Salvianolic Acid A Protects Against Diabetic Nephropathy through Ameliorating Glomerular Endothelial Dysfunction via Inhibiting AGE-RAGE Signaling

Background/Aims: Glomerular endothelium dysfunction leads to the progression of renal architectonic and functional abnormalities in early-stage diabetic nephropathy (DN). Advanced glycation end products (AGEs) and receptor for AGEs (RAGE) are proved to play important roles in diabetic nephropathy. T...

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Veröffentlicht in:Cellular physiology and biochemistry 2017-01, Vol.44 (6), p.2378-2394
Hauptverfasser: Hou, Biyu, Qiang, Guifen, Zhao, Yuerong, Yang, Xiuying, Chen, Xi, Yan, Yu, Wang, Xiaobo, Liu, Chenge, Zhang, Li, Du, Guanhua
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container_end_page 2394
container_issue 6
container_start_page 2378
container_title Cellular physiology and biochemistry
container_volume 44
creator Hou, Biyu
Qiang, Guifen
Zhao, Yuerong
Yang, Xiuying
Chen, Xi
Yan, Yu
Wang, Xiaobo
Liu, Chenge
Zhang, Li
Du, Guanhua
description Background/Aims: Glomerular endothelium dysfunction leads to the progression of renal architectonic and functional abnormalities in early-stage diabetic nephropathy (DN). Advanced glycation end products (AGEs) and receptor for AGEs (RAGE) are proved to play important roles in diabetic nephropathy. This study investigated the role of Salvianolic acid A (SalA) on early-stage DN and its possible underlying mechanism. Methods: In vitro AGEs formation and breaking rate were measured to illustrate the effect of SalA on AGEs. Type 2 diabetic nephropathy rats were induced by high-fat diet and low-dose streptozocin (STZ). After eight-week treatment with SalA 1 mg/kg/day, 24h-urine protein, creatinine clearance was tested and renal structural injury was assessed by PAS and PASM staining. Primary glomerular endothelial cell permeability was evaluated after exposed to AGEs. AGEs-induced RhoA/ROCK and subsequently activated disarrange of cytoskeleton were assessed by western blot and immunofluorescence. Results: Biochemical assay and histological examination demonstrated that SalA markedly reduced endothelium loss and glomerular hyperfiltration, suppressed glomerular hypertrophy and mesangial matrix expansion, eventually reduced urinary albumin and ameliorated renal function. Further investigation suggested that SalA exerted its renoprotective effects through inhibiting AGE-RAGE signaling. It not only inhibited formation of AGEs and increased its breaking in vitro, but also reduced AGEs accumulation in vivo and downregulated RAGE expression. SalA restored glomerular endothelial permeability through suppressing AGEs-induced rearrangement of actin cytoskeleton via AGE-RAGE-RhoA/ ROCK pathway. Moreover, SalA attenuated oxidative stress induced by AGEs, subsequently alleviated inflammation and restored the disturbed autophagy in glomerular endothelial cell and diabetic rats via AGE-RAGE-Nox4 axis. Conclusion: Our study indicated that SalA restored glomerular endothelial function and alleviated renal structural deterioration through inhibiting AGE-RAGE, thus effectively ameliorated early-stage diabetic nephropathy. SalA might be a promising therapeutic agent for the treatment of diabetic nephropathy.
doi_str_mv 10.1159/000486154
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Advanced glycation end products (AGEs) and receptor for AGEs (RAGE) are proved to play important roles in diabetic nephropathy. This study investigated the role of Salvianolic acid A (SalA) on early-stage DN and its possible underlying mechanism. Methods: In vitro AGEs formation and breaking rate were measured to illustrate the effect of SalA on AGEs. Type 2 diabetic nephropathy rats were induced by high-fat diet and low-dose streptozocin (STZ). After eight-week treatment with SalA 1 mg/kg/day, 24h-urine protein, creatinine clearance was tested and renal structural injury was assessed by PAS and PASM staining. Primary glomerular endothelial cell permeability was evaluated after exposed to AGEs. AGEs-induced RhoA/ROCK and subsequently activated disarrange of cytoskeleton were assessed by western blot and immunofluorescence. Results: Biochemical assay and histological examination demonstrated that SalA markedly reduced endothelium loss and glomerular hyperfiltration, suppressed glomerular hypertrophy and mesangial matrix expansion, eventually reduced urinary albumin and ameliorated renal function. Further investigation suggested that SalA exerted its renoprotective effects through inhibiting AGE-RAGE signaling. It not only inhibited formation of AGEs and increased its breaking in vitro, but also reduced AGEs accumulation in vivo and downregulated RAGE expression. SalA restored glomerular endothelial permeability through suppressing AGEs-induced rearrangement of actin cytoskeleton via AGE-RAGE-RhoA/ ROCK pathway. Moreover, SalA attenuated oxidative stress induced by AGEs, subsequently alleviated inflammation and restored the disturbed autophagy in glomerular endothelial cell and diabetic rats via AGE-RAGE-Nox4 axis. Conclusion: Our study indicated that SalA restored glomerular endothelial function and alleviated renal structural deterioration through inhibiting AGE-RAGE, thus effectively ameliorated early-stage diabetic nephropathy. SalA might be a promising therapeutic agent for the treatment of diabetic nephropathy.</description><identifier>ISSN: 1015-8987</identifier><identifier>EISSN: 1421-9778</identifier><identifier>DOI: 10.1159/000486154</identifier><identifier>PMID: 29262395</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Acids ; Advanced glycation end products ; Age ; Animals ; Autophagy ; Caffeic Acids - therapeutic use ; Cell adhesion &amp; migration ; Cells, Cultured ; Cytokines ; Diabetes ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - metabolism ; Diabetes Mellitus, Type 2 - physiopathology ; Diabetic Nephropathies - etiology ; Diabetic Nephropathies - metabolism ; Diabetic Nephropathies - physiopathology ; Diabetic Nephropathies - prevention &amp; control ; Diabetic nephropathy ; Diabetic retinopathy ; Drugs, Chinese Herbal - therapeutic use ; Endothelium - drug effects ; Endothelium - metabolism ; Endothelium - physiopathology ; Glomerular endothelia dysfunction ; Glucose ; Glycation End Products, Advanced - metabolism ; Inflammation ; Kidney Glomerulus - drug effects ; Kidney Glomerulus - metabolism ; Kidney Glomerulus - physiopathology ; Kinases ; Laboratory animals ; Lactates - therapeutic use ; Male ; Original Paper ; Oxidative stress ; Oxidative Stress - drug effects ; Permeability ; Protective Agents - therapeutic use ; Proteins ; Rats, Sprague-Dawley ; Receptor for Advanced Glycation End Products - metabolism ; Rodents ; Salvianolic acid A ; Signal Transduction - drug effects ; Tumor necrosis factor-TNF</subject><ispartof>Cellular physiology and biochemistry, 2017-01, Vol.44 (6), p.2378-2394</ispartof><rights>2017 The Author(s). Published by S. Karger AG, Basel</rights><rights>2017 The Author(s). Published by S. 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Advanced glycation end products (AGEs) and receptor for AGEs (RAGE) are proved to play important roles in diabetic nephropathy. This study investigated the role of Salvianolic acid A (SalA) on early-stage DN and its possible underlying mechanism. Methods: In vitro AGEs formation and breaking rate were measured to illustrate the effect of SalA on AGEs. Type 2 diabetic nephropathy rats were induced by high-fat diet and low-dose streptozocin (STZ). After eight-week treatment with SalA 1 mg/kg/day, 24h-urine protein, creatinine clearance was tested and renal structural injury was assessed by PAS and PASM staining. Primary glomerular endothelial cell permeability was evaluated after exposed to AGEs. AGEs-induced RhoA/ROCK and subsequently activated disarrange of cytoskeleton were assessed by western blot and immunofluorescence. Results: Biochemical assay and histological examination demonstrated that SalA markedly reduced endothelium loss and glomerular hyperfiltration, suppressed glomerular hypertrophy and mesangial matrix expansion, eventually reduced urinary albumin and ameliorated renal function. Further investigation suggested that SalA exerted its renoprotective effects through inhibiting AGE-RAGE signaling. It not only inhibited formation of AGEs and increased its breaking in vitro, but also reduced AGEs accumulation in vivo and downregulated RAGE expression. SalA restored glomerular endothelial permeability through suppressing AGEs-induced rearrangement of actin cytoskeleton via AGE-RAGE-RhoA/ ROCK pathway. Moreover, SalA attenuated oxidative stress induced by AGEs, subsequently alleviated inflammation and restored the disturbed autophagy in glomerular endothelial cell and diabetic rats via AGE-RAGE-Nox4 axis. Conclusion: Our study indicated that SalA restored glomerular endothelial function and alleviated renal structural deterioration through inhibiting AGE-RAGE, thus effectively ameliorated early-stage diabetic nephropathy. SalA might be a promising therapeutic agent for the treatment of diabetic nephropathy.</description><subject>Acids</subject><subject>Advanced glycation end products</subject><subject>Age</subject><subject>Animals</subject><subject>Autophagy</subject><subject>Caffeic Acids - therapeutic use</subject><subject>Cell adhesion &amp; migration</subject><subject>Cells, Cultured</subject><subject>Cytokines</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - metabolism</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Diabetic Nephropathies - etiology</subject><subject>Diabetic Nephropathies - metabolism</subject><subject>Diabetic Nephropathies - physiopathology</subject><subject>Diabetic Nephropathies - prevention &amp; control</subject><subject>Diabetic nephropathy</subject><subject>Diabetic retinopathy</subject><subject>Drugs, Chinese Herbal - therapeutic use</subject><subject>Endothelium - drug effects</subject><subject>Endothelium - metabolism</subject><subject>Endothelium - physiopathology</subject><subject>Glomerular endothelia dysfunction</subject><subject>Glucose</subject><subject>Glycation End Products, Advanced - metabolism</subject><subject>Inflammation</subject><subject>Kidney Glomerulus - drug effects</subject><subject>Kidney Glomerulus - metabolism</subject><subject>Kidney Glomerulus - physiopathology</subject><subject>Kinases</subject><subject>Laboratory animals</subject><subject>Lactates - therapeutic use</subject><subject>Male</subject><subject>Original Paper</subject><subject>Oxidative stress</subject><subject>Oxidative Stress - drug effects</subject><subject>Permeability</subject><subject>Protective Agents - therapeutic use</subject><subject>Proteins</subject><subject>Rats, Sprague-Dawley</subject><subject>Receptor for Advanced Glycation End Products - metabolism</subject><subject>Rodents</subject><subject>Salvianolic acid A</subject><subject>Signal Transduction - drug effects</subject><subject>Tumor necrosis factor-TNF</subject><issn>1015-8987</issn><issn>1421-9778</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>M--</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNptkUGP1CAUxxujcdfVg3djSLzooQoMFDjW2XGcZKMbV8-EFtoyMqUCNZmvsZ942Z1xTIwc4PH4vf_j5V8ULxF8jxAVHyCEhFeIkkfFOSIYlYIx_jjHENGSC87OimcxbmG-MoGfFmdY4AovBD0vbm-U-23V6J1tQd1aDWpwHXwybYqg7pUdYwKXVjUmZeCLmYbgJ5WGPUg5mvsB1DvjrA8q2bEHa-d3JsxOBbAatU9DflMOXO5jN49tsn4EuRvYjINt7ENFvV6V3_IGbmw_KpdTz4snnXLRvDieF8WPT6vvy8_l1df1ZllflS2lLJUNNpRrWFHVqKbjmDMoCDVYayQqimnFsaLKaMyJ6eiCaGqYaDCHesF4XouLYnPQ1V5t5RTsToW99MrKh4QPvVQhT-2MFALDhqMWcWMI7rRodNtiwTTSrOoIzlpvD1pT8L9mE5Pc2dga59Ro_BwlEkwQwbiAGX3zD7r1c8ijR4kRYohkZ-4F3x2oNvgYg-lOH0RQ3psuT6Zn9vVRcW52Rp_IPy7_bflThd6EE7C8_niQkJPuMvXqv9Sxyx0nzLu4</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Hou, Biyu</creator><creator>Qiang, Guifen</creator><creator>Zhao, Yuerong</creator><creator>Yang, Xiuying</creator><creator>Chen, Xi</creator><creator>Yan, Yu</creator><creator>Wang, Xiaobo</creator><creator>Liu, Chenge</creator><creator>Zhang, Li</creator><creator>Du, Guanhua</creator><general>S. Karger AG</general><general>Cell Physiol Biochem Press GmbH &amp; Co KG</general><scope>M--</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>DOA</scope></search><sort><creationdate>20170101</creationdate><title>Salvianolic Acid A Protects Against Diabetic Nephropathy through Ameliorating Glomerular Endothelial Dysfunction via Inhibiting AGE-RAGE Signaling</title><author>Hou, Biyu ; Qiang, Guifen ; Zhao, Yuerong ; Yang, Xiuying ; Chen, Xi ; Yan, Yu ; Wang, Xiaobo ; Liu, Chenge ; Zhang, Li ; Du, Guanhua</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c557t-b2e58d065ababf82870945e2dd196525682a5aed284ef534d5e79b280d3788883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acids</topic><topic>Advanced glycation end products</topic><topic>Age</topic><topic>Animals</topic><topic>Autophagy</topic><topic>Caffeic Acids - therapeutic use</topic><topic>Cell adhesion &amp; migration</topic><topic>Cells, Cultured</topic><topic>Cytokines</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - metabolism</topic><topic>Diabetes Mellitus, Type 2 - physiopathology</topic><topic>Diabetic Nephropathies - etiology</topic><topic>Diabetic Nephropathies - metabolism</topic><topic>Diabetic Nephropathies - physiopathology</topic><topic>Diabetic Nephropathies - prevention &amp; control</topic><topic>Diabetic nephropathy</topic><topic>Diabetic retinopathy</topic><topic>Drugs, Chinese Herbal - therapeutic use</topic><topic>Endothelium - drug effects</topic><topic>Endothelium - metabolism</topic><topic>Endothelium - physiopathology</topic><topic>Glomerular endothelia dysfunction</topic><topic>Glucose</topic><topic>Glycation End Products, Advanced - metabolism</topic><topic>Inflammation</topic><topic>Kidney Glomerulus - drug effects</topic><topic>Kidney Glomerulus - metabolism</topic><topic>Kidney Glomerulus - physiopathology</topic><topic>Kinases</topic><topic>Laboratory animals</topic><topic>Lactates - therapeutic use</topic><topic>Male</topic><topic>Original Paper</topic><topic>Oxidative stress</topic><topic>Oxidative Stress - drug effects</topic><topic>Permeability</topic><topic>Protective Agents - therapeutic use</topic><topic>Proteins</topic><topic>Rats, Sprague-Dawley</topic><topic>Receptor for Advanced Glycation End Products - metabolism</topic><topic>Rodents</topic><topic>Salvianolic acid A</topic><topic>Signal Transduction - drug effects</topic><topic>Tumor necrosis factor-TNF</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hou, Biyu</creatorcontrib><creatorcontrib>Qiang, Guifen</creatorcontrib><creatorcontrib>Zhao, Yuerong</creatorcontrib><creatorcontrib>Yang, Xiuying</creatorcontrib><creatorcontrib>Chen, Xi</creatorcontrib><creatorcontrib>Yan, Yu</creatorcontrib><creatorcontrib>Wang, Xiaobo</creatorcontrib><creatorcontrib>Liu, Chenge</creatorcontrib><creatorcontrib>Zhang, Li</creatorcontrib><creatorcontrib>Du, Guanhua</creatorcontrib><collection>Karger Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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Advanced glycation end products (AGEs) and receptor for AGEs (RAGE) are proved to play important roles in diabetic nephropathy. This study investigated the role of Salvianolic acid A (SalA) on early-stage DN and its possible underlying mechanism. Methods: In vitro AGEs formation and breaking rate were measured to illustrate the effect of SalA on AGEs. Type 2 diabetic nephropathy rats were induced by high-fat diet and low-dose streptozocin (STZ). After eight-week treatment with SalA 1 mg/kg/day, 24h-urine protein, creatinine clearance was tested and renal structural injury was assessed by PAS and PASM staining. Primary glomerular endothelial cell permeability was evaluated after exposed to AGEs. AGEs-induced RhoA/ROCK and subsequently activated disarrange of cytoskeleton were assessed by western blot and immunofluorescence. Results: Biochemical assay and histological examination demonstrated that SalA markedly reduced endothelium loss and glomerular hyperfiltration, suppressed glomerular hypertrophy and mesangial matrix expansion, eventually reduced urinary albumin and ameliorated renal function. Further investigation suggested that SalA exerted its renoprotective effects through inhibiting AGE-RAGE signaling. It not only inhibited formation of AGEs and increased its breaking in vitro, but also reduced AGEs accumulation in vivo and downregulated RAGE expression. SalA restored glomerular endothelial permeability through suppressing AGEs-induced rearrangement of actin cytoskeleton via AGE-RAGE-RhoA/ ROCK pathway. Moreover, SalA attenuated oxidative stress induced by AGEs, subsequently alleviated inflammation and restored the disturbed autophagy in glomerular endothelial cell and diabetic rats via AGE-RAGE-Nox4 axis. Conclusion: Our study indicated that SalA restored glomerular endothelial function and alleviated renal structural deterioration through inhibiting AGE-RAGE, thus effectively ameliorated early-stage diabetic nephropathy. SalA might be a promising therapeutic agent for the treatment of diabetic nephropathy.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>29262395</pmid><doi>10.1159/000486154</doi><tpages>17</tpages><oa>free_for_read</oa></addata></record>
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subjects Acids
Advanced glycation end products
Age
Animals
Autophagy
Caffeic Acids - therapeutic use
Cell adhesion & migration
Cells, Cultured
Cytokines
Diabetes
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - metabolism
Diabetes Mellitus, Type 2 - physiopathology
Diabetic Nephropathies - etiology
Diabetic Nephropathies - metabolism
Diabetic Nephropathies - physiopathology
Diabetic Nephropathies - prevention & control
Diabetic nephropathy
Diabetic retinopathy
Drugs, Chinese Herbal - therapeutic use
Endothelium - drug effects
Endothelium - metabolism
Endothelium - physiopathology
Glomerular endothelia dysfunction
Glucose
Glycation End Products, Advanced - metabolism
Inflammation
Kidney Glomerulus - drug effects
Kidney Glomerulus - metabolism
Kidney Glomerulus - physiopathology
Kinases
Laboratory animals
Lactates - therapeutic use
Male
Original Paper
Oxidative stress
Oxidative Stress - drug effects
Permeability
Protective Agents - therapeutic use
Proteins
Rats, Sprague-Dawley
Receptor for Advanced Glycation End Products - metabolism
Rodents
Salvianolic acid A
Signal Transduction - drug effects
Tumor necrosis factor-TNF
title Salvianolic Acid A Protects Against Diabetic Nephropathy through Ameliorating Glomerular Endothelial Dysfunction via Inhibiting AGE-RAGE Signaling
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