在代谢应激下,SGLT2抑制通过SAM依赖的炎症基因表观遗传抑制来保护功能
Hiroshi Maekawa1,2, Yalu Zhou1,2, Yuki Aoi3,4
1Feinberg Cardiovascular & Renal Research Institute.
The Journal of clinical investigation
|October 1, 2025
概括
通过-葡萄糖携带载体2 (SGLT2) 抑制剂阻断脏葡萄糖再吸收,可以保护脏. 在SGLT2缺陷脏中增加的S-adenosylmethionine (SAM) 在表观遗传学上抑制炎症基因,提供脏保护.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 代谢途径 代谢途径
- 表观遗传学 在表观遗传学中,表观遗传学是指表观遗传学.
背景情况:
- -葡萄糖共运输体2 (SGLT2) 抑制剂减缓病的进展,但机制尚不清楚.
- 改变的代谢物可能解释SGLT2抑制所观察到的脏保护.
- 研究S-adenosylmethionine (SAM) 在SGLT2介导的保护中的作用.
研究的目的:
- 研究S-adenosylmethionine (SAM) 在与SGLT2功能丧失相关的保护中的作用.
- 阐明SGLT2抑制影响代谢物和炎症通路的机制.
主要方法:
- 在缺乏SGLT2功能的小鼠中,与高脂肪饮食中的野生型小鼠进行代谢物的比较.
- 评估功能和NF-κB通路基因的表达.
- 在近端管状细胞中对Mat2a/MAT2A表达的分析以及MAT2A抑制对脏保护的影响.
主要成果:
- 来自SGLT2缺乏小鼠的脏显示S-adenosylmethionine (SAM) 水平增加.
- 升高的SAM与改善功能和减少NF-κB通路基因表达相关.
- 观察到MAT2A抑制取消了脏的保护,并增加了NF-κB基因的H3K27三甲基化.
结论:
- 失去SGLT2会增加脏SAM水平,从而有助于脏的保护.
- SAM通过基因组甲基化促进炎症基因的表观遗传抑制.
- 这项研究揭示了一种新的SGLT2介导脏保护机制,涉及SAM和表观遗传调节.
相关概念视频
Secondary Active Transport
123.0K
One example of how cells use the energy contained in electrochemical gradients is demonstrated by glucose transport into cells. The ion vital to this process is sodium (Na+), which is typically present in higher concentrations extracellularly than in the cytosol. Such a concentration difference is due, in part, to the action of an enzyme “pump” embedded in the cellular membrane that actively expels Na+ from a cell. Importantly, as this pump contributes to the high concentration of...
123.0K
Secondary Active Transport
12.8K
One example of how cells use the energy contained in electrochemical gradients is demonstrated by glucose transport into cells. The ion vital to this process is sodium (Na+), which is typically present in higher concentrations extracellularly than in the cytosol. Such a concentration difference is due, in part, to the action of an enzyme "pump" embedded in the cellular membrane that actively expels Na+ from a cell. Importantly, as this pump contributes to the high concentration of...
12.8K
Glomerular Filtration Rate and its Regulation
6.0K
The Glomerular Filtration Rate (GFR) is a measure of kidney function, reflecting the volume of filtrate formed per minute in the kidneys. On average, GFR is approximately 125 mL/min in males and 105 mL/min in females. Maintaining a relatively constant GFR is essential for the kidneys to effectively regulate body fluid homeostasis and maintain extracellular stability.
GFR regulation involves two primary intrinsic controls: the myogenic and tubuloglomerular feedback mechanisms.
The myogenic...
GFR regulation involves two primary intrinsic controls: the myogenic and tubuloglomerular feedback mechanisms.
The myogenic...
6.0K
Pharmacogenetics of Phase II Enzymes: N-acetyltransferase, Thiopurine S-methyltransferase, UDP-glucuronosyltransferase
101
Phase II biotransformation reactions are essential for detoxifying and eliminating xenobiotics, including many pharmaceutical compounds. These reactions typically involve conjugation, the covalent attachment of polar endogenous groups such as glucuronic acid, sulfate, methyl, or acetyl moieties to functional groups introduced during Phase I metabolism. The resulting conjugates are more water-soluble, enabling efficient renal or biliary excretion.The major classes of Phase II enzymes include...
101
Acute Kidney Injury II: Pathophysiology
2.4K
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...
2.4K
Diabetic Nephropathy
52
Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration...
52


