Huangqi-Danshen decoction reshapes renal glucose metabolism profiles that delays chronic kidney disease progression - 17/06/23
Abstract |
Huangqi-Danshen decoction (HDD), a Chinese herbal preparation, is effective in clinical treatment of chronic kidney disease (CKD). However, the underlying mechanism remains to be clarified. In this study, we aimed to investigate the role of HDD in the regulation of renal glucose metabolism in a CKD mouse model. The 0.2% adenine-induced CKD mouse model was administered HDD extract at a dose of 6.8 g/kg/day for 4 weeks. Detection of renal glucose metabolites was performed by ultra-performance liquid chromatography-tandem mass spectrometry. The expression of renal fibrosis and glucose metabolism-related proteins was tested by Western blotting, immunohistochemistry, and immunofluorescence. The results showed that HDD treatment could significantly reduce serum creatinine (0.36 ± 0.10 mg/dL vs. 0.51 ± 0.07 mg/dL, P < 0.05) and blood urea nitrogen (40.02 ± 3.73 mg/dL vs. 62.91 ± 10 mg/dL, P < 0.001) levels, and improve renal pathological injury and fibrosis. Aberrant glucose metabolism was found in the kidneys of CKD mice, manifested by enhanced glycolysis and pentose phosphate pathway, and tricarboxylic acid cycle inhibition, which could be partially restored by HDD treatment. Furthermore, HDD regulated the expression of hexokinase 2, phosphofructokinase, pyruvate kinase M2, pyruvate dehydrogenase E1, oxoglutarate dehydrogenase, and glucose-6-phosphate dehydrogenase in CKD mice. In conclusion, HDD protected against adenine-induced CKD, reshaped glucose metabolism profiles, and restored the expression of key enzymes of glucose metabolism in the kidneys of CKD mice. This study sheds light on targeting glucose metabolism for the treatment of CKD and screening small molecule compounds from herbal medicine to slow CKD progression.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Highlights |
• | HDD protects against adenine-induced CKD in mice. |
• | Metabolomics indicates altered glucose metabolism phenotypes in the kidney of CKD mice. |
• | HDD reshapes renal glucose metabolism profiles in CKD mice. |
• | HDD restores the expression of key enzymes of glucose metabolism in the kidney of CKD mice. |
Keywords : Chronic kidney disease, Glucose metabolism, Glycolysis, TCA cycle, Pentose phosphate pathway, Traditional Chinese medicine
Plan
Vol 164
Article 114989- août 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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