Protective effect of EX-527 against high-fat diet-induced diabetic nephropathy in Zucker rats
Abstract
High-fat diet (HFD)-induced obesity is implicated in diabetic nephropathy (DN). EX-527, a selective Sirtuin 1 (SIRT1) inhibitor, has multiple biological functions; however, its protective effect against DN is yet to be properly understood. This study was aimed to explore the protective effect of EX-527 against DN in HFD-induced diabetic Zucker (ZDF) rats. After 21 weeks of continually feeding HFD to the rats, the apparent characteristics of progressive DN were observed, which included an increase in kidney weight (~160%), hyperglycemia, oxidative stress, and inflammatory cytokines, and subsequent renal cell damage. However, the administration of EX-527 for 10 weeks significantly reduced the blood glucose concentration and kidney weight (~59%). Furthermore, EX-527 significantly reduced the serum concentration of transforming growth factor-β1 (49%), interleukin (IL)-1β (52%), and IL-6 in the HFD-fed rats. Overall, the antioxidant activities significantly increased, and oxidative damage to lipids or DNA was suppressed. Particularly, EX-527 significantly reduced blood urea nitrogen (81%), serum creatinine (71%), microalbumin (43%), and urinary excretion of protein-based biomarkers. Histopathological examination revealed expansion of the extracellular mesangial matrix and suppression of glomerulosclerosis following EX-527 administration. EX-527 downregulated the expression of α-SMA (~64%), TGF-β (25%), vimentin, α-tubulin, fibronectin, and collagen-1 in the kidneys of the HFD-fed rats. Additionally, EX-527 substantially reduced claudin-1 and SIRT1 expression, but increased the expression of SIRT3 in the kidneys of the HFD-fed rats. EX-527 also inhibited the growth factor receptors, including EGFR, PDGFR-β, and STAT3, which are responsible for the anti-fibrotic effect of SIRT-1. Therefore, the administration of EX-527 protects against HFD-induced DN.
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Ex-527 protects the organism against kidney damage caused by diabetes (diabetic nephropathy) by reduction of glucose levels and an increase in SIRT1 activities accompanied by simultaneous increase in SIRT3 activity in the kidneys.
“Ex-527 has also been reported to protect the organism against kidney damage caused by diabetes (diabetic nephropathy). This effect is achieved by the reduction of glucose levels and an increase in SIRT1 activities accompanied by the simultaneous increase in SIRT3 activity in the kidneys (Kundu et al. 2020).”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Kundu et al. 2020
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Ponnusamy, M., Zhuang, M. A., Zhou, X., et al. (2015) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.115.224386 · Cited by 33 · see citing works
Kim, K. S., Yang, H. Y., Song, H., et al. (2017) · Journal of Toxicology and Environmental Health · doi:10.1080/15287394.2017.1299655 · Cited by 33 · see citing works
Self-citationZheng, Y., Tang, L., Huang, W., et al. (2015) · PLoS ONE · doi:10.1371/journal.pone.0136187 · Cited by 31 · see citing works
Tubulointerstitial lesions in young zucker rats
Magil, A. B. (1995) · American Journal of Kidney Diseases · doi:10.1016/0272-6386(95)90112-4 · Cited by 31 · see citing works
Sohn, E., Kim, J., Kim, J., et al. (2013) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2013/769416 · Cited by 30 · see citing works
Zhang, L., Chen, C., Kang, P. T., Jin, Z., & Chen, Y. (2017) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2017.04.022 · Cited by 30 · see citing works
An unSIRTain role in longevity
Accili, D., de Cabo, R., & Sinclair, D. A. (2011) · Nature Medicine · doi:10.1038/nm1111-1350 · Cited by 9 · see citing works
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Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging
Jomova, K., Raptova, R., Alomar, S. Y., Alwasel, S. H., Nepovimova, E., Kuca, K., & Valko, M. (2023) · Archives of Toxicology · doi:10.1007/s00204-023-03562-9 · Cited by 2,638 · see citing works
Why Is Longevity Still a Scientific Mystery? Sirtuins—Past, Present and Future
Ziętara, P., Dziewięcka, M., & Augustyniak, M. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms24010728 · Cited by 40 · see citing works
- Authors
- Kundu, A., Richa, S., Dey, P., Kim, K. S., Son, J. Y., Kim, H. R., Lee, S.-Y., Lee, B.-H., Lee, K. Y., Kacew, S., Lee, B. M., & Kim, H. S.
- Affiliations
- Sungkyunkwan University (KR)
- Seoul National University (KR)
- Chonnam National University (KR)
- University of Ottawa (CA)
- Corresponding author
- Kim, Hyung Sik
- ORCID
- Venue
- Toxicology and Applied Pharmacology
- Publisher
- Elsevier BV
- Published
- 2020-03
- Volume
- 390
- Pages
- 114899
- ISSN
- 0041-008X (ISSN-L)
- OpenAlex
- W3003027056
- Cited by
- 27
- References
- 105
- Citations by year
- 2025: 4 · 2024: 6 · 2023: 2 · 2022: 10 · 2021: 2 · 2020: 3
- FWCI
- 2.67
- Type
- journal article
- Language
- en
- Update notices
- erratum (2020-09-01)
- Open access
- closed
- Locations
- Toxicology and Applied Pharmacology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Research Foundation of Korea (NRF-2016R1A2B2011071, NRF-2017R1D1A1B03036571)
- Topics
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Health Sciences › Medicine › Geriatrics and Gerontology › Sirtuins and Resveratrol in Medicine
- Health Sciences › Medicine › Nephrology › Renal Diseases and Glomerulopathies
- Keywords
- EX527, SIRT1 inhibitors, diabetic nephropathy, high-fat diet, obesity, Zucker diabetic fatty rats, renal fibrosis, glomerulosclerosis, oxidative stress, inflammatory cytokines, TGF-β1, SIRT3, claudin-1, EGFR, PDGFRβ, STAT3
- MeSH terms
- Animals, Blood Glucose, Carbazoles, Diabetic Nephropathies, Gene Expression Regulation, Kidney, Male, Organ Size, Pancreas, Rats, Zucker, Biomarkers, Cytokines, Glycation End Products, Advanced, Oxidative Stress, Rats, Diet, High-Fat
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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