Abstract
Objective
To investigate the mechanism of action of Fuzheng Huayu Formula (扶正化瘀方, FZHY) against renal interstitial fibrosis (RIF) relating to oxidative injury and nuclear factor-kappa B (NF-κB) activity.
Methods
Thirty-two Sprague-Dawley rats were randomly divided into 3 groups: normal group, model group and FZHY treatment group. The RIF model was induced by oral administration of HgCl2 at a dose of 8 mg/kg body weight once a day for 9 weeks. Meanwhile, rats in FZHY treatment group orally took FZHY at a dose of 4.0 g/kg rat weight for 9 weeks. The content of hydroxyproline (Hyp) and collagen deposition in kidney were observed. The activities of superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px), the content of glutathione (GSH) and malondialdehyde (MDA) of kidney were tested. The expressions of inhibitor-κappa B (IκB), phospho-IκB (p-IκB), tumor necrosis factor-α (TNF-α), matrix metalloproteinase-2 (MMP-2) and α-smooth muscle actin (α-SMA) were analyzed by Western blot. α-SMA expression was also observed by immunofluorescent staining. MMP-2 activity was measured by gelatin zymography. NF-κB activation was determined by electrophoretic mobility shift assay.
Results
Renal interstitial fibrosis was induced by HgCl2, demonstrated by remarkably increased Hyp contents and excessive collagen deposition in kidney (P<0.01). FZHY significantly inhibited renal interstitial collagen deposition and reduced Hyp content of the HgCl2-treated rats (P<0.01). GSH content decreased obviously, and MDA content increased signifificantly in HgCl2-treated rats compared with that of normal rats (P<0.01). FZHY significantly increased GSH content and decreased MDA content in the model rats (P<0.01). The expression α-SMA was increased in model rats compared with that of normal rats, FZHY signifificantly decreased its expression (P<0.01). The expressions of p-IκB and TNF-α and MMP-2, MMP-2 activity, and NF-κB activation were increased in model group compared with that in normal group (P<0.01), FZHY signifificantly decreased NF-κB activation, MMP-2 activity and p-IκB and TNF-α expressions (P<0.01).
Conclusions
FZHY could protect kidney from oxidative injury intoxicated by HgCl2, and antagonized oxidative stress-stimulated NF-κB activity through inhibition of IκB phosphorylation in the interstitial fibrotic kidney, these effects importantly contributed to FZHY action mechanism against renal interstitial fifibrosis.
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References
Fukagawa M, Noda M, Shimizu T, Kurokawa K. Chronic progressive interstitial fibrosis in renal disease—are there novel pharmacological approaches? Nephrol Dial Transplant 1999;14:2793–2795.
Bohle A, Strutz F, Müller GA. On the pathogenesis of chronic renal failure in primary glomerulopathies: a view from the interstitium. Exp Nephrol 1994;2:205–210.
Nath KA. Tubulointerstitial changes as a major determinant in the progression of renal damage. Am J Kidney Dis 1992;20:1–17.
Schainuck LI, Striker GE, Cutler RE, Benditt EP. Structuralfunctional correlations in renal disease. ?. The correlations. Hum Pathol 1970;1:631–641.
Bazzi C, Petrini C, Rizza V. Characterization of proteinuria in primary glomerulonephritides. SDS-PAGE patterns: clinical significance and prognostic value of low molecular weight ("tubular") proteins. Am J Kidney Dis 1997;29:27–35.
Liu C, Hu Y, Xu L, Liu C, Liu P. Effect of Fuzheng Huayu Formula and its actions against liver fibrosis. Chin Med 2009;4:1–12.
Wang QL, Yuan JL, Tao YY, Zhang Y, Liu P, Liu CH. Fuzheng Huayu Recipe and vitamin E reverse renal interstitial fibrosis through counteracting TGF-beta1-induced epithelialto-mesenchymal transition. J Ethnopharmacol 2010;27:631–640.
Lash LH, Zalups RK. Alterations in renal cellular glutathione metabolism after in vivo administration of a subtoxic dose of mercuric chloride. J Biochem Toxicol 1996;11:1–9.
Zalups RK, Lash LH. Effects of uninephrectomy and mercuric chloride on renal glutathione homeostasis. J Pharmacol Exp Ther 1990;254:962–970.
Elks CM, Mariappan N, Haque M. Chronic NF-kappa B blockade reduces cytosolic and mitochondrial oxidative stress and attenuates renal injury and hypertension in SHR. Am J Physiol Renal Physiol 2009;296:F298–F305.
Yuan JL, Liu CH, Jiang ZH, Zhang Y, Liu C. Effects of oral administration of HgCl2 on renal interstitial fibrosis in rats. Acta Lab Anim Sci Sin 2006;14:93–95.
Jamall IS, Finelli VN, Que Hee SS. A simple method to determine nanogram levels of 4-hydroxyproline in biological tissues. Anal Biochem 1981;112:70–75.
Kleiner DE, Stetler-Stevenson WG. Quantitative zymography: detection of picogram quantities of gelatinases. Anal Biochem 1994;218:325–329.
Li MX, Liu BC. Epithelial to mesenchymal transition in the progression of tubulointerstitial fibrosis. Chin Med J 2007;120:1925–1930.
Yuan JL, Liu CH, Zhang Y, Jiang ZH, Liu C. The mechanism of lipid peroxidation in renal interstitial fibrosis in rats intoxicated by mercuric chloride. Chin J Integr Tradit Western Nephrol (Chin) 2008;9:403–407.
Langford N, Ferner R. Toxicity of mercury. J Hum Hypertens 1999;13:651–656.
Daston GP, Rehnberg BF, Hall LL, Kavlock RJ. Toxicity of mercuric chloride to the developing rat kidney. ?. Distribution and elimination of mercury during postnatal maturation. Toxicol Appl Pharmacol 1986;85:39–48.
Zalups RK, Lash LH. Cystine alters the renal and hepatic disposition of inorganic mercury and plasma thiol status. Toxicol Appl Pharmacol 2006;214:88–97.
Omori H, Kawada N, Inoue K, Ueda Y, Yamamoto R, Matsui I, et al. Use of xanthine oxidase inhibitor febuxostat inhibits renal interstitial inflammation and fibrosis in unilateral ureteral obstructive nephropathy. Clin Exp Nephrol 2012;16:549–556.
De Ceaurriz J, Payan JP, Morel G, Brondeau MT. Role of extracellular glutathione and gamma-glutamyltranspeptidase in the disposition and kidney toxicity of inorganic mercury in rats. J Appl Toxicol 1994;14:201–206.
Elsharkawy AM, Mann AD. Nuclear factor-kappaB and the hepatic inflammation-fibrosis-cancer axis. Hepatology 2007;46:590–597.
Karin M, Ben-neriah Y. Phosphorylation meets ubiquitination: the control of NF-kappa B activity. Annu Rev Immunol 2000;18:621–623.
Wu ZH, Miyamoto S. Many faces of NF-kappaB signaling induced by genotoxic stress. J Mol Med 2007;85:1187–1202.
Adcock IM, Brown CR, Kwon O, Barnes PJ. Oxidative stress induces NF kappa B DNA binding and inducible NOS mRNA in human epithelial cells. Biochem Biophys Res Commun 1994;199:1518–1524.
Cheng S, Lovett DH. Gelatinase A (MMP-2) is necessary and sufficient for renal tubular cell epithelial-mesenchymal transformation. Am J Pathol 2003;162:1937–1949.
Veerasamy M, Nguyen TQ, Motazed R, Pearson AL, Goldschmeding R, Dockrell ME. Differential regulation of E-cadherin and alpha-smooth muscle actin by BMP 7 in human renal proximal tubule epithelial cells and its implication in renal fibrosis. Am J Physiol Renal Physiol 2009;297:F1238–F1248.
Chou WY, Lu CN, Lee TH, Wu CL, Hung KS, Concejero AM, et al. Electroporative interleukin-10 gene transfer ameliorates carbon tetrachloride-induced murine liver fibrosis by MMP and TIMP modulation. Acta Pharmacol Sin 2006;27:469–476.
Du X, Shimizu A, Masuda Y, Kuwahara N, Arai T, Kataoka M, et al. Involvement of matrix metalloproteinase-2 in the development of renal interstitial fibrosis in mouse obstructive nephropathy. Lab Invest 2012;92:1149–1160.
Yang J, Liu Y. Dissection of key events in tubular epithelial to myofibroblast transition and its implications in renal interstitial fibrosis. Am J Pathol 2001;159:1465–1475.
Morimoto Y, Gai Z, Tanishima H, Kawakatsu M, Itoh S, Hatamura I, et al. TNF-alpha deficiency accelerates renal tubular interstitial fibrosis in the late stage of ureteral obstruction. Exp Mol Pathol 2008;85:207–213.
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Supported by the National Natural Science Foundation of China (No. 81270053); the National Science and Technology Major Project (No. 2014ZX10005001) and the International S&T Cooperation Program of China (No. 2014DFA31440); "Three-Year Action Plan" for Development of TCM in Shanghai (No. ZY3-CCCX-2-1003).
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Yuan, Jl., Tao, Yy., Wang, Ql. et al. Fuzheng Huayu Formula (扶正化瘀方) prevents rat renal interstitial fibrosis induced by HgCl2 via antioxidative stress and down-regulation of nuclear factor-kappa B activity. Chin. J. Integr. Med. 23, 598–604 (2017). https://doi.org/10.1007/s11655-016-2540-z
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DOI: https://doi.org/10.1007/s11655-016-2540-z