Peroxisome proliferator-activated receptor β/δ agonism protects the kidney against ischemia/reperfusion injury in diabetic rats

Peroxisome proliferator-activated receptor β/δ agonism protects the kidney against ischemia/reperfusion injury in diabetic rats
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DOI:
10.1016/j.freeradbiomed.2010.10.710
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发表时间:
2011-01-15
影响因子:
7.4
通讯作者:
Fantozzi, Roberto
Fantozzi, Roberto
中科院分区:
医学1区
文献类型:
--
作者:
Collino, Massimo;Benetti, Elisa;Fantozzi, Roberto

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糖尿病是缺血性急性肾损伤的重要危险因素,其药物治疗仍然是未满足的医疗需求。过氧化物酶体增殖物激活受体(PPAR)β/δ在肾脏中高度表达,尽管其作用尚未阐明。在此,我们使用链脲佐菌素诱导的糖尿病大鼠的肾缺血/再灌注(I/R)体内模型(i)评估糖尿病是否增加肾脏对I/R损伤的易感性和(ii)研究PPAR β/δ激活的影响。与非糖尿病同窝仔相比,糖尿病大鼠的肾损伤程度(1小时缺血/6小时再灌注)显著增加。I/R后,PPAR β/δ表达增加,其中糖尿病大鼠的水平最高。选择性pPAR β/δ激动剂GW 0742的给药减轻了肾功能障碍、白细胞浸润以及白细胞介素-6和肿瘤坏死因子-α的形成。这些作用伴随着细胞因子信号传导抑制因子(SOCS)-3的表达增加,SOCS-3在精氨酸激活的信号传导途径中起着关键作用。GW 0742的有益作用被选择性PPAR β/δ拮抗剂GSK 0660减弱。因此,我们在此报告,过氧化物酶体增殖物激活受体β/δ激活保护糖尿病肾脏免受I/R损伤的机制,可能涉及SOCS-3的肾脏表达的变化,导致减少局部炎症反应。(C)2010年爱思唯尔公司All rights reserved.
Diabetes is an important risk factor for ischemic acute kidney injury, whose pharmacological treatment remains an unmet medical need. The peroxisome proliferator-activated receptor (PPAR) beta/delta is highly expressed in the kidney, although its role has not yet been elucidated. Here, we used an in vivo model of renal ischemia/reperfusion (I/R) in streptozotocin-induced diabetic rats (i) to evaluate whether diabetes increases kidney susceptibility to I/R injury and (ii) to investigate the effects of PPAR beta/delta activation. The degree of renal injury (1 h ischemia/6 h reperfusion) was significantly increased in diabetic rats compared with nondiabetic littermates. PPAR beta/delta expression was increased after I/R, with the highest levels in diabetic rats. Administration of the selective pPAR beta/delta agonist GW0742 attenuated the renal dysfunction, leukocyte infiltration, and formation of interleukin-6 and tumor necrosis factor-alpha. These effects were accompanied by an increased expression of the suppressor of cytokine signaling (SOCS)-3, which plays a critical role in the cytokine-activated signaling pathway. The beneficial effects of GW0742 were attenuated by the selective PPAR beta/delta antagonist GSK0660. Thus, we report herein that PPAR beta/delta activation protects the diabetic kidney against I/R injury by a mechanism that may involve changes in renal expression of SOCS-3 resulting in a reduced local inflammatory response. (C) 2010 Elsevier Inc. All rights reserved.