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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Front+Pharmacol
2017 ; 8
(ä): 780
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Saxagliptin Attenuates Albuminuria by Inhibiting Podocyte Epithelial-
to-Mesenchymal Transition via SDF-1? in Diabetic Nephropathy
#MMPMID29163166
Chang YP
; Sun B
; Han Z
; Han F
; Hu SL
; Li XY
; Xue M
; Yang Y
; Chen L
; Li CJ
; Chen LM
Front Pharmacol
2017[]; 8
(ä): 780
PMID29163166
show ga
The dipeptidyl peptidase-4 (DPP-4) inhibitor saxagliptin has been found to reduce
progressive albuminuria, but the exact mechanism of inhibition is unclear.
Podocyte epithelial-to-mesenchymal transition (EMT) has emerged as a potential
pathway leading to proteinuria in diabetic nephropathy (DN). Stromal cell-derived
factor-1? (SDF-1?), one of the substrates of DPP-4, can activate the protein
kinase A pathway and subsequently inhibit its downstream effector, transforming
growth factor-?1 (TGF-?1), which induces podocyte EMT. Thus, this study was
designed to test the hypothesis that saxagliptin reduces progressive albuminuria
by preventing podocyte EMT through inhibition of SDF-1? cleavage in DN. The
results of a series of assays, including ELISA, western blotting, and
immunochemistry/immunofluorescence, showed that saxagliptin treatment obviously
ameliorated urinary microalbumin excretion and renal histological changes in
high-fat diet/streptozotocin-induced diabetic rats. Furthermore,
saxagliptin-treated diabetic rats presented with suppression of DPP-4
activity/protein expression accompanied by restoration of SDF-1? levels, which
subsequently hindered NOX2 expression and podocyte EMT. In vitro, we consistently
observed that saxagliptin significantly inhibited increased DPP-4
activity/expression, oxidative stress and podocyte EMT. Application of an SDF-1?
receptor inhibitor (AMD3100) to cultured podocytes further confirmed the
essential role of SDF-1? in podocyte EMT inhibition. In sum, we demonstrated for
the first time that saxagliptin treatment plays an essential role in ameliorating
progressive DN by preventing podocyte EMT through a SDF-1?-related pathway,
suggesting that saxagliptin could offer renoprotection and that SDF-1? might be a
potential therapeutic target for DN.