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Schisandrin B Alleviates Renal Tubular Cell Epithelial-Mesenchymal Transition and Mitochondrial Dysfunction by Kielin/Chordin-like Protein Upregulation via Akt Pathway Inactivation and Adenosine 5′-Monophosphate (AMP)-Activated Protein Kinase Pathway Activation in Diabetic Kidney Disease

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机构: [1]Hebei Med Univ, Dept Pathol, Shijiazhuang 050017, Peoples R China [2]Hebei Key Lab Kidney Dis, Shijiazhuang 050017, Peoples R China [3]Hebei Med Univ, Inst Med & Hlth Sci, Ctr Metab Dis & Canc Res, Shijiazhuang 050017, Peoples R China [4]Hebei Med Univ, Hosp 4, Dept Infect Dis, Shijiazhuang 050011, Peoples R China [5]Hebei Med Univ, Hosp 2, Dept Nephrol, Shijiazhuang 050000, Peoples R China
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关键词: schisandrin B KCP TGF-beta 1 PGC-1 alpha epithelial-mesenchymal transition mitochondrial dysfunction diabetic kidney disease

摘要:
Diabetic kidney disease is a common complication of diabetes and remains the primary cause of end-stage kidney disease in the general population. Schisandrin B (Sch B) is an active ingredient in Schisandra chinensis. Our study illustrates that Sch B can mitigate renal tubular cell (RTC) epithelial-mesenchymal transition (EMT) and mitochondrial dysfunction in db/db mice, accompanied by the downregulation of TGF-beta 1 and the upregulation of PGC-1 alpha. Similarly, Sch B demonstrated a protective effect by reducing the expression of TGF-beta 1, alpha-SMA, fibronectin, and Col I, meanwhile enhancing the expression of E-cadherin in human RTCs (HK2 cells) stimulated with high glucose. Moreover, under high glucose conditions, Sch B effectively increased mitochondrial membrane potential, lowered ROS production, and increased the ATP content in HK2 cells, accompanied by the upregulation of PGC-1 alpha, TFAM, MFN1, and MFN2. Mechanistically, the RNA-seq results showed a significant increase in KCP mRNA levels in HK2 cells treated with Sch B in a high glucose culture. The influence of Sch B on KCP mRNA levels was confirmed by real-time PCR in high glucose-treated HK2 cells. Depletion of the KCP gene reversed the impact of Sch B on TGF-beta 1 and PGC-1 alpha in HK2 cells with high glucose level exposure, whereas overexpression of the KCP gene blocked EMT and mitochondrial dysfunction. Furthermore, the PI3K/Akt pathway was inhibited and the AMPK pathway was activated in HK2 cells exposed to a high concentration of glucose after the Sch B treatment. Treatment with the PI3K/Akt pathway agonist insulin and the AMPK pathway antagonist compound C attenuated the Sch B-induced KCP expression in HK2 cells exposed to a high level of glucose. Finally, molecular autodock experiments illustrated that Sch B could bind to Akt and AMPK. In summary, our findings suggested that Sch B could alleviate RTC EMT and mitochondrial dysfunction by upregulating KCP via inhibiting the Akt pathway and activating the AMPK pathway in DKD.

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出版当年[2023]版:
大类 | 2 区 化学
小类 | 3 区 生化与分子生物学 3 区 化学:综合
最新[2025]版:
大类 | 3 区 化学
小类 | 3 区 生化与分子生物学 3 区 化学:综合
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出版当年[2023]版:
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Q2 CHEMISTRY, MULTIDISCIPLINARY
最新[2023]版:
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Q2 CHEMISTRY, MULTIDISCIPLINARY

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Hebei Med Univ, Dept Pathol, Shijiazhuang 050017, Peoples R China [2]Hebei Key Lab Kidney Dis, Shijiazhuang 050017, Peoples R China [3]Hebei Med Univ, Inst Med & Hlth Sci, Ctr Metab Dis & Canc Res, Shijiazhuang 050017, Peoples R China [4]Hebei Med Univ, Hosp 4, Dept Infect Dis, Shijiazhuang 050011, Peoples R China
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通讯机构: [1]Hebei Med Univ, Dept Pathol, Shijiazhuang 050017, Peoples R China [2]Hebei Key Lab Kidney Dis, Shijiazhuang 050017, Peoples R China [3]Hebei Med Univ, Inst Med & Hlth Sci, Ctr Metab Dis & Canc Res, Shijiazhuang 050017, Peoples R China
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