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Sanhuang Yishen Capsule protects renal function in diabetic kidney disease mice by inhibiting podocyte pyroptosis
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DOI   10.11656/j.issn.1673-9043.2025.07.09
Key Words   Sanhuang Yishen Capsule;pyroptosis;renal function;diabetic kidney disease
Author NameAffiliationE-mail
CHEN Yangyang Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Hebei Province, Cangzhou 061001, China  
LI Bo College of Traditional Chinese Medicine, North China University of Science and Technology, Tangshan 063210, China  
LI Meng Hebei Medical University, Shijiazhuang 050011, China  
LYU Shuquan Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Hebei Province, Cangzhou 061001, China
Key Research Laboratory of Diabetic Kidney Disease Syndrome and Treatment, Cangzhou 061001, China 
 
LI Yuling Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Hebei Province, Cangzhou 061001, China
Key Research Laboratory of Diabetic Kidney Disease Syndrome and Treatment, Cangzhou 061001, China 
 
LIU Zhen Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Hebei Province, Cangzhou 061001, China
Key Research Laboratory of Diabetic Kidney Disease Syndrome and Treatment, Cangzhou 061001, China 
 
LI Jianxiu Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Hebei Province, Cangzhou 061001, China
Key Research Laboratory of Diabetic Kidney Disease Syndrome and Treatment, Cangzhou 061001, China 
 
WANG Yanan Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Hebei Province, Cangzhou 061001, China
Key Research Laboratory of Diabetic Kidney Disease Syndrome and Treatment, Cangzhou 061001, China 
 
WU Rui Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Hebei Province, Cangzhou 061001, China
Key Research Laboratory of Diabetic Kidney Disease Syndrome and Treatment, Cangzhou 061001, China 
 
WANG Lixin Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Hebei Province, Cangzhou 061001, China
Key Research Laboratory of Diabetic Kidney Disease Syndrome and Treatment, Cangzhou 061001, China 
 
HAN Qingqing Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Hebei Province, Cangzhou 061001, China
Key Research Laboratory of Diabetic Kidney Disease Syndrome and Treatment, Cangzhou 061001, China 
 
ZHANG Zhongyong Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Hebei Province, Cangzhou 061001, China
Key Research Laboratory of Diabetic Kidney Disease Syndrome and Treatment, Cangzhou 061001, China 
 
LIU Zhilong Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Hebei Province, Cangzhou 061001, China 1280395467@qq.com 
Abstract
    [Objective] To establish a diabetic kidney disease(DKD) mouse model and investigate the effects of Sanhuang Yishen Capsule(SHYS) on renal podocytes and its mechanism,while observing changes in renal function. [Methods] Thirty-two SPF-grade male C57BL/6 mice were adaptively fed for 1 week. Except for the normal group,DKD models were induced by intraperitoneal streptozotocin(STZ) injection and high-fat diet. Successfully modeled mice were divided into the model group,SHYS group,and captopril group. After 1 week of stabilization,SHYS and captopril groups received daily gavage for 8 weeks,while the normal and model groups received saline. Body weight and blood glucose were monitored. Serum creatinine(Scr),blood urea nitrogen(BUN),24-hour urinary protein(24 h-UP),triglycerides(TG),total cholesterol(TC),and low-density lipoprotein(LDL) were measured. Renal pathology was assessed via hematoxylin-eosin(HE) and periodic acid-Schiff(PAS) staining. Caspase-1 expression and pyroptosis were detected by immunofluorescence. Synaptopodin and Caspase-1 protein levels were analyzed by Western blot. [Results] Compared with the normal group,the model group showed increased body weight,blood glucose,24 h-UP,Scr,TC,and LDL(P<0.05 or P<0.01). After treatment,SHYS and captopril groups exhibited reduced body weight,blood glucose,24 h-UP,Scr,and TC(P<0.05 or P<0.01),with no significant changes in BUN or TG(P>0.05). HE/PAS staining revealed severe renal injury in the model group,which was alleviated by SHYS and captopril. Immunofluorescence and Western blot confirmed that SHYS downregulated Caspase-1(P<0.01) and upregulated Synaptopodin(P<0.05) compared to the model group. [Conclusion] SHYS ameliorates renal dysfunction in DKD mice by reducing proteinuria,improving lipid metabolism,and suppressing podocyte pyroptosis via Caspase-1 inhibition.

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