ENO1通过NF-κB-M1巨噬细胞轴加重急性肾损伤炎症的机制研究
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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;2.西南医科大学中西医结合学院;3.北京中日友好医院临床医学研究所 北京

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四川省科技厅项目(2025ZNSFSC0616),国家级大学生创新创业项目(202510632033)


ENO1 exacerbates inflammatory response in acute kidney injury through the NF-κB-M1 macrophage axis
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1.Research Center of Integrated Chinese and Western Medicine, the Affiliated Traditional Chinese Medicine, Southwest Medical University;2.College of Integrated Chinese and Western Medicine, Southwest Medical University, 3.Luzhou 646000, Sichuan Province, China;4.nstitute of Clinical Medical Sciences, China-Japan Friendship Hospital, Beijing

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    摘要:

    目的 本研究旨在阐明ENO1是否通过调控NF-κB信号通路介导巨噬细胞M1极化从而加重肾损伤。方法:采用缺血再灌注(ischemia-reperfusion injury, IRI)法构建C57BL/6 小鼠AKI模型(n=12),随机分为假手术组(Sham)及IRI组。术后第3天检测肾功能(血清肌酐SCr、尿素氮 BUN),观察肾组织病理变化(HE、PAS染色),并采用IHC和Western blot检测ENO1、肾损伤标志物KIM-1及NF-κB通路关键蛋白(p-p65,IκBα)表达,ELISA法检测炎症因子(TNF-α、IL-1β、IL-6)水平。体外实验以叔丁基过氧化氢(t-BHP)刺激人肾小管上皮细胞(HK2)建立氧化应激模型,通过敲低或过表达ENO1,分析其对巨噬细胞极化标志物(iNOS,CD206)的影响。结果:在AKI模型中,ENO1表达显著升高,并伴随肾功能恶化(SCr、BUN)、炎症因子升高及肾组织损伤加重。机制上,ENO1可激活NF-κB通路(p-p65升高,IκBα降解),促进巨噬细胞向促炎M1表型转化(iNOS表达升高)。敲低ENO1可抑制NF-κB活化,减轻M1极化及炎症损伤;而过表达ENO1则加剧上述效应(均P<0.05)。结论:肾缺血再灌注或氧化应激可诱导肾小管细胞中ENO1表达上调,ENO1作为新型旁分泌调控介质,通过激活NF-κB通路促使巨噬细胞M1极化(对M2表型无显著影响),从而加剧AKI炎症级联反应,提示ENO1可能作为AKI治疗的潜在靶点,为干预炎症反应提供了新思路。

    Abstract:

    [Abstract]? Objective: This study aims to elucidate whether ENO1 exacerbates renal injury by regulating the NF-κB signaling pathway to mediate M1 macrophage polarization. Methods:?An AKI model was established in C57BL/6 mice (n=12) via ischemia-reperfusion injury (IRI), with animals randomly assigned to Sham and IRI groups. Renal function was detected on the 3rd day after surgery. (serum creatinine, SCr; blood urea nitrogen, BUN) and observe the pathological changes of renal tissue.(HE and PAS staining). And the expressions of ENO1, kidney injury molecule-1 (KIM-1), and key proteins of the NF-κB pathway (p-p65, IκBα) were detected by IHC or Western blot, while the levels of inflammatory cytokines (TNF-α, IL-1β, IL-6) were quantified by ELISA. In vitro, human renal tubular epithelial cells (HK2) were exposed to tert-butyl hydroperoxide (t-BHP) to induce oxidative stress, followed by ENO1 knockdown or overexpression to assess HK2 cells impact on macrophage polarization markers (iNOS, CD206). Results: ENO1 expression was markedly upregulated in AKI mice, accompanied by deteriorated renal function(SCr、BUN), elevated inflammatory cytokines, and aggravated renal tissue injury. Mechanistically, ENO1 activated the NF-κB pathway, evidenced by increased p-p65 levels and IκBα degradation, and promoted macrophage polarization toward the M1 phenotype (upregulated iNOS). Knockdown of ENO1 suppressed NF-κB activation, attenuated M1 polarization, and ameliorated inflammatory injury. In contrast, ENO1 overexpression further enhanced NF-κB activity and exacerbated inflammatory responses ( P < 0.05). Conclusion: IRI or oxidative stress can induce the upregulation of ENO1 expression in renal tubular cells. As a novel paracrine regulatory mediator, ENO1 promotes macrophage M1 polarization via activating the NF-κB pathway (with no significant effect on the M2 phenotype), thereby aggravating the inflammatory cascade in AKI. This suggests that ENO1 may serve as a potential therapeutic target for AKI, providing a novel insight into intervening in the inflammatory response.

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  • 收稿日期:2025-10-09
  • 最后修改日期:2025-12-29
  • 录用日期:2026-03-06
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