Glucagon-Like Peptide 1 Receptor Agonist Improves Renal Tubular Damage in Mice with Diabetic Kidney Disease

Ran Li1, Dunmin She2, Zhengqin Ye1

  • 1Department of Endocrinology and Metabolism, Tongji Hospital, School of Medicine, Tongji University, Shanghai, 200065, People's Republic of China.

Abstract

Insights

Glucagon-like peptide 1 receptor agonist (GLP-1RA) treatment improved kidney damage in diabetic kidney disease (DKD) mice. Seminal vesicle secretory protein 6 (SVS6) was identified as a potential therapeutic target for DKD treatment.

Area of Science:

  • Nephrology
  • Endocrinology
  • Molecular Biology

Background:

  • Diabetic kidney disease (DKD) is a major complication of diabetes, characterized by progressive renal tubular damage.
  • Glucagon-like peptide 1 receptor agonists (GLP-1RAs) are increasingly used for diabetes management and have shown potential renoprotective effects.

Purpose of the Study:

  • To investigate the renal protective effects of GLP-1RA in DKD.
  • To explore the underlying molecular mechanisms, focusing on renal tubular protection.

Main Methods:

  • DKD mice were treated with a long-acting GLP-1RA for 12 weeks.
  • Label-free quantitative proteomics identified differentially expressed proteins (DEPs) in renal tissues.
  • Quantitative PCR (qPCR) and immunofluorescence validated protein and receptor expression in vivo and in vitro.
  • siRNA was used to reduce Seminal vesicle secretory protein 6 (SVS6) expression.

Main Results:

  • GLP-1RA treatment significantly ameliorated tubular damage in DKD mice and high glucose-stimulated renal tubular cells.
  • Proteomic analysis revealed 30 DEPs, with SVS6 being the most significantly altered.
  • Svs6 mRNA expression changes correlated with proteomic findings.
  • Reduced SVS6 expression attenuated high glucose-induced tubular injury.
  • Glucagon-like peptide-1 receptor (GLP-1R) was widely expressed in renal tubules.

Conclusions:

  • GLP-1RA demonstrates significant renal protective effects in DKD, improving tubular damage.
  • SVS6 emerges as a potential therapeutic target for GLP-1RA in DKD treatment.