Compelling evidence suggests that hyperglycemia is a major contributing factor in the deterioration of the kidney and the development of DN. The occurrence of DN is predominantly mediated by high glucose levels and micro-vascular hemodynamic changes and is further mediated by a variety of inflammatory cytokines in diabetic kidneys, which activate the inflammatory pathway(27). Inflammation and oxidative stress also plays a pivotal role in the pathogenesis of DN, emphasizing the potential therapeutic effect of its blockade for improving kidney function during diabetes.Currently, the strategy of DN treatment is to control blood sugar, reduce urinary protein, lower blood pressure, and control hyperlipidemia(28). Although good glycemic control may be the best prevention of DN, it develops in spite of treatment of diabetes. Inhibitors of oxidative stress and inflammation should provide useful targets for therapy.
It has been shown that salidroside has multiple activities such as anti-inflammation, anti-oxidative stress, anti-cancer, etc. Salidroside protected against MPP(+) -induced Parkinson's disease in PC12 cells by inhibiting inflammation, oxidative stress and cell apoptosis(29). Previous study found that salidroside could attenuate body weight gain and improve glucose homeostasis in obese mice by repressing inflammation in white adipose tissues and enhanced leptin signaling transduction in the hypothalamus(30). Another study showed that salidroside reduces high-glucose-induced cell apoptosis and oxidative stress via upregulating Heme Oxygenase-1 (HO-1) expression in mice podocyte(31). However, In this study, we intend to study the effect of salidroside on renal protection in STZ induced diabetic mice in vivo. Thus, the present study evaluated the nephroprotective effect of salidroside (100mg/kg d) in STZ-induced DN mice. Diabetes was induced by injecting STZ (70 mg/kg) i.p. for 3 days. Biochemical parameters, including fasting blood glucose, creatinine, BUN in the serum, and albumin in the urine, were determined in STZ-induced DN mice. Moreover, the level of inflammatory mediators in the serum and oxidative stress parameters both in the serum and kidney tissue homogenate was assessed in STZ-induced DN mice. Expressions of NF-κB p65 and NLRP3 in the tissue homogenate were estimated by IHC staining. Our study found that salidroside protect renal function against inflammation and oxidative stress injury in STZ induce diabetic mice, partially by supressing NF-κB p65/NLRP3 signaling pathway.
Streptozotocin (STZ), an antibiotic produced by Streptomyces achromogenes, is frequently used to induce a DM model with multiple low doses in experimental animals by damaging insulin-producing b cells of the pancreas and causing hyperglycemia in mamma. In our study, we used a STZ 70mg/kg a day injection to build diabetic mice model in which STZ damages pancreatic b cells, resulting in hypoinsulinemia and hyperglycemia. After that fasting blood glucose was measured, 16.7 mmol/L was considered as 83% mice was susseful. DM leads to disorders related to glucose and fatty acids metabolism. The characteristic symptoms of DM include an increased desire for food associated with body weight loss and heased due to the decrease in glucose metabolism and increase in fat metabolism(32) (Rossmeisl et al., 2003).According to our results, treatment with salidroside ameliorated these parameters which were able to decrease the level of fasting blood glucose(Fig. 1a) anf GSP in serum(Fig. 1b), and improve body weight(Fig. 1c) and kidney weight(Fig. 1d) andat the end of the intervention period, indicating a regulatory effect on these metabolic disorders. Besides, several biochemical parameters, including creatinine and urea level in the serum and microalbumin urea in urine, are markers of DN(33).Our data also showed that the levels of creatinine and BUN were altered in the DN group and that treatment with salidrosde attenuated the altered levels of these in the serum STZ-induced DN mice(Fig. 1e-Fig. 1f).
It is believed that DN is one kind of chronic inflammation. Inflammatory cytokines, such as tumor necrosis factor-α (TNF-α), interlukin-1β (IL-1β), and IL-6, are reported to occur at higher levels in patients with DN(34). Previous haveshown that during the development of DN, inflammation is obvious, renal tissue is accompanied with the infiltration of various inflammatory cells, including mononuclear macrophages, and significant increase in the concentration of various pro-inflammatory cytokines can often be detected in the tissues and circulating blood(35). In the present study, the degree of inflammation activation was evaluated by the level of inflammatory mediators including IL-6, IL-1β, TNF-α both in serum and kidney tissue(Fig. 3a-3b). We found that treatment with SAL significantly down-regulated gene expressional levels of these inflammatory parameters, suggesting that the STZ-induced inflammatory reactions were suppressed by SAL. Besides, the PAS staining results showed that glomerular extracellular matrix (ECM) deposition wassignificantly increased by STZ, which was greatly reduced in the presence of salidroside (Fig. 2B). Kidney histology by H&E staining also showed clearly visible nephropathy by STZ (Fig. 2A). Salidroside could partially reduce these pathological changes (Fig. 2A-2B). These data clearly indicate that salidroside plays a beneficialrole against diabetic nephropathy in STZ-treated mice.
STZ also has toxic effects on generation of ROS causing oxidative damage on the kidney for evaluating the therapeutic potential of antidiabetics(36). Oxidative stress is generally accepted as a likely causative factor in the development of insulin resistance and complications of diabetes (Giacco and Brownlee, 2010). Previous studies have shown that ginsenoside Re and fermented red ginseng extracts significantly enhance SOD activity and reduce MDA level in diabetic mice (Kim et al., 2011; Liu et al., 2012). Oxidative stress in diabetes is also associated with a reduction in antioxidant capacity, which can compound the deleterious effects of free radicals. The antioxidant enzymes such as SOD and MDA play a major role in scavenging toxic free radicals. The activity changes of these enzymes can reflect the degree of diabetic effect (Shanmugam et al., 2011). Results showed that the activities of SOD, GSH-Px and CAT were significantly increased, the MDA contents remarkably reduced in liver and kidney homogenate in STZ-induced diabetic Kunming mice(37). Our study also demonstrated that the level of SOD, GSH-Px and CAT were significantly increased, the MDA contents remarkably reduced both in serum and kidney homogenate in STZ-induced mice, while treatment with saliroside ameliorated the phenomena (Fig. 4A-4B).
Studies using rodents indicate that increases in oxidative stress and inflammatory process could be responsible for developing DN. The inflammatory cytokines IL-6, IL-1β, and TNF-α were reported to be involved in the development of DN by stimulating the NF-κB signaling pathway(38). In DN, inflammation occurs by activating the NF-κB signaling pathway and by enhanced oxidative stress (39). Following activation, NF-κB translocates to the nucleus,stimulating rapidly the subsequent transcription of genes such as endothelin-1 (ET-1), IL-6, and TNF-α that promote the development of DN. NF-κB is mainly represented by the p65/p50 heterodimeric complex and this complex is retained in the cytoplasm in an inactive form bound to an additional inhibitory subunit – IκBα(40). During activation, the inhibitory subunit IκBα is rapidly phosphorylated at Ser32 and Ser36 by IKKα/β and subsequently ubiquitinated and degraded by the 26S proteasome complex. Once released, free NF-κB translocates to the nucleus and activates the transcription of various inflammatory gene products. Our present study revealed that saldroside attenuates the altered level of inflammatory cytokines in the serum of DN mice and reduced the expression of NF-κB protein the tissue homogenate of DN mice compared to the negative control group.
The NOD-like receptor pyrin 3 (NLRP3) inflammasome is an intracellular platform that recruits the adaptor molecule-apoptosis-associated speck-like protein (ASC) by pyrin domain, and then ASC hydrolyzes procaspase-1, and finally, active caspase-1 cleaves pro-IL-1β into its mature form in response to “danger” signals(41) .NLRP3 inflammasome signaling molecules and inflammatory cytokine IL-1β release from GMCs were induced by high glucose(42),Previous to the currently observed hyperglycemia-associated inflammasome activation in podocytes, and in mice with hyperhomocy-steinanemia or diet-induced obesity and glomerular endothelial cells, suggesting that inflammasome activation in various kidney cells may contribute to diabetic nephropathy(43, 44). Nlrp3-inflammasome activation, accomanied with increasing level of IL-1β, IL-1β cleavage, IL-18 and caspase1 were observed in diabetic nephropathy mice(45). Our present study revealed that the expression of Nlrp3-inflammasome, IL-1β cleavage, IL-18 and caspase1 was up-regulated in STZ in diabetic nephropathy mic. But salidroside attenuates the level of Nlrp3-inflammasome, IL-1β cleavage, IL-18 and caspase1 in the kidney tissue homogenate of DN mice compared to DN group (Fig. 5).
In conclusion, our study indicated that salidroside can palliate renal inflammation and oxidative stress in STZ induced diabetic nephropathy mice, at least partially through suppressing the activation of the NF-κB p65/NLRP3 pathway. Consequently, our study further provide idea of salidroside about the anti-inflammatory effect andalso its immunomodulatory effects. Salidroside may be one of potential target therapy for DN patients.