Diabetic nephropathy (DN) is a progressive disease, the main pathogeny of which is podocyte injury. As a calcium-dependent serine/threonine protein kinase involved in podocyte injury, protein kinase C isoform α (PKCα) was reported to regulate the phosphorylation of p66SHC. However, the role of PKCα/p66SHC in DN remains unknown. Klotho, an anti-aging protein with critical roles in protecting kidney, is expressed predominantly in the kidney and secreted in the blood. Nonetheless, the mechanism underlying amelioration of podocyte injury by Klotho in DN remains unclear. Our data showed that Klotho was decreased in STZ-treated mice and was further declined in diabetic KL ± mice. As expected, Klotho deficiency aggravated diabetes-induced proteinuria and podocyte injury, accompanied by the activation of PKCα and p66SHC. In contrast, overexpression of Klotho partially ameliorated PKCα/p66SHC-mediated podocyte injury and proteinuria. In addition, in vitro experiments showed that activation of PKCα and subsequently increased intracellular reactive oxygen species (ROS) was involved in podocytic apoptosis induced by high glucose (HG), which could be partially reversed by Klotho. Hence, we conclude that Klotho might inhibit PKCα/p66SHC-mediated podocyte injury in diabetic nephropathy.

译文

糖尿病肾病 (DN) 是一种进展性疾病,其主要病因是足细胞损伤。作为与足细胞损伤有关的钙依赖性丝氨酸/苏氨酸蛋白激酶,据报道蛋白激酶C亚型 α (pkc α) 调节p66SHC的磷酸化。然而,pkc α/p66SHC在DN中的作用仍然未知。Klotho是一种在保护肾脏中起关键作用的抗衰老蛋白,主要在肾脏中表达,并在血液中分泌。尽管如此,Klotho改善DN足细胞损伤的潜在机制仍不清楚。我们的数据表明,在STZ处理的小鼠中Klotho降低,而在糖尿病KL ± 小鼠中Klotho进一步下降。正如预期的那样,Klotho缺乏症加剧了糖尿病引起的蛋白尿和足细胞损伤,并伴有pkc α 和p66SHC的激活。相反,Klotho的过表达部分改善了pkc α/p66SHC-mediated足细胞损伤和蛋白尿。此外,体外实验表明,pkc α 的激活以及随后增加的细胞内活性氧 (ROS) 参与了高糖 (HG) 诱导的足细胞凋亡,这可以被Klotho部分逆转。因此,我们得出结论,Klotho可能会抑制糖尿病肾病中pkc α/p66SHC-mediated足细胞的损伤。

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