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Syringaresinol attenuates kidney injury by inhibition of pyroptosis via activating the Nrf2 antioxidant pathway in diabetic nephropathy
  • +14
  • Guangru Li,
  • Chang Liu,
  • Lei Yang,
  • Lifeng Feng,
  • Shengzheng Zhang,
  • Jiale An,
  • Tianwei Cheng,
  • Jing Li,
  • Yang Gao,
  • Zhongjie Pan,
  • Yang Xu,
  • Jie Liu,
  • Yachen Wang,
  • Jie Yan,
  • Jianlin Cui,
  • Zhi Qi,
  • Liang Yang
Guangru Li
Nankai University School of Medicine

Corresponding Author:[email protected]

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Chang Liu
Nankai University School of Medicine
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Lei Yang
Nankai Hospital
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Lifeng Feng
Nankai University School of Medicine
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Shengzheng Zhang
Nankai University School of Medicine
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Jiale An
Nankai University School of Medicine
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Tianwei Cheng
Nankai University School of Medicine
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Jing Li
Nankai University School of Medicine
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Yang Gao
Nankai University School of Medicine
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Zhongjie Pan
Tianjin People's Hospital Tianjin Union Medical Center
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Yang Xu
Nankai University School of Medicine
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Jie Liu
Nankai University School of Medicine
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Yachen Wang
Nankai University School of Medicine
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Jie Yan
Nankai University School of Medicine
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Jianlin Cui
Nankai University School of Medicine
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Zhi Qi
Nankai University School of Medicine
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Liang Yang
Nankai University School of Medicine
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Abstract

Background and Purpose: Diabetic nephropathy (DN) is one of the most serious microvascular complications of diabetes that has limited treatment options. NLRP3-initiated pyroptosis is tightly implicated in DN progression. Mitochondrial ROS (mtROS) are a critical trigger of NLRP3 activation. Syringaresinol, a natural plant-derived polyphenolic compound, possesses strong antioxidant properties. However, whether syringaresinol provides renoprotection in DN remains unclear. Experimental Approach: The renoprotection effects of syringaresinol were investigated in streptozotocin-induced wild-type and Nrf2-KO mice. The underlying mechanism of syringaresinol on DN was assessed in diabetic renal tissues and high glucose-stimulated primary renal tubular epithelial cells as well as glomerular mesangial cells HBZY-1. Key Results: Syringaresinol treatment ameliorated renal structural and functional changes in streptozotocin-induced diabetic mice, including renal hypertrophy, fibrosis, mesangial expansion, glomerular basement membrane thickening, podocyte foot process effacement and albuminuria. Mechanistically, syringaresinol prevented the NLRP3/Caspase-1/GSDMD pyroptosis pathway and promoted Nrf2 expression and nuclear transfer in both diabetic renal tissues and high glucose-stimulated primary renal tubular epithelial cells as well as HBZY-1 cells. After that, the nuclear-transferred Nrf2 upregulated the antioxidant genes HO-1 and MnSOD, thereby effectively improving mitochondrial dysfunction and decreasing excess cytosolic ROS and mtROS. Most importantly, knockout of Nrf2 abolished the syringaresinol-mediated renoprotection and antioxidant effects and subsequent mtROS overproduction, resulting in the activation of NLRP3/Caspase-1/GSDMD signaling. Conclusion and Implications: Syringaresinol attenuated diabetic renal lesions by preventing the NLRP3/Caspase-1/GSDMD pyroptosis pathway in an Nrf2-dependent manner. This suggests that syringaresinol may represent promising therapeutic options for DN.