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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2026, Vol. 31 ›› Issue (9): 1182-1192.doi: 10.12092/j.issn.1009-2501.2026.09.004

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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

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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