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Published in: BMC Complementary Medicine and Therapies 1/2014

Open Access 01-12-2014 | Research article

Effects of astragalus injection on the TGFβ/Smad pathway in the kidney in type 2 diabetic mice

Authors: Yanna Nie, Shuyu Li, Yuee Yi, Weilian Su, Xinlou Chai, Dexian Jia, Qian Wang

Published in: BMC Complementary Medicine and Therapies | Issue 1/2014

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Abstract

Background

In traditional Chinese medicine, astragalus injection is used to treat diabetic nephropathy (DN). The current study was conducted to determine the effects of astragalus injection on DN by assessing potential modulation of the transforming growth factor beta TGFβ/Smad signaling pathway.

Methods

Diabetic, male KKAy mice, aged 14 weeks were randomly divided into a model group and an astragalus treatment group, while age-matched male C57BL/6J mice were selected as controls. The treatment group received daily intraperitoneal injections of astragalus (0.03 ml/10 g.d), while the model group received injections of an equivalent volume of saline. Mice were euthanized after 24 weeks. Serum samples were obtained from animals in each group, and blood glucose, creatinine, and urea nitrogen levels were measured. Tissue samples from the kidney were used for morphometric studies. The expression of TGFβ1, TGFβR-Ι, Smad3, and Smad7 were evaluated using reverse transcription-polymerase chain reaction (RT-PCR), and western blot analysis.

Results

Mice in the model group became obese, and suffered complications, including hyperglycemia, polyuria, and proteinuria. Astragalus treatment significantly reduced albuminuria, improved renal function, and ameliorated changes in renal histopathology. Moreover, administration of astragalus injection increased Smad7 expression, and inhibited the expression of TGFβR-Ι, Smad3 and its phosphorylation, and decreased the mRNA level of TGFβ1.

Conclusions

The TGFβ/Smad signaling pathway plays an important role in the development of DN. Administration of astragalus injection could prevent or mitigate DN by rebalancing TGFβ/Smad signaling, and could play a protective role in DN-induced renal damage in KKAy mice.
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Literature
1.
go back to reference Wu AY, Kong NC, de Leon FA, Pan CY, Tai TY, Yeung VT, Yoo SJ, Rouillon A, Weir MR: An alarmingly high prevalence of diabetic nephropathy in Asian type 2 diabetic patients: the Microalbuminuria Prevalence (MAP) Study. Diabetologia. 2005, 48: 17-26. 10.1007/s00125-004-1599-9.CrossRefPubMed Wu AY, Kong NC, de Leon FA, Pan CY, Tai TY, Yeung VT, Yoo SJ, Rouillon A, Weir MR: An alarmingly high prevalence of diabetic nephropathy in Asian type 2 diabetic patients: the Microalbuminuria Prevalence (MAP) Study. Diabetologia. 2005, 48: 17-26. 10.1007/s00125-004-1599-9.CrossRefPubMed
2.
go back to reference Wolf G, Ziyadeh FN: Cellular and molecular mechanisms of proteinuria in diabetic nephropathy. Nephron Physiol. 2007, 106: 26-31. 10.1159/000101797.CrossRef Wolf G, Ziyadeh FN: Cellular and molecular mechanisms of proteinuria in diabetic nephropathy. Nephron Physiol. 2007, 106: 26-31. 10.1159/000101797.CrossRef
3.
go back to reference Lan HY: Diverse roles of TGF-beta/Smads in renal fibrosis and inflammation. Int J Biol. 2011, 7: 1056-1067.CrossRef Lan HY: Diverse roles of TGF-beta/Smads in renal fibrosis and inflammation. Int J Biol. 2011, 7: 1056-1067.CrossRef
4.
go back to reference Ledbetter S, Kurtzberg L, Doyle S, Pratt BM: Renal fibrosis in mice treated with human recombinant transforming growth factor-β2. Kidney Int. 2000, 58: 2367-2376. 10.1046/j.1523-1755.2000.00420.x.CrossRefPubMed Ledbetter S, Kurtzberg L, Doyle S, Pratt BM: Renal fibrosis in mice treated with human recombinant transforming growth factor-β2. Kidney Int. 2000, 58: 2367-2376. 10.1046/j.1523-1755.2000.00420.x.CrossRefPubMed
5.
go back to reference Thompson NL, Flanders KC, Smith JM, Ellingsworth LR, Roberts AB, Sporn MB: Expression of transforming growth factor-βl in specific cells and tissues of adult and neonatal mice. J Cell Biol. 1989, 108: 661-669. 10.1083/jcb.108.2.661.CrossRefPubMed Thompson NL, Flanders KC, Smith JM, Ellingsworth LR, Roberts AB, Sporn MB: Expression of transforming growth factor-βl in specific cells and tissues of adult and neonatal mice. J Cell Biol. 1989, 108: 661-669. 10.1083/jcb.108.2.661.CrossRefPubMed
6.
go back to reference Reeves WB, Andreoli TE: Transforming group factor-β contributes to progressive diabetic nephropathy. Proc Natl Acad Sci U S A. 2000, 97: 7667-7669. 10.1073/pnas.97.14.7667.CrossRefPubMedPubMedCentral Reeves WB, Andreoli TE: Transforming group factor-β contributes to progressive diabetic nephropathy. Proc Natl Acad Sci U S A. 2000, 97: 7667-7669. 10.1073/pnas.97.14.7667.CrossRefPubMedPubMedCentral
7.
go back to reference Rocco MV, Chen Y, Goldfarb S, Ziyadeh FN: Elevated glucose stimulates TGF-β gene expression and bioactivity in proximal tubule. Kidney Int. 1992, 41: 107-114. 10.1038/ki.1992.14.CrossRefPubMed Rocco MV, Chen Y, Goldfarb S, Ziyadeh FN: Elevated glucose stimulates TGF-β gene expression and bioactivity in proximal tubule. Kidney Int. 1992, 41: 107-114. 10.1038/ki.1992.14.CrossRefPubMed
8.
go back to reference Wang W, Koka V, Lan HY: Transforming growth factor-beta and Smad signalling in kidney diseases. Nephrology (Carlton). 2005, 10: 48-56. 10.1111/j.1440-1797.2005.00334.x.CrossRef Wang W, Koka V, Lan HY: Transforming growth factor-beta and Smad signalling in kidney diseases. Nephrology (Carlton). 2005, 10: 48-56. 10.1111/j.1440-1797.2005.00334.x.CrossRef
9.
go back to reference Gagliardini E, Benigni A: Role of anti-TGF-β antibodies in the treatment of renal injury. Cytokine Growth Factor Rev. 2006, 17: 89-96. 10.1016/j.cytogfr.2005.09.005.CrossRefPubMed Gagliardini E, Benigni A: Role of anti-TGF-β antibodies in the treatment of renal injury. Cytokine Growth Factor Rev. 2006, 17: 89-96. 10.1016/j.cytogfr.2005.09.005.CrossRefPubMed
10.
go back to reference Ikushima H, Miyazono K: Cellular context-dependent “colors” of transforming growth factor-β signaling. Cancer Sci. 2010, 101: 306-312. 10.1111/j.1349-7006.2009.01441.x.CrossRefPubMed Ikushima H, Miyazono K: Cellular context-dependent “colors” of transforming growth factor-β signaling. Cancer Sci. 2010, 101: 306-312. 10.1111/j.1349-7006.2009.01441.x.CrossRefPubMed
11.
go back to reference Feng Y, Feng L: Protective effect of Astragalus membranaceus on diabetic nephropathy in rats. J Prac Med. 2006, 22 (21): 2457-2459. Feng Y, Feng L: Protective effect of Astragalus membranaceus on diabetic nephropathy in rats. J Prac Med. 2006, 22 (21): 2457-2459.
12.
go back to reference Xie W, Zhao Y, Zhang Y: Traditional Chinese medicines in treatment of patients with type 2 diabetes mellitus. Evid Based Complement Altern Med. 2011, 726723-doi:10.1155/2011/726723 Xie W, Zhao Y, Zhang Y: Traditional Chinese medicines in treatment of patients with type 2 diabetes mellitus. Evid Based Complement Altern Med. 2011, 726723-doi:10.1155/2011/726723
14.
go back to reference Wang HY: Antifibrotic effect of the Chinese herbs Astragalus mongholicus and Angelica sinensis, in a rat model of chronic puromycin aminonucleoside nephrosis. Life Sci. 2004, 74: 1645-1658. 10.1016/j.lfs.2003.08.036.CrossRefPubMed Wang HY: Antifibrotic effect of the Chinese herbs Astragalus mongholicus and Angelica sinensis, in a rat model of chronic puromycin aminonucleoside nephrosis. Life Sci. 2004, 74: 1645-1658. 10.1016/j.lfs.2003.08.036.CrossRefPubMed
15.
go back to reference Li Y, Lai Y, Li S, Wu Y, Wang Q: Influence of huangqi injection on tubular epithelial-mesenchymal transition. J Beijing Univ Tradit Chin Med. 2012, 35 (2): 109-116. Li Y, Lai Y, Li S, Wu Y, Wang Q: Influence of huangqi injection on tubular epithelial-mesenchymal transition. J Beijing Univ Tradit Chin Med. 2012, 35 (2): 109-116.
16.
go back to reference Li M, Wang W, Xue J, Gu Y, Lin S: Meta-analysis of the clinical value of astragalus membranaceus in diabetic nephropathy. J Ethnopharmacol. 2011, 133: 412-419. 10.1016/j.jep.2010.10.012.CrossRefPubMed Li M, Wang W, Xue J, Gu Y, Lin S: Meta-analysis of the clinical value of astragalus membranaceus in diabetic nephropathy. J Ethnopharmacol. 2011, 133: 412-419. 10.1016/j.jep.2010.10.012.CrossRefPubMed
17.
go back to reference Gui D, Huang J, Liu W, Guo Y, Xiao W, Wang N: Astragaloside IV prevents acute kidney injury in two rodent models by inhibiting oxidative stress and apoptosis pathways. Apoptosis. 2013, 18: 409-422. 10.1007/s10495-013-0801-2.CrossRefPubMed Gui D, Huang J, Liu W, Guo Y, Xiao W, Wang N: Astragaloside IV prevents acute kidney injury in two rodent models by inhibiting oxidative stress and apoptosis pathways. Apoptosis. 2013, 18: 409-422. 10.1007/s10495-013-0801-2.CrossRefPubMed
18.
go back to reference Qi W, Niu J, Qin Q, Qiao Z, Gu Y: Astragaloside IV attenuates glycated albumin-induced epithelial-to-mesenchymal transition by inhibiting oxidative stress in renal proximal tubular cells. Cell Stress Chaperones. 2014, 19: 105-114. 10.1007/s12192-013-0438-7.CrossRefPubMed Qi W, Niu J, Qin Q, Qiao Z, Gu Y: Astragaloside IV attenuates glycated albumin-induced epithelial-to-mesenchymal transition by inhibiting oxidative stress in renal proximal tubular cells. Cell Stress Chaperones. 2014, 19: 105-114. 10.1007/s12192-013-0438-7.CrossRefPubMed
19.
go back to reference Tervaert TW, Mooyaart AL: Pathologic classification of diabetic nephropathy. J Am Soc Nephrol. 2010, 21: 556-563. 10.1681/ASN.2010010010.CrossRefPubMed Tervaert TW, Mooyaart AL: Pathologic classification of diabetic nephropathy. J Am Soc Nephrol. 2010, 21: 556-563. 10.1681/ASN.2010010010.CrossRefPubMed
20.
go back to reference Whiting DR, Guariguata L, Well C, Shaw J: IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract. 2011, 94: 311-321. 10.1016/j.diabres.2011.10.029.CrossRefPubMed Whiting DR, Guariguata L, Well C, Shaw J: IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract. 2011, 94: 311-321. 10.1016/j.diabres.2011.10.029.CrossRefPubMed
21.
go back to reference Mason RM, Wahab NA: Extracellular matrix metabolism in diabetic nephropathy. J Am Soc Nephrol. 2003, 14: 1358-1373. 10.1097/01.ASN.0000065640.77499.D7.CrossRefPubMed Mason RM, Wahab NA: Extracellular matrix metabolism in diabetic nephropathy. J Am Soc Nephrol. 2003, 14: 1358-1373. 10.1097/01.ASN.0000065640.77499.D7.CrossRefPubMed
22.
go back to reference Schena FP, Gesualdo L: Pathogenetic mechanisms of diabetic nephropathy. J Am Soc Nephrol. 2005, 16: S30-33. 10.1681/ASN.2004110970.CrossRefPubMed Schena FP, Gesualdo L: Pathogenetic mechanisms of diabetic nephropathy. J Am Soc Nephrol. 2005, 16: S30-33. 10.1681/ASN.2004110970.CrossRefPubMed
23.
go back to reference Tomino Y: Lessons from the KK-Ay Mouse, a spontaneous animal model for the treatment of human type 2 diabetic nephropathy. Nephro-Urol Mon. 2011, 4: 524-525.CrossRef Tomino Y: Lessons from the KK-Ay Mouse, a spontaneous animal model for the treatment of human type 2 diabetic nephropathy. Nephro-Urol Mon. 2011, 4: 524-525.CrossRef
24.
go back to reference Zhang J, Xie X, Li C, Fu P: Systematic review of the renal protective effect of Astragalus (root) on diabetic nephropathy in animal models. J Ethnopharmacol. 2009, 126: 189-196. 10.1016/j.jep.2009.08.046.CrossRefPubMed Zhang J, Xie X, Li C, Fu P: Systematic review of the renal protective effect of Astragalus (root) on diabetic nephropathy in animal models. J Ethnopharmacol. 2009, 126: 189-196. 10.1016/j.jep.2009.08.046.CrossRefPubMed
25.
go back to reference Liao WP, Shi YG: Effect of astragalus polysaccharides and soy isoflavones on glucose metabolism in diabetic rats. Acta Acad Med Militaris Tertiae. 2007, 29: 416-418. Liao WP, Shi YG: Effect of astragalus polysaccharides and soy isoflavones on glucose metabolism in diabetic rats. Acta Acad Med Militaris Tertiae. 2007, 29: 416-418.
26.
go back to reference Zhou F, Mao XQ, Wang N, Liu J, Ou-Yang JP: Astragalus polysaccharides alleviates glucose toxicity and restores glucose homeostasis in diabetic states via activation of AMPK. Acta Pharmacol Sin. 2009, 30: 1607-1615. 10.1038/aps.2009.168.CrossRef Zhou F, Mao XQ, Wang N, Liu J, Ou-Yang JP: Astragalus polysaccharides alleviates glucose toxicity and restores glucose homeostasis in diabetic states via activation of AMPK. Acta Pharmacol Sin. 2009, 30: 1607-1615. 10.1038/aps.2009.168.CrossRef
27.
go back to reference Petersen J, Ross J, Rabkin R: Effect of insulin therapy on established diabetic nephropathy in rats. Diabetes. 1988, 37: 1346-1350. 10.2337/diab.37.10.1346.CrossRefPubMed Petersen J, Ross J, Rabkin R: Effect of insulin therapy on established diabetic nephropathy in rats. Diabetes. 1988, 37: 1346-1350. 10.2337/diab.37.10.1346.CrossRefPubMed
28.
go back to reference Xiao M, Li H, Xie X: Astragalus Mongholicus may regulate rat renal tubular cell transdifferrentiation induced by TGF-β1 through C- met dependent pathway. Chin J Integr Tradit West Nephrol. 2008, 9: 764-768. Xiao M, Li H, Xie X: Astragalus Mongholicus may regulate rat renal tubular cell transdifferrentiation induced by TGF-β1 through C- met dependent pathway. Chin J Integr Tradit West Nephrol. 2008, 9: 764-768.
29.
go back to reference Li S, Chai X, Wu Y, Jia D, Hao Y, Su W, Wang Q: Effects of astragalus injection combined with puerarin injection on expression of BMP-7 and TGF-β1 in type 2 diabetic KKAy mouse kidney. Chin J Pathophysiol. 2012, 28: 1802-1806. Li S, Chai X, Wu Y, Jia D, Hao Y, Su W, Wang Q: Effects of astragalus injection combined with puerarin injection on expression of BMP-7 and TGF-β1 in type 2 diabetic KKAy mouse kidney. Chin J Pathophysiol. 2012, 28: 1802-1806.
30.
go back to reference Li L, Emmett N, Mann D, Zhao X: Fenofibrate attenuates tubulointerstitial fibrosis and inflammation through suppression of nuclear factor-κB and transforming growth factor-β1/Smad3 in diabetic nephropathy. Exp Biol Med. 2010, 235: 383-391. 10.1258/ebm.2009.009218.CrossRef Li L, Emmett N, Mann D, Zhao X: Fenofibrate attenuates tubulointerstitial fibrosis and inflammation through suppression of nuclear factor-κB and transforming growth factor-β1/Smad3 in diabetic nephropathy. Exp Biol Med. 2010, 235: 383-391. 10.1258/ebm.2009.009218.CrossRef
31.
go back to reference Hong SW, Isono M, Chen S, Ziyadeh FN: Increased glomerular and tubular expression of TGF–β1, its type II receptor, and activation of the Smad signaling pathway in the db/db mouse. Am J Pathol. 2001, 158: 1653-1663. 10.1016/S0002-9440(10)64121-1.CrossRefPubMed Hong SW, Isono M, Chen S, Ziyadeh FN: Increased glomerular and tubular expression of TGF–β1, its type II receptor, and activation of the Smad signaling pathway in the db/db mouse. Am J Pathol. 2001, 158: 1653-1663. 10.1016/S0002-9440(10)64121-1.CrossRefPubMed
32.
go back to reference Schiffer M, Schiffer LE, Gupta A, Shaw AS, Roberts IS, Mundel P, Bottinger EP: Inhibitory smads and TGF-beta signaling in glomerular cells. J Am Soc Nephrol. 2002, 13: 2657-2666. 10.1097/01.ASN.0000033276.06451.50.CrossRefPubMed Schiffer M, Schiffer LE, Gupta A, Shaw AS, Roberts IS, Mundel P, Bottinger EP: Inhibitory smads and TGF-beta signaling in glomerular cells. J Am Soc Nephrol. 2002, 13: 2657-2666. 10.1097/01.ASN.0000033276.06451.50.CrossRefPubMed
33.
go back to reference Chung AC, Huang XR, Zhou L, Heuchel R, Lai KN, Lan HY: Disruption of the Smad7 gene promotes renal fibrosis and inflammation in unilateral ureteral obstruction (UUO) in mice. Nephrol Dial Transplant. 2009, 24: 1443-1454. 10.1093/ndt/gfn699.CrossRefPubMed Chung AC, Huang XR, Zhou L, Heuchel R, Lai KN, Lan HY: Disruption of the Smad7 gene promotes renal fibrosis and inflammation in unilateral ureteral obstruction (UUO) in mice. Nephrol Dial Transplant. 2009, 24: 1443-1454. 10.1093/ndt/gfn699.CrossRefPubMed
34.
go back to reference Chen HY, Huang XR, Wang W, Li JH, Heuchel RL, Chung AC, Lan HY: The protective role of Smad7 in diabetic kidney disease: mechanism and therapeutic potential. Diabetes. 2011, 60: 590-601. 10.2337/db10-0403.CrossRefPubMedPubMedCentral Chen HY, Huang XR, Wang W, Li JH, Heuchel RL, Chung AC, Lan HY: The protective role of Smad7 in diabetic kidney disease: mechanism and therapeutic potential. Diabetes. 2011, 60: 590-601. 10.2337/db10-0403.CrossRefPubMedPubMedCentral
35.
go back to reference Wang A, Ziyadeh FN, Lee EY, Pyagay PE, Sung SH, Sheardown SA, Laping NJ, Chen S: Interference with TGF-beta signaling by Smad3-knockout in mice limits diabetic glomerulosclerosis without affecting albuminuria. Am J Physiol Renal Physiol. 2007, 293: F1657-1665. 10.1152/ajprenal.00274.2007.CrossRefPubMed Wang A, Ziyadeh FN, Lee EY, Pyagay PE, Sung SH, Sheardown SA, Laping NJ, Chen S: Interference with TGF-beta signaling by Smad3-knockout in mice limits diabetic glomerulosclerosis without affecting albuminuria. Am J Physiol Renal Physiol. 2007, 293: F1657-1665. 10.1152/ajprenal.00274.2007.CrossRefPubMed
36.
go back to reference Fujimoto M, Maezawa Y, Yokote K, Joh K, Kawamura H, Nishimura M, Roberts AB, Saito Y, Mori S: Mice lacking Smad3 are protected against streptozotocin-induced diabetic glomerulopathy. Biochem Biophys Res Commun. 2003, 305: 1002-1007. 10.1016/S0006-291X(03)00885-4.CrossRefPubMed Fujimoto M, Maezawa Y, Yokote K, Joh K, Kawamura H, Nishimura M, Roberts AB, Saito Y, Mori S: Mice lacking Smad3 are protected against streptozotocin-induced diabetic glomerulopathy. Biochem Biophys Res Commun. 2003, 305: 1002-1007. 10.1016/S0006-291X(03)00885-4.CrossRefPubMed
37.
go back to reference Arany PR, Flanders KC, DeGraff W, Cook J, Mitchell JB, Roberts AB: Absence of Smad3 confers radioprotection through modulation of ERK-MAPK in primary dermal fibroblasts. J Dermatol Sci. 2007, 48: 35-42. 10.1016/j.jdermsci.2007.05.012.CrossRefPubMedPubMedCentral Arany PR, Flanders KC, DeGraff W, Cook J, Mitchell JB, Roberts AB: Absence of Smad3 confers radioprotection through modulation of ERK-MAPK in primary dermal fibroblasts. J Dermatol Sci. 2007, 48: 35-42. 10.1016/j.jdermsci.2007.05.012.CrossRefPubMedPubMedCentral
38.
go back to reference Inazaki K, Kanamaru Y, Kojima Y, Sueyoshi N, Okumura K, Kaneko K, Yamashiro Y, Ogawa H, Nakao A: Smad3 deficiency attenuates renal fibrosis, inflammation, and apoptosis after unilateral ureteral obstruction. Kidney Int. 2004, 66: 597-604. 10.1111/j.1523-1755.2004.00779.x.CrossRefPubMed Inazaki K, Kanamaru Y, Kojima Y, Sueyoshi N, Okumura K, Kaneko K, Yamashiro Y, Ogawa H, Nakao A: Smad3 deficiency attenuates renal fibrosis, inflammation, and apoptosis after unilateral ureteral obstruction. Kidney Int. 2004, 66: 597-604. 10.1111/j.1523-1755.2004.00779.x.CrossRefPubMed
Metadata
Title
Effects of astragalus injection on the TGFβ/Smad pathway in the kidney in type 2 diabetic mice
Authors
Yanna Nie
Shuyu Li
Yuee Yi
Weilian Su
Xinlou Chai
Dexian Jia
Qian Wang
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2014
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/1472-6882-14-148

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