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    恩格列净对糖尿病小鼠肾组织氧化应激及Nrf2/ARE通路的影响

    Effects of empagliflozin on renal oxidative stress and the Nrf2/ARE pathway in diabetic mice

    • 摘要: 目的 探讨恩格列净对2型糖尿病肾病氧化应激水平的影响及其可能机制。方法db/db小鼠作为糖尿病肾病(DKD)模型动物,随机分为模型组(DM组)和恩格列净组(DM+EM组),同时以db/m小鼠作为正常对照组(NC组)。记录各组小鼠体重和空腹血糖。给药8周后,收集小鼠血液、尿液测定肌酐(Cr)、尿素氮(BUN)及尿微量白蛋白(mALB)。肾组织匀浆检测肾组织氧化应激参数水平。Masson染色观察肾组织纤维化改变。qRT-PCR法检测肾组织转录因子NF-E2相关因子(Nrf2)、醌氧化还原酶-1(NQO1)和血红素加氧酶-1(HO-1)mRNA水平。Western blot法检测Nrf2、NQO1、HO-1蛋白含量。结果 与NC组相比,DM组小鼠体重和血糖明显升高,Cr、BUN、mALB均显著升高,SOD活性与GSH含量显著降低,MDA含量显著增加,肾组织胶原纤维沉积增加,核Nrf2、NQO1、HO-1表达显著降低(P<0.05或P<0.01)。与DM组相比,DM+EM组小鼠血糖明显降低,Cr、mALB显著降低,SOD活性与GSH含量升高,肾脏纤维化程度降低,总Nrf2、核Nrf2、NQO1和HO-1表达显著增加(P<0.05或P<0.01)。结论 恩格列净可以降低糖尿病小鼠肾组织氧化应激水平,其机制可能与激活Nrf2通路,上调NQO1、HO-1蛋白表达有关。

       

      Abstract: Objective To investigate the effect of empagliflozin on oxidative stress in type 2 diabetic kidney disease (DKD) and its possible mechanism. Methods In the current study, db/db mice were used as a rodent model of DKD and randomly divided into two groups: a model (DM) group and an empagliflozin (DM+EM) group, while db/m mice were used as a normal control (NC) group. Their body weight and fasting blood glucose were recorded. After 8 weeks of continuous administration, blood and urinary samples were collected to measure creatinine (Cr), urea nitrogen (BUN) and urinary microalbumin (mALB). Meanwhile, renal tissue homogenate was used to detect renal oxidative stress parameters. Masson staining was used to observe the changes of renal fibrosis. qRT-PCR was used to detected the mRNA levels of NF-E2 related factor (Nrf2), quinone oxidoreductase-1 (NQO1) and heme oxygenase-1 (HO-1). Western blot was used to detect the protein expression of Nrf2, NQO1 and HO-1. Results Compared with the NC group, the DM group showed significant increases in body weight and blood glucose, Cr, BUN and mALB, decreases in SOD activity and GSH content, increases in MDA content, increased deposition of collagen fibers in renal tissue, and decreased expression of nuclear Nrf2, NQO1 and HO-1(P<0.05 or P<0.01). Compared with the DM group, the DM+EM group presented significant decreases in blood glucose, Cr and mALB contents, increases in SOD activity and GSH content, relieved renal fibrosis, and significantly increased expression of total Nrf2, nuclear Nrf2, NQO1 and HO-1(P<0.05 or P<0.01). Conclusions Empagliflozin can reduce the level of oxidative stress in renal tissue of diabetic mice by activation of the Nrf2 pathway and up-regulation of NQO1 and HO-1 protein expression.

       

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