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The effect of Dapagliflozin on diabetic nephropathy through PRMT1-SIRT1-FoxO1 pathway-mediated autophagy
Jingtong Zhao1, Chunxia Dong2, Peng Qiu3
1Department of Internal Medicine, Hebei Medical University, Hebei General Hospital, Shijiazhuang, Hebei, China.
Objective:
To investigate the effect of dapagliflozin on ameliorating type 2 diabetic kidney disease by regulating PRMT1-SIRT1-FoxO1-mediated autophagy and its underlying molecular mechanism, and to elucidate its role in delaying the progression of diabetic kidney disease.
Methods:
A total of twelve C57BL/6J mice with diabetic kidney disease were randomly allocated into the diabetic kidney disease group (DK group) and the dapagliflozin-treated group (Dap group), with a healthy control group (NC group) additionally established (n = 6 per group). Mice in the Dap group received dapagliflozin via oral gavage, whereas those in the DK and NC groups were administered equivalent volumes of saline for 8 consecutive weeks. Upon completion of the intervention, biochemical parameters were measured. Renal ultrastructural alterations were examined by transmission electron microscopy. Differentially expressed proteins were screened using label-free quantitative proteomics. Furthermore, the expression levels of proteins in the PRMT1-SIRT1-FoxO1 pathway and the autophagy markers LC3 and p62 were validated by Western blot, RT-PCR, and immunofluorescence staining.
Results:
Under electron microscopy, the Dap group exhibited milder glomerular lesions compared to the DKD group (p < 0.05). Levels of Scr, UAlb, BUN, and TC in the Dap group were significantly lower than those in the DKD group (p < 0.05). Compared with the DK group, the Dap group showed significantly reduced protein and mRNA expression levels of PRMT1 in renal tissue (p < 0.05), while the protein and mRNA expression levels of SIRT1, FoxO1, and its downstream autophagy-related proteins LC3-II/LC3-I, Beclin-1, Atg7, and Atg12 were significantly increased (p < 0.05).
Conclusions:
Dapagliflozin restores podocyte autophagic activity by regulating the PRMT1-SIRT1-FoxO1 pathway, thereby ameliorating renal function and pathological injury in diabetic kidney disease.
Insights
Dapagliflozin treatment improved kidney function in diabetic mice by enhancing autophagy. This occurred through the PRMT1-SIRT1-FoxO1 pathway, reducing kidney damage and disease progression.
Area of Science:
- Nephrology
- Endocrinology
- Molecular Biology
Background:
- Diabetic kidney disease (DKD) is a major complication of type 2 diabetes, characterized by progressive renal damage.
- Autophagy plays a critical role in maintaining podocyte health and kidney function under diabetic conditions.
- Dysregulation of the PRMT1-SIRT1-FoxO1 signaling pathway is implicated in DKD pathogenesis.
Purpose of the Study:
- To investigate the therapeutic effect of dapagliflozin on DKD.
- To elucidate the molecular mechanism by which dapagliflozin ameliorates DKD, focusing on the PRMT1-SIRT1-FoxO1-mediated autophagy pathway.
- To assess dapagliflozin's role in delaying DKD progression.
Main Methods:
- C57BL/6J mice with DKD were treated with dapagliflozin or saline for 8 weeks.
- Biochemical parameters, renal ultrastructure (transmission electron microscopy), and protein expression (label-free quantitative proteomics, Western blot, RT-PCR, immunofluorescence) were analyzed.
- Expression of PRMT1, SIRT1, FoxO1, and autophagy markers (LC3, p62, Beclin-1, Atg7, Atg12) was assessed.
Main Results:
- Dapagliflozin treatment significantly reduced serum creatinine, urine albumin, BUN, and cholesterol levels.
- Renal ultrastructure showed milder glomerular lesions in the dapagliflozin-treated group compared to the DKD group.
- Dapagliflozin decreased PRMT1 expression while increasing SIRT1, FoxO1, and autophagy-related protein expression in renal tissue.
Conclusions:
- Dapagliflozin effectively ameliorates renal function and pathological injury in DKD.
- The mechanism involves restoring podocyte autophagic activity via regulation of the PRMT1-SIRT1-FoxO1 pathway.
- Dapagliflozin shows potential in delaying the progression of diabetic kidney disease.
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