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Efficacy of Danggui Buxue decoction (当归补血汤) on diabetic nephropathy-induced renal fibrosis in rats and possible mechanism
Received date: 2022-01-23
Accepted date: 2022-05-25
Online published: 2023-02-14
Supported by
Research on the Mechanism of Danggui Buxue Decoction in the Treatment of Diabetic Renal Interstitial Fibrosis Based on the Regulation of TGF-β1/Smad3 Signaling Pathway by MiRNA-27a(NZY81904085)
OBJECTIVE: To observe the efficacy of Danggui Buxue decoction (当归补血汤, DBD) on diabetic nephropathy-induced renal fibrosis in rats, and to study the possible mechanism.
METHODS: Sixty male Goto Kakizaki (GK) rats were randomly assigned to the model group, gliquidone group, astragaloside IV group, and high-, medium- and low-doses DBD groups. After 8 weeks, changes in body weight, blood glucose, serum creatinine, serum urea nitrogen, and total cholesterol were observed. Changes in transforming growth factor-β1 (TGF-β1), Smad3, and Smad5 pathways and the expression of the fibrosis-related proteins collagen IV (col IV), α-smooth muscle actin (α-SMA), and vimentin were assessed. The degree of renal fibrosis was observed by immunohistochemistry and Mason staining. The expression of interleukin 6 (IL-6), interleukin 10 (IL-10), tumor necrosis factor (TNF-α), and C-reactive protein (CRP) in the kidneys was assessed using enzyme linked immunosorbent assay.
RESULTS: Our experiments showed that DBD effectively reduced blood glucose, blood urea nitrogen, and creatinine levels after 8 weeks of administration, improved renal function in diabetic rats, alleviated renal fibrosis, and reduced the renal tissue levels of IL-6, IL-10, TNF-α, and CRP. Furthermore, DBD decreased the expression of TGF-β1, Smad3, col IV, α-SMA, and vimentin in renal tissues and increased the expression of Smad5.
CONCLUSIONS: DBD ameliorates diabetic renal interstitial fibrosis by modulating the TGF-β1/Smads pathway.
Ye ZHAO , Xian WANG , Ling GU , Zihang LI , Jingtian ZHU , Wenkai WANG , Liang ZHANG , Mei XUE . Efficacy of Danggui Buxue decoction (当归补血汤) on diabetic nephropathy-induced renal fibrosis in rats and possible mechanism[J]. Journal of Traditional Chinese Medicine, 2023 , 43(3) : 507 -513 . DOI: 10.19852/j.cnki.jtcm.20230214.004
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