GSDME-dependent pyroptosis signaling pathway in diabetic nephropathy.

GSDME-dependent pyroptosis signaling pathway in diabetic nephropathy.
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DOI:
10.1038/s41420-023-01452-8
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发表时间:
2023-05-11
影响因子:
7
通讯作者:
Shen, Yanna
Shen, Yanna
中科院分区:
医学2区
文献类型:
--
作者:
Li, Shengyu;Feng, Lifeng;Li, Guangru;Liu, Ruiqing;Ma, Changzhen;Wang, Lin;Gao, Aijiao;Liu, Chang;Cui, Yujie;Jiang, Zecheng;Xie, Yuhang;Wu, Qiang;Wang, Xia;Yang, Liang;Qi, Zhi;Shen, Yanna

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糖尿病肾病(diabetic nephropathy,DN)是糖尿病严重的慢性微血管并发症之一,导致糖尿病患者的发病率和死亡率增高。Gasdermin E(GSDME)依赖的细胞凋亡信号通路在多种生理和病理过程中发挥重要作用。但其在DN中的作用及机制尚不清楚。本研究通过腹腔注射链脲佐菌素(STZ)成功建立了DN大鼠模型。STZ注射后第12周,肾组织结构和功能均出现异常,肾皮质caspase-3和GSDME蛋白水平表达明显上调。20周时,GSDME-N显著增加,同时伴有肾皮质caspase-1表达上调和血清中成熟IL-1β(mIL-1β)的释放。高糖条件下,HK 2和HBZY-1细胞中GSDME、caspase-3、caspase-1和IL-1β蛋白水平均升高。我们还发现,GSDME-N的表达显着下降时,caspase-3被敲低。相反,GSDME的敲低对胱天蛋白酶-3没有影响。有趣的是,caspase-3、caspase-1或GSDME敲低均减少mIL-1β的释放。最后,与野生型糖尿病大鼠相比,将腺相关病毒(AAV)9-shGSDME注射到大鼠肾脏中减少了肾损伤和肾细胞焦亡。这些结果表明,caspase-1的激活可诱导IL-1β成熟,caspase-3的激活可介导GSDME的裂解,从而导致质膜孔的形成和mIL-1β的胞浆释放。总之,我们确定了GSDME在DN中的促焦亡作用,这确实为临床治疗研究提供了重要依据。
Diabetic nephropathy (DN) is one of the serious chronic microvascular complications of diabetes, and leads to the increased morbidity and mortality in diabetic patients. Gasdermin E (GSDME)-dependent pyroptosis signaling pathway plays important roles in a variety of physiological and pathological processes. However, its role and mechanism in DN are still unclear. In this study, we established a rat DN model by intraperitoneal injection of streptozotocin (STZ) successfully. Structural and functional disorders in the kidney were exhibited on the 12th week after STZ injection; the expressions of caspase-3 and GSDME at protein level in renal cortex were significantly up-regulated. At the 20th week, GSDME-N increased significantly, accompanied by the upregulation of caspase-1 in renal cortex and the release of mature IL-1β (mIL-1β) in serum. Furthermore, we found the protein levels of GSDME, caspase-3, caspase-1 and IL-1β were all increased in HK2 and HBZY-1 cells under high-glucose conditions. We also found that the expression of GSDME-N significantly decreased when caspase-3 was knockdown. In contrast, knockdown of GSDME has no effect on caspase-3. Interestingly, either caspase-3, caspase-1 or GSDME knockdown reduced the release of mIL-1β. Finally, injection of adeno-associated virus (AAV) 9-shGSDME into the rat kidney reduced kidney damage and renal cell pyroptosis in comparison with wild-type diabetic rats. These results indicated that the activation of caspase-1 induced IL-1β maturation, and the activation of caspase-3 mediated cleavage of GSDME responsible for the formation of plasma membrane pore, followed by cytoplasmic release of mIL-1β. Overall, we identified a pro-pyroptosis role for GSDME in DN, which does provide an important basis for clinical therapeutic studies.
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