Fibroblast growth factor 1 ameliorates diabetic nephropathy by an anti-inflammatory mechanism.

Fibroblast growth factor 1 ameliorates diabetic nephropathy by an anti-inflammatory mechanism.
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成纤维细胞生长因子 1 通过抗炎机制改善糖尿病肾病

DOI:
10.1016/j.kint.2017.05.013
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发表时间:
2018-01
影响因子:
19.6
通讯作者:
Huang Z
Huang Z
中科院分区:
医学1区
文献类型:
--
作者:
Liang G;Song L;Chen Z;Qian Y;Xie J;Zhao L;Lin Q;Zhu G;Tan Y;Li X;Mohammadi M;Huang Z

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炎症在糖尿病肾病的病因中起着核心作用,糖尿病肾病是一个全球性的健康问题。我们在糖尿病肾病患者和小鼠模型中观察到成纤维细胞生长因子1的表达显著减少,成纤维细胞生长因子1是一种已知的有丝分裂原和胰岛素增敏剂,这意味着成纤维细胞生长因子1在体内具有有益的抗炎和肾脏保护活性。为了验证这一可能性,我们研究了在链脲佐菌素诱导的1型糖尿病模型和db/db 2型糖尿病模型中长期给予成纤维细胞生长因子1的效果。事实上,重组成纤维细胞生长因子1显著抑制了1型和2型糖尿病小鼠的肾炎症(即细胞因子、巨噬细胞浸润)、肾小球和肾小管损伤以及肾功能障碍。成纤维细胞生长因子1能纠正2型糖尿病小鼠的血糖升高,但不能纠正1型糖尿病小鼠的血糖升高,提示成纤维细胞生长因子1的抗炎作用不依赖于其降糖活性。该机制研究表明,成纤维细胞生长因子1在体内抑制肾脏炎症的同时伴随着核因子κB和c-jun氨基末端激酶信号通路的减弱,进一步在体外用培养的肾小球系膜细胞和足细胞进行了验证。因此,成纤维细胞生长因子1通过对抗受损肾组织中的炎症信号级联反应,为开发糖尿病肾病的新治疗方法提供了巨大的希望。
Inflammation plays a central role in the etiology of diabetic nephropathy, a global health issue. We observed a significant reduction in the renal expression of fibroblast growth factor 1, a known mitogen and insulin sensitizer, in patients with diabetic nephropathy and in mouse models implying that fibroblast growth factor 1 possesses beneficial anti-inflammatory and renoprotective activities in vivo. To test this possibility, we investigated the effects of chronic intraperitoneal administration of fibroblast growth factor 1 into both the streptozotocin-induced type 1 diabetes and db/db type 2 diabetes models. Indeed, recombinant fibroblast growth factor 1 significantly suppressed renal inflammation (i.e., cytokines, macrophage infiltration), glomerular and tubular damage, and renal dysfunction in both type 1 and type 2 diabetes mice. Fibroblast growth factor 1 was able to correct the elevated blood glucose levels in type 2 but not in type 1 diabetic mice, suggesting that the anti-inflammatory effect of fibroblast growth factor 1 was independent of its glucose-lowering activity. The mechanistic study demonstrated that fibroblast growth factor 1–mediated inhibition of the renal inflammation in vivo was accompanied by attenuation of the nuclear factor κB and c-Jun N-terminal kinase signaling pathways, further validated in vitro using cultured glomerular mesangial cells and podocytes. Thus, fibroblast growth factor 1 holds great promise for developing new treatments for diabetic nephropathy through countering inflammatory signaling cascades in injured renal tissue.
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