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Updated: Jul 22, 2025

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
Protease-Activated Receptor-2 and Phospholipid Metabolism Analysis in Hyperuricemia-Induced Renal Injury
Xiaolu Sui1, Tingfei Xie2, Yunpeng Xu1
1Department of Nephrology, The Second Affiliated Hospital of Shenzhen University, Shenzhen 518000, Guangdong, China.
Abstract:
Interstitial inflammation is an important mechanism of pathological damage in renal injury caused by hyperuricemia. Protease-activated receptor-2 (PAR2) is a class of targets that act upstream of the PI3K/AKT/NF-κB pathway and is involved in various inflammatory diseases. We induced a hyperuricemia model in rats by adenine and ethambutol gavage in an in vivo experiment. We demonstrated that PAR2 and PI3K/AKT/NF-κB pathway expression were significantly upregulated in renal tissues, with massive inflammatory cell infiltration in the renal interstitium and renal tissue injury. Treating hyperuricemic rats with AZ3451, a selective metabotropic antagonist of PAR2, we demonstrated that PAR2 antagonism inhibited the PI3K/AKT/NF-κB pathway and attenuated tubular dilation and tubulointerstitial inflammatory cell infiltration. The phospholipid metabolism profiles provided a perfect separation between the normal and hyperuricemic rats. In addition, we also found that AZ3451 can affect phospholipid metabolism. Our work suggests that PAR2 may mediate hyperuricemia-mediated renal injury by activating the PI3K/AKT/NF-κB pathway. The PAR2 antagonist AZ3451 may be a promising therapeutic strategy for hyperuricemia-induced inflammatory responses.
Insights
Protease-activated receptor-2 (PAR2) drives kidney inflammation in hyperuricemia. Blocking PAR2 with AZ3451 reduces inflammation and injury, offering a potential treatment for hyperuricemia-related renal damage.
Area of Science:
- Nephrology
- Inflammation Research
- Pharmacology
Background:
- Interstitial inflammation is a key factor in renal injury associated with hyperuricemia.
- Protease-activated receptor-2 (PAR2) is implicated in inflammatory diseases and acts upstream of the PI3K/AKT/NF-κB pathway.
Purpose of the Study:
- To investigate the role of PAR2 in hyperuricemia-induced renal injury.
- To evaluate the therapeutic potential of a PAR2 antagonist (AZ3451) in a rat model of hyperuricemia.
Main Methods:
- A hyperuricemia rat model was established using adenine and ethambutol.
- PAR2 and PI3K/AKT/NF-κB pathway expression were analyzed in renal tissues.
- The effects of the PAR2 antagonist AZ3451 on renal injury, inflammation, and phospholipid metabolism were assessed.
Main Results:
- Hyperuricemia significantly upregulated PAR2 and PI3K/AKT/NF-κB pathway expression, leading to inflammatory cell infiltration and renal tissue damage.
- AZ3451 treatment inhibited the PAR2 and PI3K/AKT/NF-κB pathway, reducing tubular dilation and inflammation.
- Distinct phospholipid metabolism profiles were observed between normal and hyperuricemic rats, and AZ3451 influenced these profiles.
Conclusions:
- PAR2 activation contributes to hyperuricemia-mediated renal injury by activating the PI3K/AKT/NF-κB pathway.
- PAR2 antagonism with AZ3451 demonstrates therapeutic promise for mitigating inflammatory responses in hyperuricemia-induced kidney damage.
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