Role of NOD-Like Receptors in a Miniature Pig Model of Diabetic Renal Injuries

Yi Ren1, Shaoyuan Cui1, Quan Hong1

  • 1Medical School of Chinese PLA, Department of Nephrology, The First Medical Centre, Chinese PLA General Hospital, Chinese PLA Institute of Nephrology, State Key Laboratory of Kidney Diseases, National Clinical Research Center for Kidney Diseases, Beijing Key Laboratory of Kidney Diseases, Beijing 100853, China.

Insights

NOD-like receptor (NLR) activation drives inflammation, contributing to diabetic kidney injury. Minipigs revealed upregulated NLRP3 and NF-κB pathways, indicating NLRs

Area of Science:

  • Immunology
  • Metabolic Disorders
  • Nephrology

Background:

  • Inflammation, particularly from nutrient excess, causes renal metabolic injury.
  • The role of NOD-like receptors (NLRs) in metabolic dysfunction and subsequent kidney damage is not well understood.
  • Minipigs serve as a relevant model for human diseases due to physiological similarities.

Purpose of the Study:

  • To investigate the role of NLRs in diabetic renal injury using a minipig model.
  • To analyze the expression of NLRP and NLRC subfamily members and their downstream inflammatory pathways.
  • To evaluate the impact of metabolic inflammation on kidney pathology.

Main Methods:

  • Established a diabetic minipig model using a high-sugar, high-fat diet and streptozotocin (STZ) injection.
  • Assessed blood and renal pathological markers.
  • Quantified the expression of NLRP (NLRP1, NLRP3) and NLRC (NLRC1, NLRC2, NLRC5) family members.
  • Measured downstream cytokines (IL-1β, IL-18), NF-κB pathway molecules (IKKβ, IκBα, NF-κB p65), inflammatory cytokines (TNF-α, IL-6), and TGF-β/Smad signaling.

Main Results:

  • Significant upregulation of NLRP3 and its downstream cytokines (IL-1β, IL-18 precursors and mature forms).
  • Increased expression of NLRC1, NLRC2, NLRC5, and activation of NF-κB pathway molecules.
  • Elevated levels of TNF-α, IL-6, TGF-β, and P-SMAD2/3 in diabetic pig kidneys.
  • Evidence of metabolic inflammation mediated by NLRs in diabetic renal injury.

Conclusions:

  • NLR activation, particularly NLRP3, plays a critical role in metabolic inflammation leading to diabetic kidney injury.
  • The NF-κB and TGF-β/Smad signaling pathways are implicated in this process.
  • The minipig model effectively recapitulates key aspects of human diabetic nephropathy.