Abstract
Background
Ischemia–reperfusion (I/R) injury to the kidney occurs commonly in organ transplantation from donation after cardiac death, involving many pathologic processes. In this study, we used rat model to assess whether tripterysium glycosides (TG) preconditioning could exert protective effects in renal I/R injury.
Materials and methods
All male SD rats were randomly divided into four groups (6 each): sham group, TG group, I/R group and TG + I/R group. Groups TG and TG + I/R were pretreated with TG at 0.1 mg/kg for 14 days; groups sham and I/R were administered with the same dosage of normal saline. Groups TG + I/R and I/R underwent 45 min of renal ischemia of left kidney after right nephrectomy, and then, they were subjected to 72-h reperfusion. Groups sham and TG were only received right nephrectomy. The indicators of apoptosis, fibrosis and inflammation were analyzed to evaluate the effect of tripterysium glycosides preconditioning on renal I/R injury.
Results
Pretreatment with TG significantly inhibited the levels of serum creatine and blood urea nitrogen and improved histologic lesions induced by I/R injury. Moreover, for the apoptosis signal pathway, pretreatment with TG markedly decreased the expression of caspase-3 and Bax and increased the level of Bcl-2. HMGB1, which was regarded as one of inflammation marker molecule, it was inhibited in the TG + I/R group. For the fibrosis signal pathway, the pretreatment with TG before I/R could down-regulate the expression level of typical molecules of fibrosis (TGF-β1, Smad3, p-Smad3).
Conclusions
Pretreatment with tripterysium glycosides exhibited protective effect on kidney ischemia/reperfusion injury, which might be related to the alleviation of inflammation, fibrosis and the reduction in apoptosis.
Similar content being viewed by others
References
Gorsuch WB, Chrysanthou E, Schwaeble WJ et al (2012) The complement system in ischemia–reperfusion injuries. Immunobiology 217(11):1026–1033
Ditonno P, Impedovo SV, Palazzo S et al (2013) Effects of ischemia-reperfusion injury in kidney transplantation: risk factors and early and long-term outcomes in a single center. Transplant Proc 45(7):2641–2644
Lin Na, Liu Chun-fang, Xiao Cheng et al (2007) Triptolide, a diterpenoid triepoxide, suppresses inflammation and cartilage destruction in collagen-induced arthritis mice. Biochem Pharmacol 73(1):136–146
Zhou Heng, Guo Wei, Long Cong et al (2015) Triptolide inhibits proliferation of Epstein-Barr virus-positive B lymphocytes by down-regulating expression of a viral protein LMP1. Biochem Biophys Res Commun 456(3):815–820
Wong KF, Yuan Y, Luk JM (2012) Tripterygium wilfordii bioactive compounds as anticancer and anti-inflammatory agents. Clin Exp Pharmacol Physiol 39(3):311–320
Zhou Zhao-Li, Yang Ya-Xi, Ding Jian et al (2012) Triptolide: structural modifications, structure–activity relationships, bioactivities, clinical development and mechanisms. Nat Prod Rep 29(4):457–475
Hao Li, Pan Meng-shu, Zheng Y et al (2014) Effect of Cordyceps sinensis and Tripterygium wilfordii polyglycosidium on podocytes in rats with diabetic nephropathy. Exp Ther Med 7(6):1465–1470
Chen WD, Chang BC, Zhang Y et al (2015) Effect of Tripterygium glycosides on expression of hypoxia inducible factor-1α and endothelin-1 in kidney of diabetic rats. Nan Fang Yi Ke Da Xue Xue Bao 35(4):499–505
Liu G, Shen Y, You L et al (2014) Tripterygium wilfordii polyglycoside suppresses inflammatory cytokine expression in rats with diabetic nephropathy. Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi 30(7):721–724
Kang Rui, Chen Ruo-chan, Zhang Qiu-hong et al (2014) HMGB1 in health and disease. Mol Aspects Med 40:1–116
Krüger B, Krick S, Dhillon N et al (2009) Donor Toll-like receptor 4 contributes to ischemia and reperfusion injury following human kidney transplantation. Proc Natl Acad Sci USA 106(9):3390–3395
Burne-Taney MJ, Kofler J, Yokota N et al (2003) Acute renal failure after whole body ischemia is characterized by inflammation and T cell-mediated injury. Am J Physiol Renal Physiol 285(1):F87–F94
Yang B, Jain S, Pawluczyk IZ et al (2005) Inflammation and caspase activation in long-term renal ischemia/reperfusion injury and immunosuppression in rats. Kidney Int 68(5):2050–2067
Li W, Yang Y, Hu Z et al (2015) Neuroprotective effects of DAHP and Triptolide in focal cerebral ischemia via apoptosis inhibition and PI3 K/Akt/mTOR pathway activation. Front Neuroanat 9:48
Huang Y, Jiang D, Chen L et al (2009) Effects of Tripterygium glycoside on apoptosis of the skeletal muscle after nerve allograft. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 23(1):101–105
Wan YG, Che XY, Sun W et al (2014) Low-dose of multi-glycoside of Tripterygium wilfordii Hook.f., a natural regulator of TGF-β1/Smad signaling activity improves adriamycin-induced glomerulosclerosis in vivo. J Ethnopharmacol 151(3):1079–1089
Yuan XP, He XS, Wang CX et al (2011) Triptolide attenuates renal interstitial fibrosis in rats with unilateral ureteral obstruction. Nephrology 16(2):200–210
Acknowledgments
This study was supported by the National Natural Science Foundation of China (No. 81400753), Hubei Natural Science Foundation (No. 2014CFB362), the bureau of public health of Hubei province (JX6B14) and the project of Wuhan Municipal Science and Technology Bureau (2013062301010808).
Author’s contributions
Zhi-shun Wang carried out the design of the study. Tao Qiu participated in the design and helped to draft the manuscript. Zhong-bao Chen carried out the experiment. Xiu-heng Liu performed the statistical analysis. Jiang-qiao Zhou, Long Zhang, Ye Shen and Lu Zhang carried out some parts of the study. All authors read and approved the final manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors have no conflicts of interest.
Additional information
Zhi-shun Wang and Tao Qiu contributed equally to this work as co-first authors.
Rights and permissions
About this article
Cite this article
Wang, Zs., Qiu, T., Liu, Xh. et al. Tripterysium glycosides preconditioning attenuates renal ischemia/reperfusion injury in a rat model. Int Urol Nephrol 48, 213–221 (2016). https://doi.org/10.1007/s11255-015-1160-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11255-015-1160-4