UUO)诱导 C57BL / 6 小鼠 CKD 模型。 30 只小鼠随机分为假手术组、UUO 组、SSD 低剂量组(30 mg / (kg·d))、SSD 高剂量组(60 mg / (kg·d))、厄贝沙坦组(20 mg / (kg·d)),灌胃给药 7 d 后处死小鼠收集肾组织,采用苏木素-伊红(HE)、Masson 和 Sirius red 染色评估肾病理损伤;利用免疫组化和 Western Blot 检测纤维化标志物(FN、α-SMA、Col-Ⅰ)的表达。 通过 RT-qPCR 分析 LncRNA-gm33782 表达;使用试剂盒检测肾组织乳酸浓度,并通过Western Blot 检测糖酵解关键酶己糖激酶 2(HK2)的蛋白表达,评估 LncRNA-gm33782 与肾纤维化及糖酵解的关联。 体外研究采用转化生长因子-β(TGF-β)诱导小鼠肾小管上皮细胞(TCMK-1)构建纤维化模型,通过敲低与过表达 LncRNA-gm33782,观察其对纤维化指标(FN,Col-Ⅰ)、糖酵解关键酶(HK2,PKM2)表达及线粒体功能(细胞耗氧率(OCR))的影响;进一步在 LncRNA-gm33782 过表达条件下给予 SSD 干预,评估其保护效应。 结果 SSD 治疗显著减轻 UUO 小鼠的肾组织损伤、纤维化程度及乳酸堆积。 LncRNA-gm33782 在体内及体外纤维化模型中均显著上调(P<0. 05),而 SSD 干预有效降低其表达(P<0. 05)。 体外实验显示,敲低LncRNA-gm33782 可减轻 TGF-β 诱导的细胞纤维化,并抑制糖酵解活化;反之,过表达 LncRNA-gm33782 则加剧线粒体 OCR 抑制、纤维化程度和糖酵解激活,并削弱 SSD 保护作用(P<0. 05)。 结论 SSD 通过靶向抑制LncRNA-gm33782 的表达,下调糖酵解活化,恢复线粒体功能,从而阻断肾纤维化进程,LncRNA-gm33782 是SSD 发挥肾保护作用的关键分子靶点。

    Abstract:

    Objective To determine if saikosaponin D (SSD) alleviates renal injury and fibrosis in chronic kidney disease ( CKD) models by regulating the long non-coding RNA-gm33782 ( LncRNA-gm33782), thereby modulating the glycolysis pathway. Methods A CKD model was established in C57BL / 6 mice using unilateral ureteral obstruction (UUO). Thirty mice were assigned randomly to sham group, UUO group, SSD-L group(30 mg / kg), SSD-H group (60 mg / kg), and Irb group(20 mg / kg) (n = 6 mice per group). After oral administration for 7 d, the mice were euthanized and kidneys harvested. Renal pathological injury was assessed using hematoxylin-eosin (HE), Masson, and Sirius red staining. Fibrosis markers ( fibronectin ( FN), α-smooth muscle actin( α-SMA),collagen 1 (Col-Ⅰ)) were detected by immunohistochemistry and Western Blot. LncRNA-gm33782 expression was quantified by RT-qPCR. Renal lactate concentration was measured and hexokinase 2 (HK2) protein expression was assessed by Western Blot to evaluate associations between LncRNA-gm33782 and renal fibrosis and glycolysis. An in vitro fibrosis model was induced in mouse renal tubular epithelial cells ( TCMK-1) by transforming growth factor (TGF)-β induction. Knockdown and overexpression of LncRNA-gm33782 were employed to assess its effects on fibrosis markers ( FN, Col-Ⅰ), glycolysis-associated proteins ( HK2, pyruvate kinase M2), and mitochondrial function ( cellular oxygen consumption rate, OCR ). SSD intervention was applied under LncRNA-gm33782- overexpression conditions to evaluate its protective effects. Results SSD significantly attenuated renal tissue injury,fibrosis, and lactate accumulation in UUO mice. LncRNA-gm33782 was significantly upregulated in in vivo (UUO) and in vitro fibrosis models ( P<0. 05 ). SSD reduced LncRNA-gm33782 expression ( P<0. 05 ). In vitro knockdown of LncRNA-gm33782 ameliorated TGF-β-induced cellular fibrosis and suppressed glycolytic activation,while its overexpression exacerbated mitochondrial OCR suppression, fibrosis, and glycolytic activation, and attenuated the protective effects of SSD ( P<0. 05). Conclusions SSD alleviates renal fibrosis primarily by targeting and suppressing LncRNA-gm33782 expression, leading to downregulation of glycolytic activation and restoration of mitochondrial function. LncRNA-gm33782 is a key molecular target mediating the renoprotective effects of SSD.

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舒静,谭睿陟,贾建,李平,王丽,毛楠.柴胡皂苷 D 通过抑制 LncRNA-gm33782介导的糖酵解改善肾纤维化[J].中国实验动物学报,2026,34(1):43~55.

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  • 收稿日期:2025-08-18
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  • 在线发布日期: 2026-03-05
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