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Protective effects of Huang-Lian-Jie-Du Decoction on diabetic nephropathy through regulating AGEs/RAGE/Akt/Nrf2 pathway and metabolic profiling in db/db mice
Tang, Dan1; He, Wen Jiao1; Zhang, Zhi Tong1; Shi, Jing Jing2; Wang, Xue1; Gu, Wen Ting1; Chen, Zhi Quan3; Xu, You Hua4; Chen, Yun Bo2; Wang, Shu Mei1
2022
Source PublicationPhytomedicine
ISSN0944-7113
Volume95
Abstract

Background: Diabetic nephropathy (DN) is a severe diabetic complication that is the principal cause of end-stage kidney disease worldwide. Huang-Lian-Jie-Du Decoction (HLJDD) is widely used to treat diabetes clinically. However, the nephroprotective effects and potential mechanism of action of HLJDD against DN have not yet been fully elucidated. Purpose: This study aimed to investigate the potential roles of HLJDD in DN and elucidate its mechanisms in db/db mice. Methods: An integrated strategy of network pharmacology, pharmacodynamics, molecular biology, and metabolomics was used to reveal the mechanisms of HLJDD in the treatment of DN. First, network pharmacology was utilized to predict the possible pathways for DN using the absorbed ingredients of HLJDD in rat plasma in silico. Then, combined with histopathological examination, biochemical evaluation immunohistochemistry/immunofluorescence assay, western blot analysis, and UPLC-Q-Orbitrap HRMS/MS-based metabolomics approach were applied to evaluate the efficacy of HLJDD against DN and its underlying mechanisms in vivo. Results: In silico, network pharmacology indicated that the AGEs/RAGE pathway was the most prominent pathway for HLJDD against DN. In vivo, HLJDD exerted protective effects against DN by ameliorating glycolipid metabolic disorders and kidney injury. Furthermore, we verified that HLJDD protected against DN by regulating the AGEs/RAGE/Akt/Nrf2 pathway for the first time. In addition, 22 potential biomarkers were identified in urine, including phenylalanine metabolism, tryptophan metabolism, glucose metabolism, and sphingolipid metabolism. Conclusion: These findings suggest that HLJDD ameliorates DN by regulating the AGEs/RAGE/Akt/Nrf2 pathway and metabolic profiling.

KeywordAges/rage/akt/nrf2 Pathway Diabetic Nephropathy Huang-lian-jie-du Decoction Metabolomics Network Pharmacology
DOI10.1016/j.phymed.2021.153777
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaPlant Sciences ; Pharmacology & Pharmacy ; Integrative & Complementary Medicine
WOS SubjectPlant Sciences ; Chemistry, Medicinal ; Integrative & Complementary Medicine ; Pharmacology & Pharmacy
WOS IDWOS:000820618800006
Scopus ID2-s2.0-85119590438
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Document TypeJournal article
CollectionUniversity of Macau
Corresponding AuthorChen, Yun Bo; Wang, Shu Mei
Affiliation1.Key Laboratory of Digital Quality Evaluation of Chinese Materia Medica of State Administration of TCM and Engineering & Technology Research Center for Chinese Materia Medica Quality of Guangdong Province, Guangdong Pharmaceutical University, Guangzhou 5100
2.Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou, 510405, China
3.Department of Pharmacology, School of Pharmacy, Guangxi Medical University, Nanning, 530021, China
4.State Key Laboratory of Quality Research in Chinese Medicine, Faculty of Chinese Medicine, Macau University of Science and Technology, Macau, China
Recommended Citation
GB/T 7714
Tang, Dan,He, Wen Jiao,Zhang, Zhi Tong,et al. Protective effects of Huang-Lian-Jie-Du Decoction on diabetic nephropathy through regulating AGEs/RAGE/Akt/Nrf2 pathway and metabolic profiling in db/db mice[J]. Phytomedicine, 2022, 95.
APA Tang, Dan., He, Wen Jiao., Zhang, Zhi Tong., Shi, Jing Jing., Wang, Xue., Gu, Wen Ting., Chen, Zhi Quan., Xu, You Hua., Chen, Yun Bo., & Wang, Shu Mei (2022). Protective effects of Huang-Lian-Jie-Du Decoction on diabetic nephropathy through regulating AGEs/RAGE/Akt/Nrf2 pathway and metabolic profiling in db/db mice. Phytomedicine, 95.
MLA Tang, Dan,et al."Protective effects of Huang-Lian-Jie-Du Decoction on diabetic nephropathy through regulating AGEs/RAGE/Akt/Nrf2 pathway and metabolic profiling in db/db mice".Phytomedicine 95(2022).
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