Diabetic nephropathy (DN), a prevalent and severe microvascular complication of diabetes, often leads to endâstage renal disease and poses a threat to patient survival. However, to the best of our knowledge, there are currently no effective strategies available for the treatment of DN. Obacunone (OB), a smallâmolecule natural compound derived from Citrus plants, exhibits various pharmacological effects; however, the impact of OB on DN remains to be fully elucidated. Therefore, the present study aimed to explore the effects and potential mechanisms of OB in DN. In the current study, DN models were created in vitro by treating HKâ2 cells with highâglucose (HG) levels, and in vivo by administering a HG and highâfat diet along with intraperitoneal injections of streptozotocin to SpragueâDawley rats. Subsequently, cell viability was evaluated using the Cell Counting Kitâ8 assay, while ferroptosisârelated marker levels were determined using biochemical kits, immunofluorescence and western blotting. Activation and homeostasis of the nuclear factor erythroid 2ârelated factor 2 (Nrf2) signaling pathway were analyzed using western blotting, coâimmunoprecipitation and reverse transcriptionâquantitative PCR. In addition, alterations in renal function parameters and the severity of renal pathological injury in rats were examined. The in vitro experiments demonstrated that OB significantly promoted cell viability and inhibited ferroptosis, as evidenced by increased glutathione peroxidase 4 and SLC7A11 expression, and decreased levels of malondialdehyde, ferrous ion and reactive oxygen species (P<0.05). Additionally, OB activated the Nrf2 signaling pathway, blocked the interaction between Nrf2 and Kelchâlike ECHâassociated protein 1, and suppressed Nrf2 ubiquitination and degradation (P<0.05). In vivo, OB administration improved renal function parameters, including serum creatinine and blood urea nitrogen levels (P<0.05), and reduced renal pathological injury, in comparison with the DN group. The results of the present study indicated that OB, a natural small molecule, exhibited significant antiâDN effects, possibly through the regulation of Nrf2 homeostasis to inhibit ferroptosis. Overall, this study provides new evidence for OB as a potential clinical treatment for DN.
Obacunone inhibits ferroptosis through regulation of Nrf2 homeostasis to treat diabetic nephropathy.
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作者:Ou Yi, Zhang Wenjuan
期刊: | Molecular Medicine Reports | 影响因子: | 3.500 |
时间: | 2025 | 起止号: | 2025 May |
doi: | 10.3892/mmr.2025.13500 |
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