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Updated: Jul 25, 2025

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
Interference in the nutrient-sensing and inflammatory signaling pathways by renal autophagy activation in mice with
Delun Li1, Siyu Yuan1, Yiyao Deng2
1Department of Nephrology, First Medical Center of Chinese People's Liberation Army General Hospital, Nephrology Institute of the Chinese People's Liberation Army, State Key Laboratory of Kidney Diseases, National Clinical Research Center for Kidney Diseases, Beijing Key Laboratory of Kidney Disease Research, Beijing, 100853, China.
Purpose:
Disturbance in metabolism and inflammation are the main causes of kidney injury in patients with late stage diabetic nephropathy (DN). Here, we explored whether autophagy was activated in mice with late stage DN and whether it was associated with disturbance in metabolism and inflammation.
Methods:
In total, mice were divided into the control group (db/m) and DN group (db/db). Mice were raised for 7 months, and their biochemical indices were measured. Subsequently, their kidneys were collected to detect autophagy and the related nutrient-sensing and inflammatory signaling pathways in late stage DN.
Results:
The expression levels of autophagy markers LC3-I and LC3-II were significantly increased in mice with late stage DN, whereas that of autophagy flux marker P62 was significantly decreased, indicating activation of autophagy. Concurrently, mechanistic target of rapamycin was highly expressed as a cellular nutrient-sensing and energy regulator in mice with late stage DN. Additionally, the expression levels of markers of nutrient-sensing signaling pathways adenosine monophosphate-activated protein kinase (AMPK) were increased markedly in mice with late stage DN. Additionally, the expression levels of the marker of nutrient-sensing signaling pathways silent information regulator T1 (SIRT1), the marker of inflammatory signaling pathways high mobility group box protein 1 (HMGB1), and interferon regulatory factor 3 (IRF3) were significantly increased in mice with late stage DN.
Conclusions:
The findings of our study indicate that autophagy activation in late stage DN may interfere with nutrient-sensing and inflammatory signaling pathways involving AMPK, SIRT1, HMGB1, and IRF3.
Insights
Autophagy is activated in late-stage diabetic nephropathy (DN), impacting nutrient-sensing and inflammatory pathways. This study investigated autophagy
Area of Science:
- Nephrology
- Metabolic Disorders
- Cellular Biology
Background:
- Diabetic nephropathy (DN) involves metabolic and inflammatory disturbances leading to kidney injury.
- Autophagy plays a critical role in cellular homeostasis and response to metabolic stress.
Purpose of the Study:
- To investigate the activation of autophagy in late-stage diabetic nephropathy (DN) in mice.
- To determine the association between autophagy and metabolic/inflammatory disturbances in DN.
Main Methods:
- Comparison of control (db/m) and diabetic nephropathy (db/db) mice over 7 months.
- Measurement of biochemical indices and kidney tissue analysis.
- Detection of autophagy markers (LC3-I/II, P62) and related signaling pathways (mTOR, AMPK, SIRT1, HMGB1, IRF3).
Main Results:
- Autophagy was significantly activated in late-stage DN mice, evidenced by increased LC3-I/II and decreased P62.
- Key nutrient-sensing pathways (AMPK, SIRT1) and inflammatory markers (HMGB1, IRF3) were upregulated.
- Mechanistic target of rapamycin (mTOR), a nutrient-sensing regulator, was highly expressed.
Conclusions:
- Autophagy activation in late-stage DN is linked to metabolic and inflammatory pathway dysregulation.
- The findings suggest a role for autophagy in the pathogenesis of diabetic nephropathy.
- Interference with AMPK, SIRT1, HMGB1, and IRF3 signaling pathways by autophagy warrants further investigation.
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