Preventive effects and mechanisms of rhein on renal interstitial fibrosis in obstructive nephropathy

Dongyuan He1, Li Lee, Junwei Yang

  • 1First Clinical Medical College of Nanjing Medical University, Nanjing 210029, P. R. China.

Insights

Rhein effectively treats kidney fibrosis by reducing scarring and blocking the activation of kidney cells. This study shows rhein

Area of Science:

  • Nephrology
  • Pharmacology
  • Cell Biology

Background:

  • Renal interstitial fibrosis is a significant complication of chronic kidney diseases.
  • Unilateral ureteral obstruction (UUO) is a common model to study kidney fibrosis.
  • Identifying effective therapeutic agents for renal fibrosis is crucial.

Purpose of the Study:

  • To evaluate the therapeutic potential of rhein against renal interstitial fibrosis induced by UUO.
  • To elucidate the underlying mechanisms of rhein's action in inhibiting fibrosis.

Main Methods:

  • Mice underwent UUO and were treated with rhein or a control vehicle.
  • Pathological staining and Western blot were used to assess renal injury and fibrosis.
  • Western blot, immune-fluorescence, and ELISA were employed to investigate molecular mechanisms.
  • In vitro studies used rat kidney interstitial fibroblast cells (NRK-49F) treated with TGF-β1.

Main Results:

  • Rhein treatment significantly reduced renal interstitial fibrotic lesions and injury.
  • Rhein decreased the expression of alpha-smooth muscle actin (α-SMA) and fibronectin (FN).
  • Rhein suppressed transforming growth factor-β1 (TGF-β1) and its type I receptor in obstructed kidneys.
  • In vitro, rhein inhibited TGF-β1-induced α-SMA and fibronectin expression in fibroblasts.

Conclusions:

  • Rhein demonstrates potent therapeutic efficacy in ameliorating established renal interstitial fibrosis.
  • Rhein's mechanism involves inhibiting interstitial fibroblast activation, partly by suppressing the TGF-β1 signaling pathway.
  • Rhein represents a promising therapeutic candidate for treating chronic kidney diseases characterized by fibrosis.

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