Erzhi Formula Extracts Reverse Renal Injury in Diabetic Nephropathy Rats by Protecting the Renal Podocytes

Podocytes injury was a crucial factor resulting in diabetic nephropathy (DN). Erzhi formula extract (EZF) was a clinical effective Chinese medicine on DN, but its mechanism was unclear. In this study, the main compounds of EZF and their pharmacokinetics in rat were detected by HPLC-MS/MS. And then,...

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Veröffentlicht in:Evidence-based complementary and alternative medicine 2018-01, Vol.2018 (2018), p.1-13
Hauptverfasser: Wang, Huajun, Liu, Xiang, Yin, Jiangning, Jiang, Jun, Lu, Guoyuan
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creator Wang, Huajun
Liu, Xiang
Yin, Jiangning
Jiang, Jun
Lu, Guoyuan
description Podocytes injury was a crucial factor resulting in diabetic nephropathy (DN). Erzhi formula extract (EZF) was a clinical effective Chinese medicine on DN, but its mechanism was unclear. In this study, the main compounds of EZF and their pharmacokinetics in rat were detected by HPLC-MS/MS. And then, blood glucose, urine protein, renal index, renal microstructural (HE/PAS staining), inflammatory factors (IL-β, TNF-α, IL-6), and protein/mRNA expression related to the function of podocyte (CD2AP and Podocin) in DN rats were investigated after the oral administration of EZF. The concentrations of specnuezhenide and wedelolactone in rat kidney were 7.19 and 0.057 mg/kg, respectively. The Tmax of specnuezhenide and wedelolactone were 2.0 and 1.50 h, respectively. Their Cmax were, respectively, 30.24 ± 2.68 and 6.39 ± 0.05 μg/L. Their AUC(0-∞) were 123.30 ± 2.68 and 16.56 ± 0.98 μg/L⁎h, respectively. Compared with the model group, the blood glucose and the 24-hour urinary protein were significantly decreased (P < 0.05) after 16 weeks’ treatment of EZF. The expressions of Podocin and CD2AP protein/mRNA were increased (P < 0. 05). The deteriorate of glomerular morphology was alleviated under the treatment of EZF. EZF prominently decreased the levels of inflammatory factors (P < 0.05). MDA was significantly decreased (P < 0.05) with the significant increase of SOD activity (P < 0.05) in EZF groups. All the results proved that EZF repaired glomerular mesangial matrix, protected renal tubule, and improved renal function in DN rats by upregulating the expression of Podocin and CD2AP protein/mRNA in podocytes.
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Erzhi formula extract (EZF) was a clinical effective Chinese medicine on DN, but its mechanism was unclear. In this study, the main compounds of EZF and their pharmacokinetics in rat were detected by HPLC-MS/MS. And then, blood glucose, urine protein, renal index, renal microstructural (HE/PAS staining), inflammatory factors (IL-β, TNF-α, IL-6), and protein/mRNA expression related to the function of podocyte (CD2AP and Podocin) in DN rats were investigated after the oral administration of EZF. The concentrations of specnuezhenide and wedelolactone in rat kidney were 7.19 and 0.057 mg/kg, respectively. The Tmax of specnuezhenide and wedelolactone were 2.0 and 1.50 h, respectively. Their Cmax were, respectively, 30.24 ± 2.68 and 6.39 ± 0.05 μg/L. Their AUC(0-∞) were 123.30 ± 2.68 and 16.56 ± 0.98 μg/L⁎h, respectively. Compared with the model group, the blood glucose and the 24-hour urinary protein were significantly decreased (P &lt; 0.05) after 16 weeks’ treatment of EZF. The expressions of Podocin and CD2AP protein/mRNA were increased (P &lt; 0. 05). The deteriorate of glomerular morphology was alleviated under the treatment of EZF. EZF prominently decreased the levels of inflammatory factors (P &lt; 0.05). MDA was significantly decreased (P &lt; 0.05) with the significant increase of SOD activity (P &lt; 0.05) in EZF groups. All the results proved that EZF repaired glomerular mesangial matrix, protected renal tubule, and improved renal function in DN rats by upregulating the expression of Podocin and CD2AP protein/mRNA in podocytes.</description><identifier>ISSN: 1741-427X</identifier><identifier>EISSN: 1741-4288</identifier><identifier>DOI: 10.1155/2018/1741924</identifier><identifier>PMID: 30210570</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Acids ; Animals ; Biochemistry ; Blood ; Blood sugar ; CD2AP protein ; Chromatography ; Diabetes ; Diabetes mellitus ; Diabetic nephropathies ; Diabetic nephropathy ; Endoplasmic reticulum ; Ethanol ; Gangrene ; Gene expression ; Glucose ; Herbal medicine ; High-performance liquid chromatography ; Inflammation ; Interleukin 6 ; Kinases ; Liquid chromatography ; Mass spectrometry ; Nephropathy ; Oral administration ; Pharmacokinetics ; Polyclonal antibodies ; Proteins ; Rats ; Renal function ; Rodents ; Scientific imaging ; Superoxide dismutase ; Tumor necrosis factor-TNF ; Tumor necrosis factor-α ; Urine</subject><ispartof>Evidence-based complementary and alternative medicine, 2018-01, Vol.2018 (2018), p.1-13</ispartof><rights>Copyright © 2018 Jun Jiang et al.</rights><rights>COPYRIGHT 2018 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2018 Jun Jiang et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2018 Jun Jiang et al. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-7273cf74ee084d2691913aba49fea4b442ed9ea3393ce760c7a3e9dff0e37f83</citedby><cites>FETCH-LOGICAL-c499t-7273cf74ee084d2691913aba49fea4b442ed9ea3393ce760c7a3e9dff0e37f83</cites><orcidid>0000-0002-6342-165X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126112/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126112/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30210570$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Gong, Yuewen</contributor><contributor>Yuewen Gong</contributor><creatorcontrib>Wang, Huajun</creatorcontrib><creatorcontrib>Liu, Xiang</creatorcontrib><creatorcontrib>Yin, Jiangning</creatorcontrib><creatorcontrib>Jiang, Jun</creatorcontrib><creatorcontrib>Lu, Guoyuan</creatorcontrib><title>Erzhi Formula Extracts Reverse Renal Injury in Diabetic Nephropathy Rats by Protecting the Renal Podocytes</title><title>Evidence-based complementary and alternative medicine</title><addtitle>Evid Based Complement Alternat Med</addtitle><description>Podocytes injury was a crucial factor resulting in diabetic nephropathy (DN). Erzhi formula extract (EZF) was a clinical effective Chinese medicine on DN, but its mechanism was unclear. In this study, the main compounds of EZF and their pharmacokinetics in rat were detected by HPLC-MS/MS. And then, blood glucose, urine protein, renal index, renal microstructural (HE/PAS staining), inflammatory factors (IL-β, TNF-α, IL-6), and protein/mRNA expression related to the function of podocyte (CD2AP and Podocin) in DN rats were investigated after the oral administration of EZF. The concentrations of specnuezhenide and wedelolactone in rat kidney were 7.19 and 0.057 mg/kg, respectively. The Tmax of specnuezhenide and wedelolactone were 2.0 and 1.50 h, respectively. Their Cmax were, respectively, 30.24 ± 2.68 and 6.39 ± 0.05 μg/L. Their AUC(0-∞) were 123.30 ± 2.68 and 16.56 ± 0.98 μg/L⁎h, respectively. Compared with the model group, the blood glucose and the 24-hour urinary protein were significantly decreased (P &lt; 0.05) after 16 weeks’ treatment of EZF. The expressions of Podocin and CD2AP protein/mRNA were increased (P &lt; 0. 05). The deteriorate of glomerular morphology was alleviated under the treatment of EZF. EZF prominently decreased the levels of inflammatory factors (P &lt; 0.05). MDA was significantly decreased (P &lt; 0.05) with the significant increase of SOD activity (P &lt; 0.05) in EZF groups. 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Liu, Xiang ; Yin, Jiangning ; Jiang, Jun ; Lu, Guoyuan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-7273cf74ee084d2691913aba49fea4b442ed9ea3393ce760c7a3e9dff0e37f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acids</topic><topic>Animals</topic><topic>Biochemistry</topic><topic>Blood</topic><topic>Blood sugar</topic><topic>CD2AP protein</topic><topic>Chromatography</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetic nephropathies</topic><topic>Diabetic nephropathy</topic><topic>Endoplasmic reticulum</topic><topic>Ethanol</topic><topic>Gangrene</topic><topic>Gene expression</topic><topic>Glucose</topic><topic>Herbal medicine</topic><topic>High-performance liquid chromatography</topic><topic>Inflammation</topic><topic>Interleukin 6</topic><topic>Kinases</topic><topic>Liquid chromatography</topic><topic>Mass spectrometry</topic><topic>Nephropathy</topic><topic>Oral administration</topic><topic>Pharmacokinetics</topic><topic>Polyclonal antibodies</topic><topic>Proteins</topic><topic>Rats</topic><topic>Renal function</topic><topic>Rodents</topic><topic>Scientific imaging</topic><topic>Superoxide dismutase</topic><topic>Tumor necrosis factor-TNF</topic><topic>Tumor necrosis factor-α</topic><topic>Urine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Huajun</creatorcontrib><creatorcontrib>Liu, Xiang</creatorcontrib><creatorcontrib>Yin, Jiangning</creatorcontrib><creatorcontrib>Jiang, Jun</creatorcontrib><creatorcontrib>Lu, Guoyuan</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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Erzhi formula extract (EZF) was a clinical effective Chinese medicine on DN, but its mechanism was unclear. In this study, the main compounds of EZF and their pharmacokinetics in rat were detected by HPLC-MS/MS. And then, blood glucose, urine protein, renal index, renal microstructural (HE/PAS staining), inflammatory factors (IL-β, TNF-α, IL-6), and protein/mRNA expression related to the function of podocyte (CD2AP and Podocin) in DN rats were investigated after the oral administration of EZF. The concentrations of specnuezhenide and wedelolactone in rat kidney were 7.19 and 0.057 mg/kg, respectively. The Tmax of specnuezhenide and wedelolactone were 2.0 and 1.50 h, respectively. Their Cmax were, respectively, 30.24 ± 2.68 and 6.39 ± 0.05 μg/L. Their AUC(0-∞) were 123.30 ± 2.68 and 16.56 ± 0.98 μg/L⁎h, respectively. Compared with the model group, the blood glucose and the 24-hour urinary protein were significantly decreased (P &lt; 0.05) after 16 weeks’ treatment of EZF. The expressions of Podocin and CD2AP protein/mRNA were increased (P &lt; 0. 05). The deteriorate of glomerular morphology was alleviated under the treatment of EZF. EZF prominently decreased the levels of inflammatory factors (P &lt; 0.05). MDA was significantly decreased (P &lt; 0.05) with the significant increase of SOD activity (P &lt; 0.05) in EZF groups. All the results proved that EZF repaired glomerular mesangial matrix, protected renal tubule, and improved renal function in DN rats by upregulating the expression of Podocin and CD2AP protein/mRNA in podocytes.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>30210570</pmid><doi>10.1155/2018/1741924</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-6342-165X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Acids
Animals
Biochemistry
Blood
Blood sugar
CD2AP protein
Chromatography
Diabetes
Diabetes mellitus
Diabetic nephropathies
Diabetic nephropathy
Endoplasmic reticulum
Ethanol
Gangrene
Gene expression
Glucose
Herbal medicine
High-performance liquid chromatography
Inflammation
Interleukin 6
Kinases
Liquid chromatography
Mass spectrometry
Nephropathy
Oral administration
Pharmacokinetics
Polyclonal antibodies
Proteins
Rats
Renal function
Rodents
Scientific imaging
Superoxide dismutase
Tumor necrosis factor-TNF
Tumor necrosis factor-α
Urine
title Erzhi Formula Extracts Reverse Renal Injury in Diabetic Nephropathy Rats by Protecting the Renal Podocytes
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