线粒体靶向药物Mitochonic acid5调控线粒体稳态减轻肾脏纤维化的机制研究
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南京医科大学第一附属医院肾内科,南京 210029

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国家自然科学基金(82170699,81870469,81670628)


Mechanism research of mitochondria-targeted drug Mitochonic acid 5 regulating mitochondrial homeostasis to alleviate renal fibrosis
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Department of Nephrology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029 ,China

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    摘要:

    目的:探讨线粒体靶向药物Mitochonic acid 5(MA-5)对肾脏纤维化的影响及其作用机制。方法:选取24只8周龄的 SPF级C57BL/6J雄性小鼠,随机分为4组,分别为对照组、MA-5组、单侧(左侧)输尿管梗阻(unilateral ureteral obstruction,UUO) 组和UUO+MA-5组。4组小鼠均需手术暴露输尿管与肾脏,其中UUO组和UUO+MA-5组予以结扎处理后缝合,另外两组暴露后直接缝合。术后第2天开始,MA-5组和UUO+MA-5组均予MA-5连续灌胃给药至第7天,对照组及UUO组予相应剂量的食用玉米油灌胃。UUO 术后第7天留取小鼠肾脏标本及血标本。随后采用Masson 及天狼星红染色检测肾脏纤维化程度;免疫组化法检测平滑肌肌动蛋白α(α-smooth muscle actin,α-SMA)和Ⅰ型胶原蛋白(collagenⅠ,Col1)表达水平;Western blot检测线粒体及衰老相关蛋白表达水平。体外培养的小鼠肾小管上皮细胞,使用转化生长因子(transforming growth factor,TGF)-β 刺激肾小管,Western blot 检测 MA-5 干预和不干预情况下细胞纤维化相关指标α-SMA、Fibronectin、Vimentin 的表达水平。结果:UUO术后7 d,小鼠肾组织切片Masson和天狼星红染色结果显示,UUO组小鼠出现严重的肾脏纤维化,UUO+MA-5组肾脏纤维化程度较UUO组明显减轻。Western blot及免疫组化结果显示,在UUO+MA-5组中,α-SMA和Col1表达较UUO组明显降低(P < 0.05)。进一步研究发现UUO组线粒体生物合成、融合、运动均减少,超氧化物歧化酶2(superoxide dismutase 2,SOD2) 表达降低。MA-5可以提高UUO模型中肾脏Mitofilin的表达,改善线粒体功能,增加过氧化物酶体增殖物激活受体γ共激活因子-1α(peroxisome-proliferator-activated receptor γ coactivator 1-α,PGC1-α)、线粒体融合蛋白 2(Mitofusin 2,Mfn2)、线粒体 Rho GTP酶1(the mitochondrial Rho GTPase 1,Miro1)、SOD2的表达(P < 0.05)。体外培养的肾小管上皮细胞实验结果显示,MA-5降低TGF-β导致的肾小管上皮细胞纤维化相关指标的表达(P < 0.05)。结论:UUO术后小鼠出现肾脏纤维化改变,MA-5可以通过维持线粒体稳态,减轻TGF-β诱导的肾小管上皮细胞的纤维化。

    Abstract:

    Objective:To investigate the effect of mitochondrial targeting drug Mitochonic acid 5(MA-5)on renal fibrosis and its mechanism. Methods:Twenty-four 8-week-old SPF C57BL/6J male mice were randomly divided into four groups:control group,MA-5 group,unilateral ureteral obstruction(UUO)group,and UUO+MA-5 group. Mice in all four groups underwent surgery to expose the ureter and kidney. The UUO and UUO +MA- 5 group received ureteral ligation,while the control and MA- 5 groups had the ureter exposed and sutured without ligation. From the 2nd day after operation,the MA-5 and the UUO+MA-5 group received MA-5 by gavage continuously until the 7th day,whilethe control and UUO group were given the corresponding doses of corn oilby gavage. The mice were sacrificed on the 7th day after UUO,and the kidney and blood samples were collected. Subsequently,Masson and Sirius Red staining were used to assess renal fibrosis. The expression of α-smooth muscle actin(α-SMA)and CollagenⅠ(Col1)were explored by immunohistochemistry. Furthermore,Western blot was used to detect the expression of mitochondrial andaging-related proteins. Mouse renal tubular epithelial cells were cultured in vitro and stimulated with transforming growth factor-β(TGF-β). Western blot was used to detect the expression of α-SMA,Fibronectin,and Vimentin in tubular epithelial cells with or without MA-5 intervention. Results: Seven days after UUO,Masson and Sirius Red staining of renal tissue showed that the UUO group had severe renal fibrosis,and the UUO + MA-5 group had significantly reduced renal fibrosis compared to the UUO group. The results of Western Blot and immunohistochemistry showed that the expression of α-SMA and Col1 in the UUO+MA-5 group was significantly lower than that in the UUO group(P < 0.05). Further study showed that mitochondrial biosynthesis,fusion and motility were decreased in the UUO group, with decreased expression of superoxide dismutase 2(SOD2). MA-5 treatment significantly increased the expression of Mitofilin in the kidney of UUO mice,improved mitochondrial function,and increased the expression of peroxisome-proliferator-activated receptor γ coactivator 1-α(PGC1-α),Mitofusin 2(Mfn2),the mitochondrial Rho GTPase 1(Miro1)and SOD2(all P < 0.05). The results in vitro showed that MA-5 could reduce the expression of fibrosis-related proteins induced by TGF-β in cultured tubular epithelial cells(P < 0.05). Conclusion:Renal fibrosis occurs in mice after UUO,and MA-5 can attenuate TGF-β induced tubular epithelial cells fibrosis by maintaining mitochondrial homeostasis.

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钱力,陈晨,李青,吴琳,邢昌赢,毛慧娟,袁杨刚.线粒体靶向药物Mitochonic acid5调控线粒体稳态减轻肾脏纤维化的机制研究[J].南京医科大学学报(自然科学版),2025,(3):311-318

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  • 收稿日期:2024-09-09
  • 在线发布日期: 2025-03-17
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