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Danggui Shaoyaosan attenuates doxorubicin induced Nephrotic Syndrome through regulating on PI3K/Akt Pathway

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The study aimed to explore the role and the underlying mechanism of Danggui Shaoyaosan (DSS) in nephrotic syndrome (NS). NS rat model was induced by doxorubicin injection twice. After DSS treatment, inflammation and oxidative stress index were detected via ELISA. Western blot was used for the protein detection. Go and KEGG analysis was applied to evaluate target gene and signaling of DSS. MCP-5 cell was applied for the cell rescue experiments and mechanism exploration. The 24 h urine protein levels of NS rats increased significantly, which was reduced by DSS treatment in a concentration-dependent manner. After DSS treatment, levels of BUN, SCr, TG and TC were also decreased, and serum ALB and TP levels were increased in rats. GO and KEGG pathway enrichment identified PI3K-Akt to be the candidate signaling of DSS in the treatment of NS, which was activated in NS rats. The recuse experiments in MCP-5 demonstrated that IGF-1, the agonist of PI3K/AKT, abolished the beneficial role of DSS in podocyte cell viability, apoptosis, inflammation and oxidative stress. In conclusion, DSS exerts a protective role against the development of NS. The mechanism is related to the improvement of podocyte injury and the inhibition of PI3K/Akt pathway-related proteins.

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Data availability

The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.


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Mechanism of nephrotic syndrome in children based on ORRN signaling pathway and intervention of Danggui Shaoyao Powder (General project of Natural Science Foundation of Heilongjiang Province), Contract Number: H2015106.

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MQ designed the study, performed the experiment, and was a major contributor in writing the manuscript. TZZ involved in interpretation of data, drafting the manuscript and revising it critically for important intellectual content. All authors read and approved the final manuscript.

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Correspondence to Man Qin.

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The study was conducted in agreement with the ARRIVE guidelines. All animal experimental protocols were approved by the Animal Ethics Committee of Heilongjiang Academy of Traditional Chinese Medicine.

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The authors declare that they have no competing interests.

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Qin, M., Zhang, T. Danggui Shaoyaosan attenuates doxorubicin induced Nephrotic Syndrome through regulating on PI3K/Akt Pathway. Funct Integr Genomics 23, 148 (2023).

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