天然产物研究与开发 ›› 2026, Vol. 38 ›› Issue (7): 1438-1449.doi: 10.16333/j.1001-6880.2026.7.006 cstr: 32307.14.1001-6880.2026.7.006

• 研究论文 • 上一篇    下一篇

黄芩苷抑制HIF-1α/VEGF/TGF-β1通路改善糖尿病大鼠肾纤维化与肾损伤作用

苏  杨1,2,王奕程1,王瑞龙1,张忠华2,滕国忠2,王建杰1*   

  1. 1佳木斯大学基础医学院,佳木斯 154007;2鹤岗鹤矿医院,鹤岗 154100
  • 出版日期:2026-07-24 发布日期:2026-07-23
  • 基金资助:
    黑龙江省自然科学基金(LH2021H106);黑龙江省普通高等学校基本科研业务费(2024-KYYWF-0598);教育厅创新团队(2024-KYYWF-0617);佳木斯大学“东极”学术团队项目(DJXSTD202404)

Effect and mechanism of baicalin in improving renal fibrosis and renal injury in diabetic rats by inhibiting the HIF-1α/VEGF/TGF-β1 pathway

SU Yang1,2,WANG Yi-cheng1,WANG Rui-long1,ZHANG Zhong-hua2,TENG Guo-zhong2,WANG Jian-jie1*   

  1. 1School of Basic Medical Sciences,Jiamusi University,Jiamusi 154007,China;2Hegang Hekuang Hospital,Hegang 154100,China
  • Online:2026-07-24 Published:2026-07-23

摘要:

探究黄芩苷(baicalin,BAI)通过抑制低氧诱导因子-1α/血管内皮生长因子/转化生长因子-β1(hypoxia inducible factor-1α/vascular endothelial growth factor/transforming growth factor-β1,HIF-1α/VEGF/TGF-β1)通路对糖尿病肾脏疾病(diabetic kidney disease,DKD)肾纤维化与肾损伤的影响。通过腹腔注射链脲佐菌素建立DKD大鼠体内模型,随机分为正常组、阴性对照组(BAI,200 mg/kg)、DKD模型组、BAI低剂量组(50 mg/kg)、BAI高剂量组(200 mg/kg);收集血清及尿液检测空腹血糖(fasting blood glucose,FBG)、血肌酐(serum creatinine,Scr)、尿素氮(blood urea nitrogen,BUN)、24 h尿蛋白含量,HE与Masson染色评价肾脏病理学与纤维化改变。进一步通过葡萄糖诱导人肾小管上皮细胞(HK-2)建立DKD体外高糖(high glucose,HG)模型,分为正常组、HG模型组、BAI治疗组、HIF-1α抑制剂组、BAI+HIF-1α抑制剂组,免疫荧光与免疫组化法检测肾脏与HK-2细胞中HIF-1α与TGF-β1表达,TUNEL染色检测HK-2细胞凋亡,Western blot法检测HIF-1α、VEGF、TGF-β1、SMAD家族成员3(SMAD family member 3,SMAD3)、磷酸化SMAD3(p-SMAD3)、基质金属蛋白酶9(matrix metalloprotein 9,MMP-9)、金属蛋白酶组织抑制因子1(tissue inhibitor of metalloproteinase 1,TIMP-1)及BCL-2相关X蛋白(BCL-2 associated X protein,BAX)、B淋巴细胞瘤-2(B-cell lymphoma-2,BCL-2)、半胱氨酸天冬氨酸蛋白酶3(cysteine aspartate-specific protease 3,Caspase-3)凋亡蛋白表达。体内与体外结果显示,BAI可显著降低DKD大鼠FBG、Scr、BUN、24 h尿蛋白含量(P<0.05),保护肾小球肥大与肾小管水肿,提高肾脏功能;显著抑制肾组织与HK-2细胞中HIF-1α、VEGF、TGF-β1、p-SMAD3/SMAD3、MMP-9表达(P<0.05),促进TIMP-1蛋白表达(P<0.05),抑制HIF-1α/VEGF/TGF-β1通路,减轻细胞外基质沉积,改善纤维化损伤;显著降低BAX与Cleaved-Caspase-3/Caspase-3表达,增加BCL-2蛋白表达(P<0.05),抑制细胞凋亡。以上结果表明,BAI具有良好的降血糖与肾脏保护作用,通过下调HIF-1α抑制HIF-1α/VEGF/TGF-β1通路减轻DKD肾纤维化与肾损伤。

关键词: 黄芩苷, 糖尿病肾脏疾病, 肾纤维化, HIF-1α/VEGF/TGF-β1通路, 凋亡

Abstract:

This study aims to explore the effect of baicalin (BAI) on renal fibrosis and renal injury in diabetic nephropathy by inhibiting the hypoxia inducible factor-1α (HIF-1α) / vascular endothelial growth factor (VEGF) / transforming growth factor-β1 (TGF-β1) pathway. The in vivo model of diabetic kidney disease (DKD) in rats was established by intraperitoneal injection of streptozotocin, and they were randomly divided into the control group, the negative control group (BAI, 200 mg/kg), the DKD model group, and the BAI low-dose group (50 mg/kg), BAI high-dose group (200 mg/kg). Serum and urine were collected to detect fasting blood glucose (FBG), serum creatinine (Scr), blood urea nitrogen (BUN), and 24-hour urine protein content. HE and Masson staining were used to evaluate renal pathology and fibrotic changes. Furthermore, a high glucose (HG) model of DKD was established in vitro using glucose-induced human renal tubular epithelial cells (HK-2), which were divided into the control group, HG model group, BAI treatment group, HIF-1α inhibitor group, and BAI + HIF-1α inhibitor group. The expressions of HIF-1α and TGF-β1 in kidney and HK-2 cells were detected by immunofluorescence and immunohistochemistry. The apoptosis of HK-2 cells was detected by TUNEL staining. The expressions of HIF-1α, VEGF, TGF-β1, SMAD family member 3 (SMAD3) , phosphorylated SMAD3 (p-SMAD3), matrix metalloprotein 9 (MMP-9), tissue inhibitor of metalloproteinase 1 (TIMP-1) and BCL-2 associated X protein (BAX), B-cell lymphoma-2 (BCL-2), cysteine aspartate-specific protease 3 (Caspase-3) proteins were detected by Western blot. Both in vivo and in vitro results demonstrated that BAI could significantly reduce FBG, Scr, BUN, and 24-hour urine protein content (P<0.05), protect against glomerular volume enlargement and tubular edema, and improve renal function. It also significantly inhibited the expression of HIF-1α, VEGF, TGF-β1, p-SMAD3/SMAD3, and MMP-9 in renal tissue and HK-2 cells,while promoting the expression of TIMP-1 protein (P<0.05). BAI can inhibit the HIF-1α/VEGF/TGF-β1 pathway, reduce extracellular matrix deposition, improve fibrotic damage, significantly decrease BAX and Cleaved-Caspase-3/Caspase-3 expression, increase BCL-2 protein expression (P<0.05), and inhibit apoptosis. The above results indicate that BAI has good hypoglycemic and renal protective effects. By down-regulating the expression of HIF-1α and inhibiting the HIF-1α/VEGF/TGF-β1 pathway, it alleviates renal fibrosis and renal injury in DKD.

Key words: baicalin; diabetic kidney disease, renal fibrosis, HIF-1α/VEGF/TGF-β1 pathway, apoptosis

中图分类号:  R285.5