Abstract

Lipid deposition is an etiology of renal damage caused by lipid metabolism disorder in diabetic nephropathy (DN). Thus, reducing lipid deposition is a feasible strategy for the treatment of DN. Morroniside (MOR), an iridoid glycoside isolated from the Chinese herb Cornus officinalis Sieb. et Zucc., is considered to be an effective drug in inhibiting oxidative stress, reducing inflammatory response, and countering apoptosis. To explore the protective mechanism of MOR in attenuating renal lipotoxicity in DN, we investigated the effect of MOR on an in vitro model of lipid metabolism disorder of DN established by stimulating mouse renal tubular epithelial cells (mRTECs) with sodium palmitate (PA) or high glucose (HG). Oil Red O and filipin cholesterol staining assays were used to determine intracellular lipid accumulation status. Results revealed that PA or HG stimulation inhibited the expressions of peroxisome proliferator-activated receptor γ coactivator 1α (PGC-1α), liver X receptors (LXR), ATP-binding cassette subfamily A member 1 (ABCA1), ABCG1, and apolipoprotein E (ApoE) in mRTECs as evidenced by western blot and quantitative real-time PCR, resulting in increased intracellular lipid deposition. Interestingly, MOR upregulated expressions of PGC-1α, LXR, ABCA1, ABCG1, and ApoE, thus reducing cholesterol accumulation in mRTECs, suggesting that MOR might promote cholesterol efflux from mRTECs via the PGC-1α/LXR pathway. Of note, silencing PGC-1α reversed the promotive effect of MOR on PA- or HG-induced cellular cholesterol accumulation. In conclusion, our results suggest that MOR has a protective effect on mRTECs under high lipid or high glucose conditions, which may be related to the promotion of intracellular cholesterol efflux mediated by PGC-1α.

Highlights

  • Diabetic nephropathy (DN) is one of the most common microvascular complications in type 2 diabetes patients

  • We investigated the protective mechanism of MOR in DN and the mechanism of suppressing cholesterol efflux mediated by PGC-1α, so as to provide scientific evidence for the prevention and control of DN

  • To investigate the impact of MOR on lipid accumulation, we tested the toxicity of MOR in mouse renal tubular epithelial cells (mRTECs)

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Summary

Introduction

Diabetic nephropathy (DN) is one of the most common microvascular complications in type 2 diabetes patients. DN has become the most important cause of end-stage renal disease, accounting for about 25–40% of patients with diabetes [1, 2]. Renal lipotoxicity caused by lipid metabolism disorder is one of the pathogenic mechanisms of DN [3]. Excessive lipid deposition in the kidney aggravates the inflammatory reaction and insulin resistance, which in turn promotes production of reactive oxygen species, oxidative stress, and endoplasmic reticulum stress. The result is impairment of the glomerular filtration barrier and renal failure [4]. Accumulation of intracellular cholesterol has been shown to be one of the mechanisms of renal injury caused by lipid metabolism disorder in DN [5]. Excessive cholesterol deposition in the kidney results from the imbalance of cholesterol

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