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Jianpi Gushen Huayu decoction ameliorated diabetic nephropathy through modulating metabolites in kidney, and inhibiting TLR4/NF-κB/NLRP3 and JNK/P38 pathways

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机构: [1]Hebei Univ Chinese Med, Grad Sch, Shijiazhuang 050000, Hebei, Peoples R China [2]Hebei Univ Chinese Med, Cangzhou Hosp Integrated Tradit Chinese Med & Wes, Dept Endocrinol, Cangzhou 061000, Hebei, Peoples R China [3]Tianjin Univ Tradit Chinese Med, Sch Integrat Med, Tianjin 300000, Peoples R China [4]Yunnan Univ Chinese Med, Sch Clin Med 1, Kunming 065000, Yunnan, Peoples R China [5]Hebei Cangzhou Hosp Integrat Med, Dept Endocrinol, Cangzhou 061000, Hebei, Peoples R China
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关键词: Diabetic nephropathy Jianpi Gushen Huayu Decoction Oxidative stress Inflammation Untargeted metabolomics Toll-like receptor 4/nuclear factor-kappa B/NOD-like receptor family pyrin domain containing 3 pathway c-Jun N-terminal kinase/P38-mediated apoptosis

摘要:
BACKGROUND Jianpi Gushen Huayu Decoction (JPGS) has been used to clinically treat diabetic nephropathy (DN) for many years. However, the protective mechanism of JPGS in treating DN remains unclear. AIM To evaluate the therapeutic effects and the possible mechanism of JPGS on DN. METHODS We first evaluated the therapeutic potential of JPGS on a DN mouse model. We then investigated the effect of JPGS on the renal metabolite levels of DN mice using non-targeted metabolomics. Furthermore, we examined the effects of JPGS on c-Jun N-terminal kinase (JNK)/P38-mediated apoptosis and the inflammatory responses mediated by toll-like receptor 4 (TLR4)/nuclear factor-kappa B (NF-kappa B)/NOD-like receptor family pyrin domain containing 3 (NLRP3). RESULTS The ameliorative effects of JPGS on DN mice included the alleviation of renal injury and the control of inflammation and oxidative stress. Untargeted metabolomic analysis revealed that JPGS altered the metabolites of the kidneys in DN mice. A total of 51 differential metabolites were screened. Pathway analysis results indicated that nine pathways significantly changed between the control and model groups, while six pathways significantly altered between the model and JPGS groups. Pathways related to cysteine and methionine metabolism; alanine, tryptophan metabolism; aspartate and glutamate metabolism; and riboflavin metabolism were identified as the key pathways through which JPGS affects DN. Further experimental validation showed that JPGS treatment reduced the expression of TLR4/NF-kappa B/NLRP3 pathways and JNK/P38 pathway-mediated apoptosis related factors. CONCLUSION JPGS could markedly treat mice with streptozotocin (STZ)-induced DN, which is possibly related to the regulation of several metabolic pathways found in kidneys. Furthermore, JPGS could improve kidney inflammatory responses and ameliorate kidney injuries in DN mice via the TLR4/NF-kappa B/NLRP3 pathway and inhibit JNK/P38 pathway-mediated apoptosis in DN mice.

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大类 | 4 区 医学
小类 | 4 区 内分泌学与代谢
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Q1 ENDOCRINOLOGY & METABOLISM

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第一作者机构: [1]Hebei Univ Chinese Med, Grad Sch, Shijiazhuang 050000, Hebei, Peoples R China
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通讯机构: [5]Hebei Cangzhou Hosp Integrat Med, Dept Endocrinol, Cangzhou 061000, Hebei, Peoples R China [*1]Hebei Cangzhou Hosp Integrat Med, Dept Endocrinol, 31 Huanghe Rd, Cangzhou 061000, Hebei, Peoples R China
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