Key result
Ursolic acid treatment reduced body weights, blood glucose, and urinary albumin/creatinine ratio, and improved renal tissue lesions and glomerulosclerosis in db/db mice.
Why the study?
This study aimed to investigate whether ursolic acid mitigates renal inflammation, oxidative stress, and fibrosis by regulating the ARAP1/AT1R signaling pathway to alleviate renal damage.
Does ursolic acid treatment alleviate renal damage in a type 2 diabetic mouse model?
Does ursolic acid treatment alleviate renal damage in a type 2 diabetic mouse model?
Ursolic acid alleviates diabetic kidney injury in db/db mice by downregulating the ARAP1/AT1R signaling pathway, reducing inflammation, oxidative stress, and fibrosis.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for ursolic acid in diabetic nephropathy; human trials required before any clinical consideration.
PURPOSE: This study aimed to investigate whether ursolic acid (UA) mitigates renal inflammation, oxidative stress and fibrosis by regulating the angiotensin II type 1 receptor-associated protein (ARAP1)/angiotensin II type 1 receptor (AT1R) signaling pathway and subsequently alleviating renal damage. METHODS: db/db mice were divided randomly into a diabetic nephropathy (DN) group and a UA treatment group. Light microscopy and electron microscopy were used to observe pathological changes in renal tissues. Immunohistochemistry (IHC) was employed to examine changes in the expression of ARAP1, AT1R, 8-hydroxydeoxyguanosine (8-OHdG), NADPH oxidase 2 (NOX2), the extracellular matrix protein fibronectin (FN), IL-1β and IL-18 in renal tissues. Western blotting and RT-qPCR were used to detect the respective changes in the protein and mRNA levels of ARAP1, AT1R, NOX4, NOX2, transforming growth factor-β1 (TGF-β1), FN, collagen IV, IL-1β and IL-18 in renal tissues and mesangial cells. In addition, immunofluorescence staining was employed to examine changes in FN and NOX2 expression in mesangial cells. RESULTS: UA treatment effectively reduced the body weights and blood glucose levels of db/db mice (p<0.05) as well as the urinary albumin/creatinine ratio (p<0.05). In addition, the renal tissue lesions and glomerulosclerosis index of the db/db mice were significantly improved after treatment (p<0.01). Histochemical analysis results showed significantly lower expression levels of ARAP1, AT1R, FN, NOX2, 8-OHdG, IL-1β and IL-18 in renal tissues in the UA treatment group than in the DN group. Western blotting and RT-qPCR data also revealed UA-induced decreases in the renal levels of the ARAP1, AT1, NOX4, NOX2, TGF-β1, FN, collagen IV, IL-1β and IL-18 proteins in vivo and/or in vitro (p<0.01). ARAP1 knockdown effectively reduced the expression of NOX2 and FN in vitro. CONCLUSION: UA alleviated renal damage in type 2 diabetic db/db mice by downregulating proteins in the ARAP1/AT1R signaling pathway to inhibit extracellular matrix accumulation, renal inflammation, fibrosis and oxidative stress.
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Ma et al. (2019) studied Diabetic nephropathy. Ursolic acid vs. Diabetic nephropathy (DN) group (untreated) was evaluated on Body weights, blood glucose levels, and urinary albumin/creatinine ratio (p=<0.05). Ursolic acid treatment reduced body weights, blood glucose, and urinary albumin/creatinine ratio, and improved renal tissue lesions and glomerulosclerosis in db/db mice.
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