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Exploring the Mechanisms of Rosa laevigata polysaccharides in Treating Diabetic Kidney Disease Based on the SIRT1-PGC-1α-NRF2 Signaling Pathway through Oxidative Stress
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DOI   10.11656/j.issn.1673-9043.2025.06.06
Key Words   diabetic kidney disease;Rosa laevigata polysaccharides;silencing regulatory protein 1;peroxisome proliferator-activated receptor gamma coactivator 1alpha;nuclear factor-like erythroid-associated factor 2;oxidative stress
Author NameAffiliationE-mail
SUN Wenjuan Hebei Cangzhou Hospital of Integrated Chinese and Western Medicine, Cangzhou 061000, China  
LI Yuling Hebei Cangzhou Hospital of Integrated Chinese and Western Medicine, Cangzhou 061000, China 734883848@qq.com 
TONG Qingqing Hebei Cangzhou Hospital of Integrated Chinese and Western Medicine, Cangzhou 061000, China  
PAN Baochao Hebei Cangzhou Hospital of Integrated Chinese and Western Medicine, Cangzhou 061000, China  
ZHANG Tianyu Hebei Cangzhou Hospital of Integrated Chinese and Western Medicine, Cangzhou 061000, China  
SU Xiuhai Hebei Cangzhou Hospital of Integrated Chinese and Western Medicine, Cangzhou 061000, China  
GUO Xuan Hebei Cangzhou Hospital of Integrated Chinese and Western Medicine, Cangzhou 061000, China  
Abstract
    [Objective] To investigate the effect of Rosa laevigata polysaccharides(RLP) in the treatment of diabetic kidney disease(DKD) and to explore its mechanism of action from the perspective of Silent regulator protein 1-peroxisome proliferator-activated receptor gamma coactivator 1 alpha-nuclear factor-like erythroid-associated factor 2(SIRT1-PGC-1α-NRF2) signaling pathway.[Methods] Sixty C57BL/6J mice were acclimatized and fed for 1 week, and all of them were given a high-sugar and high-fat diet for 8 weeks, except for 10 mice in the Control group(C), which were fed with basal chow, after which they were modeled with streptozotocin(STZ) and randomly and equally divided into a model group(M), a SIRT1 agonist group(S), a low-dose RLP group(RL), a medium-dose RLP group(RM), and a high-dose RLP group(RH). The mice were gavaged continuously for 8 weeks, and Fasting blood-glucose(FBG) and body weight were measured every 2 weeks in each group. After 8 weeks of treatment, 24h urine samples, blood samples, and kidneys of mice were collected for analysis and determination. Kits were used to determine 24h urine protein quantification(24 h-UPQ), Serum creatinine(Cr), blood urea nitrogen(BUN), and oxidative and antioxidant indices of renal tissues, superoxide dismutase(SOD), glutathione peroxidase(GSH-Px), and malondialdehyde(MDA), to assess the renal function and oxidative stress level in mice. Hematoxylin-eosin(HE) staining was performed on the same part of the kidneys to observe the pathological changes. Real-time fluorescence quantitative PCR(RT-qPCR) was used to detect silencing regulatory protein 1(Sirt1), peroxisome proliferator-activated receptor gamma coactivator 1alpha(Pgc-1alpha), nuclear factor-like erythroid-associated factor 2(Nrf2), heme oxygenase 1(HO-1), and NAD(P)H:quinone oxidoreductase 1(Nqo1) mRNA Expression. Western blotting detects SIRT1, PGC-1α, NRF2, HO-1, NQO1 protein expression.[Results] Compared with the model group, after treatment with SRT1720 and RLP, DKD mice showed a slower decrease in body mass, no difference in FBG, different degrees of reduction in 24 h-UPQ, Cr, BUN, different degrees of enhancement of SOD and GSH-Px activities, decrease in MDA content, different degrees of improvement in renal histopathological injury, and different degrees of increase in gene and protein expression levels of renal tissues SIRT1, PGC-1α, NRF2, HO-1, NQO1 protein expression levels corresponding gene were elevated to different degrees.[Conclusion] RLP may ameliorate kidney injury in DKD mice by activating the SIRT1-PGC-1α-NRF2 signaling pathway and inhibiting oxidative stress.

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