天然产物研究与开发 ›› 2026, Vol. 38 ›› Issue (5): 1029-1039.doi: 10.16333/j.1001-6880.2026.5.011 cstr: 32307.14.1001-6880.2026.5.011

• 开发研究 • 上一篇    下一篇

基于AMPK/SIRT1通路探讨槲皮素通过“能量-纤维化-衰老”途径改善高血压肾损害的作用及机制

方  媛1†,熊  娜1†,厉  励1*,倪永骋1,王  磊1,郑亚威2*   

  1. 1 南京中医药大学附属医院,南京 210029;2 南京中医药大学中医学院,南京 210023
  • 出版日期:2026-05-26 发布日期:2026-05-26
  • 基金资助:
    国家自然科学基金(82004309,82505528);江苏省第七期“333工程”人才培养计划(2024-3-2215);江苏省干部保健科研项目(BJ24011)

Mechanism of quercetin in alleviating hypertensive kidney damage via the "energy-fibrosis-aging" pathway based on the AMPK/SIRT1 pathway

FANG Yuan1†,XIONG Na1†,LI Li1*,NI Yong-cheng1,WANG Lei1,ZHENG Ya-wei2*   

  1. 1Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;2 School of Chinese Medicine,Nanjing University of Chinese Medicine,Nanjing 210023,China
  • Online:2026-05-26 Published:2026-05-26

摘要:

探究槲皮素通过“能量-纤维化-衰老”途径对高血压肾损害的保护作用。采用网络药理学方法,预测槲皮素与高血压肾损害之间的共同靶点,并进行KEGG通路富集分析。设Wistar Kyoto(WKY)大鼠为对照组,将自发性高血压大鼠随机分为模型组、槲皮素低剂量组(2.5 mg/kg)、槲皮素高剂量组(10 mg/kg),对照组和模型组给予甲基纤维素进行灌胃,连续灌胃4周后,提取大鼠肾组织样本,进行组织HE染色、Masson染色、PAS染色。使用血管紧张素Ⅱ(angiotensin Ⅱ,Ang Ⅱ)刺激大鼠肾小管上皮细胞(NRK-52E)作为细胞模型,进行CCK-8、免疫荧光、流式细胞术、免疫印迹等实验验证。网络药理学结果提示,腺苷酸活化蛋白激酶(adenosine 5'-monophosphate-activated protein kinase,AMPK)信号通路可能在槲皮素改善高血压肾损害中发挥重要作用;体内实验表明,槲皮素可有效降压,减轻肾脏结构病理改变,减少肾损害。在体外实验中发现,槲皮素通过激活AMPK及其下游沉默信息调节因子1(silent information regulator 1,SIRT1),提高细胞三磷酸腺苷(adenosine triphosphate,ATP)含量,减少线粒体膜电位下降,降低活性氧(reactive oxygen species,ROS)表达水平,维持线粒体能量代谢稳态。并通过降低间充质标志物α-平滑肌肌动蛋白(α-smooth muscle actin,α-SMA)的表达,提高上皮标志物上皮型钙黏附蛋白(E-cadherin)的表达,降低纤维化标志物I型胶原蛋白(Collagen I)、转化生长因子-β1(transforming growth factor-beta 1,TGF-β1)的表达,抑制上皮-间质转化过程,改善纤维化程度。通过降低衰老标志物肿瘤蛋白P53、细胞周期蛋白依赖性激酶抑制剂2A(cyclin-dependent kinase inhibitor 2A,CDKN2A/P16)的表达,干预衰老进程。综上,槲皮素能够减轻高血压肾损害,通过“能量-纤维化-衰老”途径,激活AMPK/SIRT1通路可能是其潜在机制。

关键词: 槲皮素, 高血压肾损害, 能量代谢, 衰老, AMPK/SIRT1

Abstract:

To investigate the protective effect of quercetin against hypertensive renal damage through the "energy-fibrosis-senescence" pathway. Network pharmacology was employed to predict the common targets between quercetin and hypertensive renal damage, followed by KEGG pathway enrichment analysis. Wistar Kyoto (WKY) rats were set as the control group, and spontaneously hypertensive rats were randomly divided into the model group, low-dose quercetin group (2.5 mg/kg), and high-dose quercetin group (10 mg/kg). The control group and model group were given methylcellulose by gavage. After four consecutive weeks of gavage, rat renal tissue samples were collected for HE staining, Masson staining, and PAS staining. A cellular model was established by stimulating NRK-52E cells with angiotensin II (Ang II), and experiments including CCK-8, immunofluorescence, flow cytometry, and Western blot were performed for verification. Results from network pharmacology suggested that the adenosine 5'-monophosphate-activated protein kinase (AMPK) signaling pathway may play an important role in the improvement of hypertensive renal damage by quercetin. In vivo experiments showed that quercetin effectively reduced blood pressure, alleviated pathological changes in renal structure, and mitigated renal damage. In vitro experiments revealed that quercetin activated AMPK and its downstream silent information regulator 1 (SIRT1), increased cellular adenosine triphosphate (ATP) content, reduced the decline in mitochondrial membrane potential, decreased the expression level of reactive oxygen species (ROS), and maintained the homeostasis of mitochondrial energy metabolism. Additionally, quercetin downregulated the expression of mesenchymal marker α-smooth muscle actin (α-SMA), upregulated the expression of epithelial marker E-cadherin, and reduced the expression of fibrotic markers Collagen I and transforming growth factor-beta 1 (TGF-β1), thereby inhibiting the epithelial-mesenchymal transition process and improving fibrosis. By reducing the expression of aging markers, tumor protein P53 and the cyclin-dependent kinase inhibitor 2A (CDKN2A/P16), the aging process is intervened. In summary, quercetin can alleviate hypertensive renal damage, and activating the AMPK/SIRT1 pathway through the "energy-fibrosis-aging" axis may be its potential mechanism.

Key words: quercetin, hypertensive kidney damage, energy metabolism, aging, AMPK/SIRT1

中图分类号:  R544.1