单位:[1]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Inst Integrated Tradit Chinese & Western Med,Wuhan,Hubei,Peoples R China;华中科技大学同济医学院附属同济医院中西医结合研究所中西医结合科[2]Huazhong Univ Sci & Technol,Tongji Hosp,Dept Integrated Tradit Chinese & Western Med,Tongji Med Coll,Wuhan,Hubei,Peoples R China华中科技大学同济医学院附属同济医院中医科中西医结合科
Elevated levels of plasma free fatty acid (FFA) and disturbed mitochondrial dynamics play crucial roles in the pathogenesis of diabetic kidney disease (DKD). However, the mechanisms by which FFA leads to mitochondrial damage in glomerular podocytes of DKD and the effects of Berberine (BBR) on podocytes are not fully understood. Methods: Using the db/db diabetic mice model and cultured mouse podocytes, we investigated the molecular mechanism of FFA-induced disturbance of mitochondrial dynamics in podocytes and testified the effects of BBR on regulating mitochondrial dysfunction, podocyte apoptosis and glomerulopathy in the progression of DKD. Results: Intragastric administration of BBR for 8 weeks in db/db mice significantly reversed glucose and lipid metabolism disorders, podocyte damage, basement membrane thickening, mesangial expansion and glomerulosclerosis. BBR strongly inhibited podocyte apoptosis, increased reactive oxygen species (ROS) generation, mitochondrial fragmentation and dysfunction both in vivo and in vitro. Mechanistically, BBR could stabilize mitochondrial morphology in podocytes via abolishing palmitic acid (PA)-induced activation of dynamin-related protein 1 (Drp1). Conclusions: Our study demonstrated for the first time that BBR may have a previously unrecognized role in protecting glomerulus and podocytes via positively regulating Drp1-mediated mitochondrial dynamics. It might serve as a novel therapeutic drug for the treatment of DKD.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81473637, 81673928, 81874382, 81703869]; State Administration of Traditional Chinese Medicine [JDZX2015214]