Corynoline alleviates renal ischemia-reperfusion injury by enhancing Nrf2/HO-1 pathway

Ming Chang1, Buhe Sichen1

  • 1Inner Mongolia Medical University - Affiliated Hospital Hohhot - Department of Urology - Inner Mongolia Autonomous Region - China.

PubMed
Abstract

Insights

Corynoline effectively treats kidney injury from ischemia-reperfusion (IR) by reducing oxidative stress and inflammation. Its protective mechanism involves activating the Nrf2/HO-1 pathway, offering a potential therapeutic strategy for kidney diseases.

Area of Science:

  • Nephrology
  • Pharmacology
  • Molecular Biology

Background:

  • Oxidative stress and inflammation are key contributors to various diseases.
  • Corynoline's therapeutic potential is recognized, but its role in renal ischemia-reperfusion (IR) injury is not well-defined.

Purpose of the Study:

  • To investigate the protective effects of corynoline on renal IR injury.
  • To elucidate the underlying mechanism of corynoline's action in renal IR injury.

Main Methods:

  • A rat model of renal IR injury was established.
  • Kidney tissue and blood samples were analyzed for damage, inflammation, oxidative stress, and apoptosis.
  • The expression of Nrf2 (nuclear factor erythroid 2-related factor 2) and HO-1 (heme oxygenase-1) was assessed, along with the impact of an Nrf2 inhibitor (ML-385).

Main Results:

  • Corynoline significantly ameliorated renal IR injury, improving renal function and reducing tissue damage and apoptosis.
  • It suppressed oxidative stress by increasing superoxide dismutase (SOD) and decreasing malondialdehyde (MDA).
  • Corynoline inhibited inflammatory responses by reducing neutrophil infiltration and pro-inflammatory cytokine release, and it restored Nrf2/HO-1 expression, with its protective effects being reversed by ML-385.

Conclusions:

  • Corynoline exerts protective effects against renal IR injury by mitigating oxidative stress, inflammation, and apoptosis.
  • The mechanism of action is linked to the activation of the Nrf2/HO-1 signaling pathway.

Related Concept Videos

Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
72
Acute Kidney Injury I: Introduction01:22

Acute Kidney Injury I: Introduction

Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
72
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
57
Renal Corpuscle01:20

Renal Corpuscle

The glomerulus and Bowman's capsule are two essential components of the nephron, which is the functional unit of the kidney. These microscopic structures play a critical role in the process of blood filtration to produce urine.
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
3.3K
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
505
Renal Drug Excretion: Overview01:15

Renal Drug Excretion: Overview

As primary excretory organs, the kidneys maintain homeostasis by removing waste substances from the bloodstream. They comprise over a million units called nephrons, which serve as the kidney's functional units.
A nephron consists of two primary structures: the renal corpuscle and the renal tubule. The renal corpuscle contains the glomerulus, a network of capillaries where the first step of renal excretion, glomerular filtration, occurs. Blood pressure forces water, ions, and small molecules...
269