姜酮酚对叶酸及缺血/再灌注诱导急性肾损伤的保护作用及机制研究

Protective Effects of Paradol on Folic Acid- Induced and Ischemia/Reperfusion-Induced Acute Kidney Injury and Its Mechanisms

  • 摘要: 背景 急性肾损伤(acute kidney injury,AKI)是临床常见的急危重症,具有发病率和死亡率高的特点。目前AKI的临床治疗仍以支持治疗为主,缺乏安全有效的靶向干预药物,因此亟需探索新的治疗策略。目的 探讨姜酮酚对叶酸诱导急性肾损伤(folic acid-induced AKI,FA-AKI)及缺血/再灌注诱导急性肾损伤(ischemia/reperfusion-induced AKI,I/R-AKI)两种小鼠模型的肾脏保护作用,并分析其机制。方法 动物实验:采用腹腔注射叶酸(250 mg/kg)诱导FA-AKI模型,采用夹闭单侧肾蒂30 分钟后恢复灌注建立I/R-AKI 模型。C57BL/6 小鼠随机分为4 组:对照组、AKI模型组、姜酮酚干预组(AKI模型+姜酮酚)及姜酮酚单处理组。检测各组小鼠的血清肌酐(serum creatinine,SCr)和尿素氮(blood urea nitrogen,BUN)水平以评价肾功能;采用HE染色和肾小管损伤评分评估肾组织病理学改变;RT-qPCR检测肾损伤分子-1(kidney injury molecule-1,KIM-1)、白细胞介素-6(interleukin-6,IL-6)及肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)的mRNA表达水平;通过F4/80免疫组织化学染色评估肾脏巨噬细胞浸润情况;同时检测肾组织还原型谷胱甘肽(glutathione,GSH)含量、总超氧化物歧化酶(total superoxide dismutase,T-SOD)活性、丙二醛(malondialdehyde,MDA)含量及谷胱甘肽过氧化物酶4(glutathione peroxidase 4,GPX4)的mRNA表达水平以评价氧化应激及脂质过氧化程度。细胞实验:构建RSL3 诱导的人肾近端小管上皮(human kidney-2,HK-2)细胞损伤模型,采用Swiss Target Prediction 数据库进行靶点预测,结合分子对接与分子动力学模拟评估姜酮酚与靶蛋白的结合特征;并构建花生四烯酸5-脂氧合酶(arachidonate 5-lipoxygenase,ALOX5)过表达HK-2 细胞模型,检测细胞存活率及细胞乳酸脱氢酶(lactate dehydrogenase,LDH)活性评估姜酮酚干预效应及ALOX5 在其中发挥的作用。结果 在体内层面,与对照组相比,FA-AKI 组和I/R-AKI 组小鼠SCr 及BUN 水平升高(P<0.001),肾组织KIM-1mRNA表达上调(P<0.001),肾小管结构损伤显著。姜酮酚干预后,小鼠SCr 和BUN水平降低(P<0.05),肾组织病理损伤减轻,KIM-1 mRNA表达下调(P<0.05)。此外,两种AKI 模型小鼠肾组织中炎症因子IL-6、TNF-α mRNA表达上调(P<0.001),F4/80 阳性巨噬细胞浸润增加,同时伴随GSH含量下降(P<0.001)及T-SOD 活性减弱(P<0.001),脂质过氧化产物MDA水平升高(P<0.001),且GPX4 的mRNA表达水平下调(P<0.001);经姜酮酚处理后,上述炎症反应及氧化应激相关指标均得到改善(P<0.01)。姜酮酚单处理组各指标与对照组比较差异无统计学意义(P>0.05)。在体外层面,分子对接与分子动力学分析结果显示ALOX5 与姜酮酚具有良好的结合稳定性,RSL3 可诱导HK-2 细胞存活率降低(P<0.001)及LDH活性升高(P<0.001),姜酮酚可有效改善RSL3 诱导的细胞存活率下降(P<0.001)及LDH活性升高(P<0.001)。而ALOX5 过表达加重了RSL3 诱导的细胞死亡(P<0.05),同时减弱姜酮酚对HK-2 细胞死亡的保护作用(P<0.01)。结论 姜酮酚在FA-AKI和I/R-AKI小鼠模型中均表现出一定的肾脏保护作用,可能与减轻肾小管损伤、抑制炎症反应及改善氧化应激状态等相关。体外实验表明,姜酮酚可减轻RSL3 诱导的HK-2 细胞死亡,ALOX5 过表达可减弱姜酮酚的保护作用,提示ALOX5 可能参与姜酮酚对AKI的保护作用过程。

     

    Abstract: Background Acute kidney injury (AKI) is a common and critical clinical syndrome with high morbidity and mortality. Currently, clinical management of AKI mainly relies on supportive therapy, and effective targeted pharmacological interventions remain limited. Objective To investigate the protective effects of paradol in folic acid-induced AKI (FA-AKI) and ischemia/reperfusion-induced AKI (I/R-AKI) mouse models and to explore the underlying mechanisms.Methods In vivo, the FAAKI model was established by intraperitoneal injection of folic acid (250 mg/kg), while the I/R-AKI model was induced by clamping the unilateral renal pedicle for 30 minutes followed by reperfusion. C57BL/6 mice were randomly divided into four groups: control group, AKI model group, paradol-treated group (AKI + paradol), and paradol-alone group. Renal function was evaluated by measuring serum creatinine (SCr) and blood urea nitrogen (BUN). Histopathological changes were assessed using hematoxylin-eosin (H&E) staining and tubular injury scoring. The mRNA expression levels of kidney injury molecule-1 (KIM-1), interleukin-6 (IL-6), and tumor necrosis factor- α (TNF- α) were determined by RT-qPCR. Renal macrophage infiltration was evaluated by F4/80 immunohistochemical staining. Oxidative stress was assessed by measuring glutathione (GSH) content, total superoxide dismutase (T-SOD) activity, malondialdehyde (MDA) levels, and the mRNA expression of glutathione peroxidase 4 (GPX4) in renal tissues. In vitro, an injury model was established in human kidney-2 (HK-2) cells using RSL3. Potential targets of paradol were predicted using the Swiss Target Prediction database, followed by molecular docking and molecular dynamics simulations to evaluate binding characteristics. An ALOX5-overexpressing HK-2 cell model was constructed to further assess the role of arachidonate 5-lipoxygenase (ALOX5). Cell viability and lactate dehydrogenase (LDH) activity were measured to evaluate cellular injury and the effects of paradol. Results In vivo, compared with the control group, both FA-AKI and I/R-AKI mice exhibited significantly increased SCr and BUN levels (P<0.001), markedly upregulated KIM-1 mRNA expression (P<0.001), and pronounced tubular injury. Paradol treatment significantly reduced SCr and BUN levels (P<0.05), alleviated histopathological damage, and downregulated KIM-1 mRNA expression (P<0.05). In addition, AKI mice showed significantly increased renal expression of inflammatory cytokines IL-6 and TNF-α (P<0.001), enhanced F4/80-positive macrophage infiltration, decreased GSH content (P<0.001), reduced T-SOD activity (P<0.001), elevated MDA levels (P<0.001), and downregulated mRNA expression of GPX4 (P<0.001). These alterations were markedly ameliorated by paradol treatment (P<0.01). No significant differences were observed between the paradol-alone group and the control group (P>0.05). In vitro, molecular docking and molecular dynamics analyses indicated stable binding between paradol and ALOX5. RSL3 significantly decreased HK-2 cell viability (P<0.001) and increased LDH activity (P<0.001), whereas paradol effectively reversed these changes (P<0.001). ALOX5 overexpression exacerbated RSL3-induced cell death (P<0.05) and attenuated the protective effects of paradol (P<0.01). Conclusion Paradol exerts protective effects in both FA-AKI and I/R-AKI mouse models, which may be associated with the alleviation of tubular injury, suppression of inflammatory responses, and improvement of oxidative stress. In vitro findings further suggest that paradol mitigates RSL3-induced HK-2 cell death, and ALOX5 may be involved in mediating its protective effects in AKI.

     

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