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;2.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;3.北京中日友好医院 北京

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四川省科技厅项目(2022YFS0621),四川省老年医学临床医学研究中心、成都医学院-四川三松医疗管理集团有限公司联合科研基金(24LNYXSSA03),西南医科大学中西医结合专项项目(2023ZYYQ08)


Saikosaponin D Ameliorates Renal Fibrosis by Suppressing LncRNA-gm33782-Mediated Glycolysis
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1.School of Clinical Medicine,Chengdu Medical College;2.Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University;3.China-Japan Friendship Hospital

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Project of Science and Technology Department of Sichuan Province (2022YFS0621) ;Sichuan Provincial Geriat-rics Clinical Medical Research Center、Chengdu Medical College-Sichuan Sansong Medical Management Group Co., Ltd.Joint Research Fund(24LNYXSSA03);The Special project of integrated Chinese and Western medicine of Southwest Medical University (2023ZYYQ08)

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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RNAgm33782(LncRNA-gm33782)影响糖酵解途径,从而减轻慢性肾脏病(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模型组、SSD低剂量组(30mg/kg)、SSD高剂量组(60mg/kg)、厄贝沙坦阳性对照组(20mg/kg),灌胃给药7天后处死小鼠收集肾脏组织,采用HE、Masson和Sirius red染色评估肾脏病理损伤;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 whether Saikosaponin D (SSD) alleviates renal injury and fibrosis in chronic kidney disease (CKD) models by regulating the long non-coding RNA gm33782 (LncRNA-gm33782) and thereby modulating the glycolysis pathway. Methods A CKD model was established in C57BL/6 mice using unilateral ureteral obstruction (UUO). Thirty mice were randomly assigned to five groups(n=6/group): sham-operated, UUO model, SSD low-dose (30 mg/kg), SSD high-dose (60 mg/kg), and irbesartan positive control (20 mg/kg). After 7 days of oral administration, mice were euthanized and kidneys harvested. Renal pathological injury was assessed using HE, Masson, and Sirius red staining. Fibrosis markers (FN, α-SMA, Col-I) were detected using immunohistochemistry and Western blot. LncRNA-gm33782 expression was quantified by RT-qPCR. Lactate concentration in renal tissue was measured biochemically, and hexokinase 2 (HK2) protein expression (a key glycolytic enzyme) was assessed by Western blot to evaluate associations between LncRNA-gm33782, renal fibrosis and glycolysis.SIn vitro, a fibrosis model was induced in mouse renal tubular epithelial cells (TCMK-1) using transforming growth factor-beta (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 (PKM2)) and mitochondrial function (cellular oxygen consumption rate, OCR). SSD intervention was then applied under LncRNA-gm33782 overexpression conditions to evaluate its protective effects. Results SSD treatment significantly attenuated renal tissue injury , fibrosis, and lactate accumulation in UUO mice. LncRNA-gm33782 was significantly upregulated in bothSin vivoS(UUO) andSin vitroSfibrosis models (PS< 0.05). SSD intervention effectively reduced LncRNA-gm33782 expression (PS< 0.05).SIn vitro,Sknockdown of LncRNA-gm33782 ameliorated TGF-β-induced cellular fibrosis and suppressed glycolytic activation. Conversely, overexpression of LncRNA-gm33782 exacerbated mitochondrial OCR suppression, fibrosis, and glycolytic activation, and attenuated the protective effects of SSD (P < 0.05). Conclusion SSD alleviates renal fibrosis primarily by targeting and suppressing LncRNA-gm33782 expression. This suppression leads 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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  • 收稿日期:2025-08-18
  • 最后修改日期:2025-12-19
  • 录用日期:2025-12-29
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