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;2.山东中医药大学附属医院;3.山东中医药大学

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国家自然科学基金项目(面上项目,重点项目,重大项目);国家自然科学基金青年科学82204881;山东省医药卫生科技发展计划项目202103050260;国家自然科学基金(82474252);国家自然科学基金(82174179);


Mechanistic Study of ADAM17 Regulating Endoplasmic Reticulum Stress in Cyclosporine A-Induced Renal Fibrosis in SD Rats
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1.College of Clinical Medicine,Shandong University of Traditional Chinese Medicine;2.Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, China;3.Shandong University of Traditional Chinese Medicine;4.Affiliated Hospital of Shandong University of Traditional Chinese Medicine

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The National Natural Science Foundation of China (General Program, Key Program, Major Research Plan)

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    摘要:

    目的 探讨环孢素A(CsA)诱导的肾纤维化中,去整合素金属蛋白酶17(ADAM17)和内质网应激(ERS)的调控机制,明确肾纤维化进程的新靶点。方法 CsA灌胃建立SD大鼠肾纤维化模型,采用质粒转染技术和SiRNA技术,将动物体内ADAM17水平过表达或敲减。测定大鼠体重、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β-1(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、SMAD同源物3重组蛋白(SMAD3)、α-平滑肌肌动蛋白(α-SMA)、Ⅰ型胶原蛋白α1链(COL1A1)1、ADAM17、GRP78的mRNA表达;Western blot(WB)检测ADAM17、SMAD3、TGF-β1、α-SMA、COL1A1、GRP78蛋白的表达。结果 CsA诱导模型组大鼠体重下降,尿蛋白、血清肾功能指标、血清ADAM17、血清TGF-β1明显升高(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,RT-qPCR中TGF-β1、SMAD3、ADAM17mRNA表达升高(p<0.01),WB检测模型组TGF-β1、SMAD3、ADAM17蛋白显著升高(p<0.001)。过表达ADAM17(p<0.0001),大鼠的体重出现明显下降,尿蛋白升高,血清肾功能指标明显升高(p<0.0001);形态学检测同样出现肾间质纤维化等典型病理变化,RT-qPCR与WB检测中GRP78的表达均升高(p<0.01),激活转录因子6(ATF6)、TGF-β1、SMAD3、COL1A1、α-SMA等指标也均异常表达(p<0.05);反之,敲减模型组大鼠的ADAM17基因,相关指标的异常表达均不同程度减轻。结论 ADAM17显著促进纤维化进程,ADAM17调控内质网应激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)?and endoplasmic reticulum stress (ERS) in cyclosporine A (CsA)-induced renal fibrosis, and to identify potential novel therapeutic targets in the progression of renal fibrosis.Methods A CsA-induced renal fibrosis model was established in SD rats via gavage. Plasmid transfection and siRNA technologies 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 via hematoxylin-eosin (HE) staining and Masson's trichrome staining. Ultrastructural alterations were examined using transmission electron microscopy (TEM). Co-expression of ADAM17 and glucose-regulated protein 78 (GRP78) was detected by immunofluorescence. mRNA expressions of TGF-β1, SMAD homolog 3 (SMAD3),α-smooth muscle actin (α-SMA), collagen type I alpha 1 chain (COL1A1),ADAM17,and GRP78 in kidney tissues were analyzed via reverse transcription quantitative real-time polymerase chain reaction (RT-qPCR). Protein expressions of ADAM17,SMAD3, TGF-β1, α-SMA,COL1A1, and GRP78 were measured by Western blotting (WB).Results In the CsA-induced model group, rats exhibited decreased body weight,significantly increased UPCR,serum renal function indicators (BUN, Scr,Cys-C), serum ADAM17, and serum TGF-β1 levels (p < 0.01). Morphological examinations revealed pathological changes such as renal interstitial fibrosis. RT-qPCR showed upregulated mRNA expressions of TGF-β1,SMAD3,and ADAM17 (p < 0.01), while WB demonstrated significantly elevated protein levels of TGF-β1, SMAD3,and ADAM17 (p < 0.01). Overexpression of ADAM17 (p < 0.001) led to a marked decrease in body weight,significant increases in serum renal function indicators and UPCR (p < 0.01), and typical pathological changes including renal interstitial fibrosis. Immunofluorescence, RT-qPCR,and WB all showed increased GRP78 expression,along with abnormal upregulation of TGF-β1,SMAD3, COL1A1, α-SMA, and other indicators (p < 0.01). Conversely, knockdown of the ADAM17 gene in the model group alleviated these abnormal expressions to varying degrees (p < 0.05).Conclusions ADAM17 significantly promotes fibrosis progression, and its dysregulation of endoplasmic reticulum stress (ER stress) may serve as a critical mechanism underlying this pro-fibrotic process.

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  • 收稿日期:2025-09-06
  • 最后修改日期:2025-12-10
  • 录用日期:2025-12-11
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