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中国临床药理学与治疗学 ›› 2026, Vol. 31 ›› Issue (9): 1182-1192.doi: 10.12092/j.issn.1009-2501.2026.09.004

• 基础研究 • 上一篇    

薯蓣皂苷通过抑制Akt/GSK-3β信号通路减轻UUO诱导肾纤维化的机制研究

高骏伟1(), 马贵婕2(), 林晓蒙1, 邓颖萍1, 尹程倩3, 吴宸广3, 刘鹏4, 钟光辉1,*()   

  1. 1. 浙江中医药大学附属宁波市中医院,宁波 315010,浙江
    2. 十堰市中西医结合医院,十堰 442000,湖北
    3. 黑龙江省中医药科学院,哈尔滨 150000,黑龙江
    4. 中国中医科学院西苑医院,北京 100091
  • 收稿日期:2026-01-16 修回日期:2026-04-03 出版日期:2026-09-26 发布日期:2026-10-08
  • 通讯作者: 钟光辉 E-mail:gaojwdr@163.com;maguijie@163.com;zgh20040712@126.com
  • 作者简介:高骏伟,男,博士,住院医师,研究方向:中医药防治慢性肾脏病的基础及临床研究。E-mail:gaojwdr@163.com|马贵婕,共同第一作者,女,硕士,住院医师,研究方向:中医药防治慢性肾脏病的基础及临床研究。E-mail:maguijie@163.com
  • 基金资助:
    宁波市中医肾病临床医学研究中心(2023L001);浙江省自然科学基金联合项目(LHDMY24H270001,LBY24H290002);浙江省中医药重点学科建设项目(2024-XK-63);宁波市中医肾病临床医学研究中心(2024L001);宁波市重点研发计划暨“揭榜挂帅”项目(2023Z165);浙江省中医药科技计划项目(2026ZL0117,2024ZL142);宁波市科技计划项目(2023Z165,2024J259)

Dioscin attenuates UUO-induced renal fibrosis by inhibiting the Akt/GSK-3β signaling pathway

Junwei GAO1(), Guijie MA2(), Xiaomeng LIN1, Yingping DENG1, Chengqian YIN3, Chenguang WU3, Peng LIU4, Guanghui ZHONG1,*()   

  1. 1. Ningbo Municipal Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Ningbo 315010, Zhejiang, China
    2. Shiyan Hospital of integrated Traditional and Western Medicine, Shiyan 442000, Hubei, China
    3. Heilongjiang Academy of Chinese Medicine Sciences, Harbin 150000, Heilongjiang, China
    4. Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China
  • Received:2026-01-16 Revised:2026-04-03 Online:2026-09-26 Published:2026-10-08
  • Contact: Guanghui ZHONG E-mail:gaojwdr@163.com;maguijie@163.com;zgh20040712@126.com

摘要:

目的: 探讨薯蓣皂苷(dioscin,Dis)对单侧输尿管梗阻(unilateral ureteral occlusion,UUO)诱导的肾纤维化及转化生长因子-β1(transforming growth factor-beta 1,TGF-β1)诱导的人肾小管上皮(human renal tubular epithelial cells,HK-2)细胞上皮-间质转化(epithelial-mesenchymal transition,EMT)样表型改变的影响及机制。方法: 将C57BL/6J雄性小鼠随机分为假手术、UUO、UUO+Dis(50 mg/kg、100 mg/kg)组。术后干预7 d,取肾组织进行苏木精-伊红和Masson染色观察肾组织病理学改变;免疫组化、蛋白质印迹法(Western blot)和实时荧光定量PCR(real time PCR,RT-PCR)检测蛋白激酶B(protein kinase B,Akt)/糖原合成酶激酶3β(glycogen synthase kinase 3β,GSK-3β)通路及EMT相关分子表达。体外实验以TGF-β1诱导HK-2细胞EMT样表型改变,给予Dis或/和Akt激动剂SC79干预24 h,通过Western blot、免疫荧光和RT-PCR检测上述指标。结果: Dis显著改善UUO模型小鼠肾脏病理损伤和胶原沉积,能抑制UUO模型小鼠肾脏中 Akt/GSK-3β磷酸化(P<0.05),降低纤维连接蛋白、α-平滑肌肌动蛋白(alpha smooth muscle actin,α-SMA)、波形蛋白(Vimentin)表达(P<0.05),上调E-钙黏蛋白表达(P<0.05)。体外实验中,Dis抑制TGF-β1诱导的Akt/GSK-3β磷酸化(P<0.01),逆转α-SMA及Vimentin表达升高(P<0.01)。此外,SC79可激活该通路并加剧TGF-β1诱导的EMT样表型改变(P<0.05),而Dis能逆转SC79的上述作用(P<0.01)。结论: Dis可能通过抑制Akt/GSK-3β信号通路过度激活,减轻UUO模型肾纤维化及TGF-β1诱导的EMT样表型改变。

关键词: 肾纤维化, UUO模型小鼠, 薯蓣皂苷, Akt/GSK-3β通路, SC79

Abstract:

AIM: To investigate the effect of dioscin (Dis) on unilateral ureteral obstruction (UUO)-induced renal fibrosis and on transforming growth factor-β1 (TGF-β1)-induced epithelial-mesenchymal transition (EMT)-like phenotypic changes in human renal tubular epithelial (HK-2) cells, as well as its underlying mechanism. METHODS: Male C57BL/6J mice were randomly divided into sham-operated, UUO, UUO+Dis (50 mg/kg), and UUO+Dis (100 mg/kg) groups. After 7 days of intervention, kidney tissues were collected for hematoxylin-eosin and Masson's trichrome staining to observe histopathological changes. Immunohistochemistry, Western blot, and real-time PCR (RT-PCR) were used to detect the expression of protein kinase B (Akt)/glycogen synthase kinase 3β (GSK-3β) pathway and EMT-related molecules. HK-2 cells were induced with TGF-β1 to establish an EMT-like phenotypic changes model and treated with Dis and/or the Akt agonist SC79 for 24 h. Western blot, immunofluorescence, and RT-PCR were performed to evaluate the above indicators. RESULTS: Dis significantly ameliorated renal pathological injury and collagen deposition in UUO mice. It inhibited the phosphorylation of Akt and GSK-3β in UUO kidneys (P<0.05), downregulated the expression of fibronectin, α-smooth muscle actin (α-SMA), and Vimentin (P<0.05), and upregulated E-cadherin expression (P<0.05). In HK-2 cells, Dis suppressed TGF-β1-induced phosphorylation of Akt/GSK-3β (P<0.01) and reversed the upregulation of α-SMA and Vimentin (P<0.01). Furthermore, SC79 activated this pathway and aggravated TGF-β1-induced EMT-like phenotypic changes (P<0.05), whereas Dis reversed these effects of SC79 (P<0.01). CONCLUSION: Dis may alleviate UUO-induced renal fibrosis and TGF-β1-induced EMT-like phenotypic changes by inhibiting the overactivation of the Akt/GSK-3β signaling pathway.

Key words: renal fibrosis, UUO mice, dioscin (Dis), Akt/GSK-3β pathway, SC79

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