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目的:探讨当归补血汤通过单磷酸腺苷激活的蛋白激酶/哺乳动物雷帕霉素靶蛋白(AMPK/mTOR)通路调控人肾足细胞自噬的机制。方法:人肾足细胞分为空白对照组、模型对照组、高糖+正常对照血清组、高糖+10%当归补血汤含药血清组。UPLC-PDA分析当归补血汤的主要成分;CCK-8法检测各组细胞的增殖情况;透射电镜法观察细胞的自噬改变;qRT-PCR法检测自噬相关因子mRNA的表达;采用Wertern blot法检测AMPK/mTOR通路及自噬相关蛋白LC3-Ⅱ/LC3-Ⅰ的表达。结果:咖啡酸、阿魏酸、芒柄花黄素、毛蕊异黄酮和藁本内酯这五种当归补血汤主要成分同时被检出;当归补血汤含药血清能有效改善细胞活力,减少高糖条件下的人肾足细胞自噬小体、自噬溶酶体和隔离膜的数量;与正常对照血清组相比,当归补血汤含药血清组能够促进高糖条件下自噬相关因子Beclin1、Ulk 1、Lc3-Ⅱ/Lc3-Ⅰ、Ampk的mRNA表达,下调P62的mRNA表达(P<0.05),能够上调p-AMPK/AMPK和LC3-Ⅱ/LC3-Ⅰ蛋白表达上调,下调p-mTOR/mTOR蛋白的表达(P<0.05)。结论:当归补血汤对高糖条件下人肾足细胞具有保护作用,机制是通过AMPK/mTOR信号通路激活下游细胞自噬而实现。
Abstract:Objective: To investigate the mechanism of Danggui Buxue Decoction(当归补血汤) in regulating human renal podocyte autophagy through the adenosine 5′-monophosphate-activated protein kinase(AMPK)/mammalian target of rapamycin(mTOR) pathway. Methods: Human renal podocytes were divided into a blank control group, a model control group, a group of high glucose + blank serum, and a group of high glucose + 10% Danggui Buxue Decoction-containing serum. The main components of Danggui Buxue Decoction were analyzed by ultra-performance liquid chromatography with photodiode array(UPLC-PDA), and the proliferation of cells in each group was detected by the cell counting kit-8(CCK-8) method. Autophagic changes in cells were observed by transmission electron microscopy, and the expression of autophagy-related factor mRNA was detected by quantitative real-time fluorescent polymerase chain reaction(qRT-qPCR).The expressions of the AMPK/mTOR pathway and autophagy-related microtubule-associated protein light chain 3(LC3)-Ⅱ/LC3-Ⅰ were detected by Western blotting. Results: Five main components of Danggui Buxue Decoction were detected, including caffeic acid, ferulic acid, formononetin, calycosin, and ligustilide. Danggui Buxue Decoction-containing serum effectively improved cell viability and reduced the number of autophagosomes, autolysosomes, and isolation membranes in human renal podocytes under high glucose conditions. Compared with the blank serum group, the group of Danggui Buxue Decoction-containing serum exhibited the promoted expressions of autophagy-related factors, including Beclin1, Unc-51 like autophagy activating kinase 1(Ulk1), Lc3II/Lc3I, and Ampk mRNAs and the reduced expression of P62 mRNA under high glucose conditions(P<0.05). Meanwhile, through Danggui Buxue Decoction-containing serum, the expressions of p-AMPK/AMPK protein and autophagy-related LC3-II/LC3-Ⅰ protein were up-regulated, and the expression of phosphorylated mammalian target of rapamycin(p-mTOR)/mTOR protein was down-regulated(P<0.05). Conclusion: Danggui Buxue Decoction exerted a protective effect on human renal podocytes under high glucose conditions by activating downstream cellular autophagy via the AMPK/mTOR signaling pathway.
[1]Papadopoulou-marketou N,Kanaka-gantenbein C,Marketos N,et al.Biomarkers of diabetic nephropathy:A 2017 update[J].Critical Reviews in Clinical Laboratory Sciences,2017,54(5):326-342.DOI:10.1080/10408363.2017.1377682.
[2]ZHOU D,ZHOU M,WANG Z,et al.PGRN acts as a novel regulator of mitochondrial homeostasis by facilitating mitophagy and mitochondrial biogenesis to prevent podocyte injury in diabetic nephropathy[J].Cell Death & Disease,2019,10(7):524.DOI:10.1038/s41419-019-1754-3.
[3]Nagata M.Podocyte injury and its consequences[J].Kidney International,2016,89(6):1221-1230.DOI:10.1016/j.kint.2016.01.012.
[4]Kopp J B,Anders H J,Susztak K,et al.Podocytopathies[J].Nature Reviews.Disease Primers,2020,6(1):68.DOI:10.1038/s41572-020-0196-7.
[5]Barutta F,Bellini S,Gruden G.Mechanisms of podocyte injury and implications for diabetic nephropathy[J].Clinical Science (London,England:1979),2022,136(7):493-520.DOI:10.1042/CS20210625.
[6]LU C C,WANG G H,LU J,et al.Role of Podocyte Injury in Glomerulosclerosis[J].Advances in Experimental Medicine and Biology,2019,1165:195-232.DOI:10.1007/978-981-13-8871-2_10.
[7]DONG H,YANG Y.GSK621 ameliorates high glucose-induced renal injury by inducing autophagy via AMPK/ULK1 signaling pathway:an in vitro and in vivo study[J].Molecular & Cellular Toxicology,2024,20(3):601-610.DOI:10.1007/s13273-023-00370-1.
[8]Locatelli A G,Cenci S.Autophagy and longevity:Evolutionary hints from hyper-longevous mammals[J].Frontiers in Endocrinology,2022,13:1085522.DOI:10.3389/fendo.2022.1085522.
[9]Subramanian A,Tamilanban T,Alsayari A,et al.Trilateral association of autophagy,mTOR and Alzheimer’s disease:Potential pathway in the development for Alzheimer’s disease therapy[J].Frontiers in Pharmacology,2022,13:1094351.DOI:10.3389/fphar.2022.1094351.
[10]WANG S,LI H,YUAN M,et al.Role of AMPK in autophagy[J].Frontiers in Physiology,2022,13:1015500.DOI:10.3389/fphys.2022.1015500.
[11]LIU H,CHEN W,WAN S,et al.Canagliflozin ameliorates high glucose-induced apoptosis in NRK-52E cells via inhibiting oxidative stress and activating AMPK/mTOR-mediated autophagy[J].Molecular Biology Reports,2023,50(12):10325-10337.DOI:10.1007/s11033-023-08855-x.
[12]HUANG C,CHENG L,FENG X,et al.Dencichine ameliorates renal injury by improving oxidative stress,apoptosis and fibrosis in diabetic rats[J].Life Sciences,2020,258:118146.DOI:10.1016/j.lfs.2020.118146.
[13]LOU Y,LUAN Y T,RONG W Q,et al.Corilagin alleviates podocyte injury in diabetic nephropathy by regulating autophagy via the SIRT1-AMPK pathway[J].World Journal of Diabetes,2024,15(9):1916-1931.DOI:10.4239/wjd.v15.i9.1916.
[14]吴星霖.当归补血汤治疗糖尿病肾病临床观察[J].中国中医药现代远程教育,2023,21(11):107-109.
[15]程丽颖,王梦玺,张翥,等.当归补血汤辅助治疗糖尿病肾病临床疗效的Meta分析[J].中国全科医学,2021,24(27):3477-3483.
[16]白文卓,李锐,朱丽红,等.当归补血汤治疗糖尿病肾病的Meta分析[J].世界中医药,2022,17(3):365-368,378.
[17]范晶.质量-药效-代谢关联模式下当归补血汤的药效物质基础研究[D].北京中医药大学,2022.DOI:10.26973/d.cnki.gbjzu.2021.000851.
[18]杨飞霞,王玉,夏鹏飞,等.当归补血汤化学成分、药理作用、临床应用的研究进展及质量标志物的预测分析[J].中国中药杂志,2021,46(11):2677-2685.DOI:10.19540/j.cnki.cjcmm.20200828.201.
[19]刘雅琳,王文恺,李秋芳,等.当归补血汤中4种成分在大鼠血浆中的药动学研究[J].中成药,2020,42(2):278-283.
[20]TONG X L,DONG L,CHEN L,et al.Treatment of diabetes using traditional Chinese medicine:past,present and future[J].The American Journal of Chinese Medicine,2012,40(5):877-886.DOI:10.1142/S0192415X12500656.
[21]LIU X J,HU X K,YANG H,et al.A Review of Traditional Chinese Medicine on Treatment of Diabetic Nephropathy and the Involved Mechanisms[J].The American Journal of Chinese Medicine,2022,50(7):1739-1779.DOI:10.1142/S0192415X22500744.
[22]盛泓沁,王闻婧,李晓朋,等.杨霓芝教授中医分期辨治糖尿病肾病经验[J].中国中西医结合肾病杂志,2021,22(6):474-476.
[23]舒孟瑶,张雅丽,周美鑫,等.加味黄芪六一汤联合卡格列净治疗气阴亏虚型糖尿病肾病临床观察[J].山西中医,2024,40(10):20-22.DOI:10.20002/j.issn.1000-7156.2024.10.008.
[24]张雪辰,王镁.中药药对治疗糖尿病肾病的药理作用及临床应用研究进展[J].中国实验方剂学杂志,2019,25(9):228-234.DOI:10.13422/j.cnki.syfjx.20190709.
[25]张佳华,宁洪悦,安丽萍,等.基于GSK-3β/CREB信号通路探讨加味肾气丸减轻糖尿病小鼠肾间质纤维化的作用机制[J].中国实验方剂学杂志,2023,29(16):162-169.DOI:10.13422/j.cnki.syfjx.20230702.
[26]QIAO L,JIN Y,GUO Z A.[Mechanism of traditional Chinese medicine in regulating NLRP3 inflammasomes to alleviate renal interstitial fibrosis in diabetic nephropathy:a review][J].China Journal of Chinese Materia Medica,2024,49(5):1164-1171.DOI:10.19540/j.cnki.cjcmm.20231123.401.
[27]FANG Y,CHEN B,GONG A Y,et al.The ketone body β-hydroxybutyrate mitigates the senescence response of glomerular podocytes to diabetic insults[J].Kidney International,2021,100(5):1037-1053.DOI:10.1016/j.kint.2021.06.031.
[28]FANG Y,CHEN B,LIU Z,et al.Age-related GSK3β overexpression drives podocyte senescence and glomerular aging[J].The Journal of Clinical Investigation,2022,132(4):e141848.DOI:10.1172/JCI141848.
[29]Wiley C D.Role of Senescent Renal Cells in Pathophysiology of Diabetic Kidney Disease[J].Current Diabetes Reports,2020,20(8):33.DOI:10.1007/s11892-020-01314-y.
[30]XIONG Y,ZHOU L.The Signaling of Cellular Senescence in Diabetic Nephropathy[J].Oxidative Medicine and Cellular Longevity,2019,2019:7495629.DOI:10.1155/2019/7495629.
[31]Carney E F.Diabetic nephropathy:Restoring podocyte proteostasis in DN[J].Nature Reviews.Nephrology,2017,13(9):514.DOI:10.1038/nrneph.2017.111.
[32]杜俊杰,杨继红,王慧.硫酸酯酶1对高糖诱导小鼠肾足细胞自噬损伤的影响[J].中华实用诊断与治疗杂志,2020,34(10):973-977.DOI:10.13507/j.issn.1674-3474.2020.10.001.
[33]FANG L,ZHOU Y,CAO H,et al.Autophagy attenuates diabetic glomerular damage through protection of hyperglycemia-induced podocyte injury[J].PloS One,2013,8(4):e60546.DOI:10.1371/journal.pone.0060546.
[34]Kroemer G,Marino G,Levine B.Autophagy and the Integrated Stress Response[J].Molecular Cell,2010,40(2):280-293.DOI:10.1016/j.molcel.2010.09.023.
[35]Koch E A T,Nakhoul R,Nakhoul F,et al.Autophagy in diabetic nephropathy:a review[J].International Urology and Nephrology,2020,52(9):1705-1712.DOI:10.1007/s11255-020-02545-4.
[36]LI X,ZHU Q,ZHENG R,et al.Puerarin Attenuates Diabetic Nephropathy by Promoting Autophagy in Podocytes[J].Frontiers in Physiology,2020,11:73.DOI:10.3389/fphys.2020.00073.
[37]ZHANG L,ZHOU F,YU X,et al.C/EBPα deficiency in podocytes aggravates podocyte senescence and kidney injury in aging mice[J].Cell Death & Disease,2019,10(10):684.DOI:10.1038/s41419-019-1933-2.
[38]GAO L,LV G,LI R,et al.Glycochenodeoxycholate promotes hepatocellular carcinoma invasion and migration by AMPK/mTOR dependent autophagy activation[J].Cancer Letters,2019,454:215-223.DOI:10.1016/j.canlet.2019.04.009.
[39]SHENG H,ZHANG D,ZHANG J,et al.Kaempferol attenuated diabetic nephropathy by reducing apoptosis and promoting autophagy through AMPK/mTOR pathways[J].Frontiers in Medicine,2022,9:986825.DOI:10.3389/fmed.2022.986825.
[40]SHI L,XIAO C,ZHANG Y,et al.Vitamin D/vitamin D receptor/Atg16L1 axis maintains podocyte autophagy and survival in diabetic kidney disease[J].Renal Failure,2022,44(1):694.DOI:10.1080/0886022X.2022.2063744.
[41]Piwkowska A,Rogacka D,Audzeyenka I,et al.Combined effect of insulin and high glucose concentration on albumin permeability in cultured rat podocytes[J].Biochemical and Biophysical Research Communications,2015,461(2):383-389.DOI:10.1016/j.bbrc.2015.04.043.
[42]LI K,LIU T X,LI J F,et al.rhEPO inhibited cell apoptosis to alleviate acute kidney injury in sepsis by AMPK/SIRT1 activated autophagy[J].Biochemical and Biophysical Research Communications,2019,517(4):557-565.DOI:10.1016/j.bbrc.2019.07.027.
[43]侯瑞英,吴冬梅,焦伟杰,等.毛蕊异黄酮改善2型糖尿病模型大鼠的糖脂代谢紊乱和代谢相关脂肪性肝病症状[J].中国病理生理杂志,2021,37(11):1965-1971.
[44]YU L,WANG J,ZHANG N,et al.Inhibition of fluorescent advanced glycation end-products by ferulic acid and chlorogenic acid:A fluorescence spectroscopy and molecular docking study[J].Food Bioscience,2024,58:103790.DOI:10.1016/j.fbio.2024.103790.
[45]Oza M J,Kulkarni Y A.Formononetin attenuates kidney damage in type 2 diabetic rats[J].Life Sciences,2019,219:109-121.DOI:10.1016/j.lfs.2019.01.013.
[46]LI G,HU C,LIU Y,et al.Ligustilide,a novel SIRT1 agonist,alleviates lipopolysaccharide-induced acute lung injury through deacetylation of NICD[J].International Immunopharmacology,2023,121:110486.DOI:10.1016/j.intimp.2023.110486.
[47]XU F,FANG X,YE Z,et al.Ligustilide alleviates podocyte injury via suppressing the SIRT1/NF-κB signaling pathways in rats with diabetic nephropathy[J].Annals of Translational Medicine,2020,8(18):1154-1154.DOI:10.21037/atm-20-5811.
基本信息:
DOI:10.13412/j.cnki.zyyl.20250425.002
中图分类号:R285.5
引用信息:
[1]王楠,张紫薇,周静,等.当归补血汤通过AMPK/mTOR通路改善人肾足细胞自噬的机制研究[J].中药药理与临床,2025,41(04):15-21.DOI:10.13412/j.cnki.zyyl.20250425.002.
基金信息:
2024年江苏省研究生科研创新计划项目(编号:KYCX24_2330); 国家自然科学基金青年科学基金项目(编号:81904085); 国家中医药管理局高水平中医药重点学科建设项目(编号:GSPZDXK-FJXYB003)