ADAM17 调控内质网应激在环孢素 A 诱导的SD 大鼠肾纤维化中的机制研究
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1.山东中医药大学第一临床医学院,济南 250014;2.山东中医药大学附属医院,济南 250014;3.山东中医药大学,济南 250014

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R692; R96; R363. 1

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Mechanistic study of ADAM17 regulation of endoplasmic reticulum stress in cyclosporine A-induced renal fibrosis in SD rats
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1. First Clinical Medical School, Shandong University of Traditional Chinese Medicine, Jinan 250014, China.2. Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014.3. Shandong University of Traditional Chinese Medicine, Jinan 250014

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    摘要:

    目的 探讨环孢素 A(CsA)诱导的肾纤维化(RF)中去整合素金属蛋白酶 17(ADAM17)对于内质网应激(ERS)的调控机制,挖掘 RF 进程的新靶点。 方法 CsA 灌胃建立 SD 大鼠 RF 模型,采用质粒转染技术和 siRNA 技术,将动物体内 ADAM17 过表达或敲低。 测定大鼠体质量、尿蛋白/ 肌酐比值(UPCR)、血清尿素氮(BUN)、血清肌酐(SCR)、胱抑素 C(Cys-C)、转化生长因子-β1(TGF-β1)、ADAM17 的变化;HE 染色、Masson 染色观察肾脏组织病理改变;透射电镜观察肾脏组织超微结构变化;免疫荧光法检测 ADAM17、葡萄糖调节蛋白 78(GRP78)共表达;RT-qPCR 检测肾脏组织 TGF-β1、Smad3、α-平滑肌肌动蛋白(α-SMA)、Ⅰ型胶原蛋白 α1 链(COL1A1)、ADAM17、GRP78、肌醇需要酶 1( IRE1)、激活转录因子 6( ATF6) 的 mRNA 表达;Western blot 检测 ADAM17、Smad3、TGF-β1、α-SMA、COL1A1、GRP78 蛋白的表达。 结果 模型 1 组大鼠较空白对照 1 组体质量下降(P<0. 01),UPCR、血清肾功能指标(SCR、BUN、Cys-C)极显著升高(P<0. 0001);形态学检测肾脏组织出现肾间质纤维化等病理变化;RF 相关指标 TGF-β1、Smad3 表达上调(P<0. 001),并伴随着ADAM17、GRP78 的异常表达(P<0. 01)。 过表达 ADAM17(P<0. 0001),大鼠同样出现体质量下降、UPCR 升高、血清肾功能指标升高(P<0. 01)以及 RF 的病理变化;RF 相关指标 TGF-β1、Smad3、α-SMA、COL1A1 均不同程度升高(P<0. 05)。 同时,ERS 相关因子 GRP78、ATF6、PERK 表达不同程度上调(P<0. 05);反之,敲低模型组大鼠的 ADAM17 相关指标的异常表达均不同程度减轻(P<0. 05)。 结论 ADAM17 显著促进纤维化进程,ADAM17 调控 ERS 的异常表达可能是其促纤维化进程的重要机制。

    Abstract:

    Objective To investigate the regulatory mechanisms of a disintegrin and metalloproteinase 17 (ADAM17) on endoplasmic reticulum stress (ERS) in cyclosporine A (CsA)-induced renal fibrosis (RF), and to identify potential novel therapeutic targets in the progression of RF. Methods A CsA-induced RF model was established in SD rats through gavage. Plasmid transfection and siRNA were employed to overexpress or knock down ADAM17 in vivo. Indices including body weight, urine protein / creatinine ratio (UPCR), serum blood urea nitrogen (BUN), serum creatinine ( SCR), cystatin C (Cys-C), transforming growth factor-β1 ( TGF-β1), and ADAM17 were measured. Pathological changes in kidney tissues were observed with hematoxylin-eosin staining and Masson trichrome staining. Ultrastructural alterations were examined using transmission electron microscopy. Co-expression of ADAM17 and glucose-regulated protein 78 (GRP78) was detected by immunofluorescence. mRNA expression of TGF-β1, Smad3, α-smooth muscle actin (α-SMA), collagen typeⅠalpha 1 chain (COL1A1), ADAM17, GRP78,inositol-requiring enzyme 1(IRE1)and activating transcription factor 6 (ATF6) RT-qPCR. Protein expressions of ADAM17, Smad3, TGF-β1, α-SMA, COL1A1, and GRP78 were measured by Western blot. Results Compared with the Control-1 group, rats in the Model-1 group exhibited decreased weight(P<0. 01), increased UPCR, and significantly higher levels of serum renal function markers ( P<0. 0001 ).Morphological examinations revealed pathological changes such as renal interstitial fibrosis. The expression of RF-related indicators TGF-β1 and Smad3 was upregulated (P<0. 001), accompanied by abnormal expression of ADAM17 and GRP78 (P<0. 01). Overexpression of ADAM17 (P<0. 0001) also led to a decrease in body weight, increased UPCR,and significant increases in serum renal function markers (P<0. 01), and pathological changes associated with RF in rats. The expression levels of RF-related indicators, including TGF-β1, Smad3, α-SMA, and COL1A1, were elevated to varying degrees (P<0. 05). Meanwhile, the expression of ERS-related factors GRP78, ATF6, and PERK was upregulated to varying degrees (P<0. 05). Conversely, knockdown of the ADAM17 alleviated the aberrant expression of the aforementioned indicators to varying degrees (P<0. 05). Conclusions ADAM17 significantly promotes fibrosis progression; its dysregulation of ERS may serve as a critical mechanism underlying this pro-fibrotic process.

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孟思琪,齐龙宇,高冉冉,刘 瑶,韩 聪,胡洪贞,周 乐,李 伟,王一川. ADAM17 调控内质网应激在环孢素 A 诱导的SD 大鼠肾纤维化中的机制研究[J].中国比较医学杂志,2026,36(5):1~13.

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  • 收稿日期:2025-09-06
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  • 在线发布日期: 2026-04-01
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