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THE EFFECT OF COMPOUND DM509 ON KIDNEY FIBROSIS IN THE CONDITIONS OF THE EXPERIMENTAL MODEL. 化合物dm509在实验模型条件下对肾纤维化的影响。
Pub Date : 2020-01-01 DOI: 10.17721/1728_2748.2020.80.10-15
A Stavniichuk, O Savchuk, Abdul Hye Khan, Wojciech K Jankiewicz, John D Imig, Daniel Merk

Renal fibrosis is a critical event in the progression of chronic kidney disease (CKD) to end-stage renal disease (ESRD). Unfortunately, there are few options to target renal fibrosis in order to develop novel anti-fibrotic agents that could prevent CKD progression to ESRD. We evaluated the efficacy of a novel dual-acting molecule, DM509, in preventing renal fibrosis using the unilateral ureteral obstruction (UUO) renal fibrosis mouse model. DM509 acts simultaneously as a farnesoid X receptor agonist (FXRA) and a soluble epoxide hydrolase inhibitor (sEHi). In this study, groups of 8-12 weeks old C57BL/6J male mice went through either UUO or sham surgery (n=6/group). Mice were pre-treated with DM509 (10mg/kg/d) or vehicle administered in drinking water one day prior to the UUO surgery. Sham, vehicle and DM509 treatments continued until day 10 and blood and kidney tissue were collected for biochemical, histological, and gene expression analysis at the end of the treatment protocol. The UUO group exhibited kidney dysfunction with elevated blood urea nitrogen (BUN) compared to the sham group (63±7 vs. 34±6 mg/dL). DM509 treatment prevented renal dysfunction as evident from 36% lower BUN level in the DM509 treated UUO mice compared to UUO mice treated with vehicle. Vehicle treated UUO mice demonstrated renal fibrosis with elevated kidney hydroxyproline content (213±11 vs. 49±9 μg/mg protein) and kidney collagen positive area (13±2% vs. 1.1±0.1%) compared to the sham group. We found that DM509 treatment prevented renal fibrosis and DM509 treated mice had 34-66% lower levels of kidney hydroxyproline and collagen positive renal area compared to vehicle-treated UUO mice. In conclusion, our data provide evidence that the novel dual-acting FXRA and a sEHi, DM509, prevented renal dysfunction and renal fibrosis in UUO mouse model.

肾纤维化是慢性肾脏疾病(CKD)向终末期肾脏疾病(ESRD)发展的关键事件。不幸的是,为了开发能够阻止CKD进展为ESRD的新型抗纤维化药物,很少有针对肾纤维化的选择。我们利用单侧输尿管梗阻(UUO)肾纤维化小鼠模型,评估了一种新型双作用分子DM509在预防肾纤维化中的功效。DM509同时作为法内甾体X受体激动剂(FXRA)和可溶性环氧化物水解酶抑制剂(sEHi)。本研究将8-12周龄C57BL/6J雄性小鼠分为UUO组和假手术组(n=6/组)。小鼠在UUO手术前1天用DM509 (10mg/kg/d)或在饮用水中给药。假药、载药和DM509治疗持续到第10天,在治疗方案结束时收集血液和肾脏组织进行生化、组织学和基因表达分析。与假手术组相比,UUO组出现肾功能障碍,血尿素氮(BUN)升高(63±7 vs 34±6 mg/dL)。DM509治疗可以预防肾功能障碍,与用载药治疗的UUO小鼠相比,DM509治疗的UUO小鼠的BUN水平降低了36%。与假手术组相比,小鼠肾羟脯氨酸含量(213±11比49±9 μg/mg)和肾胶原阳性面积(13±2%比1.1±0.1%)升高。我们发现DM509治疗可以预防肾纤维化,DM509治疗小鼠的肾羟脯氨酸和胶原阳性肾区水平比药物治疗的UUO小鼠低34-66%。总之,我们的数据提供了新的双作用FXRA和sEHi DM509在UUO小鼠模型中预防肾功能障碍和肾纤维化的证据。
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引用次数: 3
A SORAFENIB INDUCED MODEL OF GLOMERULAR KIDNEY DISEASE. 索拉非尼诱导的肾小球肾病模型。
Pub Date : 2020-01-01 DOI: 10.17721/1728_2748.2020.81.25-31
A Stavniichuk, O Savchuk, Abdul Hye Khan, Wojciech K Jankiewicz, John D Imig

Glomerular injury and proteinuria are important pathophysiological features of chronic kidney disease. In the present study, we provide data on a glomerular injury model that was developed using the cancer chemotherapy drug sorafenib. Sorafenib is a tyrosine kinase inhibitor that acts via the vascular endothelial growth factor (VEGF) signaling pathway and is widely used to treat a variety of cancers. On the other hand, sorafenib causes serious renal side effects in patients including the development of chronic kidney disease. The current study aimed to utilize the nephrotoxic property of sorafenib to develop a rat model for chronic kidney disease. We demonstrate that rats administered sorafenib for 8 weeks along with a high salt diet (8% NaCl enriched) develop hypertension (80mmHg higher systolic blood pressure), proteinuria (75% higher), and 4-fold higher glomerular injury compared to vehicle-treated normal control rat. Sorafenib induced glomerular injury was associated with decreased (20-80% lower) renal mRNA expression of key glomerular structural proteins such as nephrin, podocin, synaptopodin, and podoplanin compared to vehicle-treated normal control rat. Renal cortical endothelial-to-mesenchymal transition (EndoMT) was activated in the sorafenib induced glomerular injury model. In the sorafenib treated rats, the renal EndoMT was evident with 20% lower mRNA expression of an endothelial marker WT-1 and 2 to 3-fold higher expression of mesenchymal markers Col III, FSP-1, α-SMA, and vimentin. In conclusion, we developed a rat pre-clinical chronic kidney disease model that manifest glomerular injury. We further demonstrate that the glomerular injury in this model is associated with decreased renal mRNA expression of key glomerular structural proteins and an activated kidney EndoMT.

肾小球损伤和蛋白尿是慢性肾脏疾病的重要病理生理特征。在本研究中,我们提供了使用癌症化疗药物索拉非尼开发的肾小球损伤模型的数据。索拉非尼是一种酪氨酸激酶抑制剂,通过血管内皮生长因子(VEGF)信号通路起作用,被广泛用于治疗多种癌症。另一方面,索拉非尼在患者中引起严重的肾脏副作用,包括慢性肾脏疾病的发展。目前的研究旨在利用索拉非尼的肾毒性来建立慢性肾脏疾病的大鼠模型。我们证明,与正常对照大鼠相比,给予索拉非尼8周和高盐饮食(8% NaCl富集)的大鼠出现高血压(收缩压高80mmHg)、蛋白尿(高75%)和肾小球损伤高4倍。索拉非尼诱导的肾小球损伤与肾脏关键结构蛋白(如nephrin、podocin、synaptopodin和podoplanin)的mRNA表达降低(降低20-80%)有关。在索拉非尼诱导的肾小球损伤模型中,肾皮质内皮-间质转化(EndoMT)被激活。在索拉非尼治疗的大鼠中,肾脏内皮标记物WT-1 mRNA表达降低20%,间充质标记物Col III、FSP-1、α-SMA和vimentin mRNA表达升高2 - 3倍。总之,我们建立了一个表现肾小球损伤的大鼠临床前慢性肾脏疾病模型。我们进一步证明,该模型中的肾小球损伤与肾小球关键结构蛋白mRNA表达下降和肾EndoMT活化有关。
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引用次数: 2
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Visnyk Kyivs'koho natsional'noho universytetu imeni Tarasa Shevchenka. Biolohiia
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