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The protective effect and mechanism of catalpol on high glucose-induced podocyte injury

BMC Complementary and Alternative Medicine volume 19, Article number: 244 (2019) Cite this article

Abstract

Background

Catalpol, a natural iridoid glycoside in Rehmannia glutinosa, can alleviate proteinuria associated with diabetic nephropathy (DN), however, whether catalpol has a protective effect against podocyte injury in DN remains unclear.

Methods

In this study, we used a high glucose (HG)-induced podocyte injury model to evaluate the protective effect and mechanism of catalpol against HG-induced podocyte injury. Cell viability was determined by the 3-(4,5-dimethylthiazolyl-2-yl)-2,5-diphenyltetrazolium bromide (MTT) method. The levels of lactate dehydrogenase (LDH), superoxide dismutase (SOD) and malondialdehyde (MDA) were measured by commercial assay kits. Cell apoptosis and reactive oxygen species (ROS) were determined by using flow cytometry. Tumour necrosis factor α (TNF-α), interleukin-1β (IL-1β) and interleukin-6 (IL-6) levels were determined by enzyme-linked immunosorbent assay (ELISA). The protein expression levels of B-cell lymphoma-2 (Bcl-2), Bcl2-associated x (Bax), cleaved caspase-3, nicotinamide adenine dinucleotide phosphate oxidase enzyme 4 (NOX4), toll-like receptor 4 (TLR4), myeloid differentiation primary response gene 88 (MyD88), p38 mitogen-activated protein kinase (p38 MAPK), phosphorylated p38 MAPK (p-p38 MAPK), nuclear factor kappa B inhibitor alpha (IκBα) and phosphorylated IκBα (p-IκBα) were measured by western blotting. In addition, Bcl-2, Bax, caspase-3 and nuclear factor kappa B (NF-κB) levels were determined by immunofluorescence staining.

Results

Catalpol significantly increased cell viability and decreased LDH release in HG-induced podocyte injury. Catalpol significantly decreased ROS generation, apoptosis, level of MDA, levels of inflammatory cytokine TNF-α, IL-1β, and IL-6 and increased SOD activity in HG-induced podocyte injury. Moreover, catalpol significantly decreased expression of cleaved caspase-3, Bax, NOX4, TLR4, MyD88, p-p38 MAPK, p-IκBα and NF-κB nuclear translocation, as well as increased Bcl-2 expression in HG-induced podocyte injury.

Conclusion

Catalpol can protect against podocyte injury by ameliorating apoptosis and inflammation. These protective effects may be attributed to the inhibition of NOX4, which alleviates ROS generation and suppression of the TLR4/MyD88 and p38 MAPK signaling pathways to prevent NF-κB activation. Therefore, catalpol could be a promising drug for the prevention of DN.

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Background

Diabetes mellitus is a common endocrine disease that leads to many dangerous complications, including diabetic nephropathy (DN). The number of DN patients is expected to rise to 642 million by 2040 [1, 2]. DN, one of the leading causes of end-stage renal disease (ESRD) worldwide, is characterized by the appearance of microalbuminuria as the earliest clinical manifestation [3, 4]. From a clinical perspective, although the treatments for hyperglycaemia and hypertension are the major treatments used for DN [5], these treatments are not enough to reverse the progression of DN.

Podocytes play a pivotal role in the pathogenesis of DN [6]. In its early stages, DN is primarily a glomerular disease, podocyte loss is generally found in DN patients and multiple studies have provided a correlation between podocyte loss and albuminuria in DN [7,8,9]. Podocytes, which are highly specialized and terminally differentiated visceral epithelial cells, make up the glomerular filtration barrier, cover the surface of the glomerular basement membrane, and play a key role in maintaining selective glomerular filtration [10]. Accumulating evidence suggests that podocyte injury is one of the main risk factors for DN, and that alleviating podocyte injury can improve DN [11,12,13]. However, there is a lack of effective therapeutic drug to alleviate podocyte injury.

Catalpol (Fig. 1), an iridoid glycoside, is the chief active component extracted from the root of Rehmannia glutinosa, which has long been used in traditional Chinese medicine. Catalpol has been reported to have a wide range of pharmacological activities, including those against DN [14, 15]. Several previous studies have shown that catalpol can improve renal function and decrease proteinuria, which is closely related to podocyte injury in DN [16, 17]. However, it is still unclear whether catalpol has a protective effect against podocyte injury in DN. In this study, we investigated the protective effect of catalpol in an HG-induced podocyte injury model and we further explored the possible mechanism of catalpol against HG-induced podocyte injury.

Fig. 1
figure 1

The structure of catalpol

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Methods

Materials

Catalpol was purchased from Nanjing Spring & Autumn Biological Engineering Co., Ltd. (Jiangsu, China), Roswell Park Memorial Institute (RPMI) 1640 medium was purchased from Gibco (Gibco Company, USA), and foetal bovine serum (FBS) was purchased from Scitecher Co., Ltd. (Oxford, MS, USA). Lactate dehydrogenase (LDH), malondialdehyde (MDA) and superoxide dismutase (SOD) kits were provided by Jiancheng Bioengineering Institute (Jiangsu, China). Glucose and reactive oxygen species (ROS) assay kit were purchased from Solarbio Life Sciences (Beijing, China). Antibodies for caspase-3 (ab13847), B-cell lymphoma-2 (Bcl-2) (ab59348), Bcl2-associated x (Bax) (ab32503), nicotinamide adenine dinucleotide phosphate oxidase enzyme 4 (NOX4) (ab133303), nuclear factor kappa B (NF-κB) (ab32536), TLR4 (ab22048) and MyD88 (ab135693) were purchased from Abcam (Cambridge, MA, USA). Antibody for β-actin (AC026) was purchased from Abclonal (Boston, USA). Antibodies for p38 mitogen-activated protein kinase (p38 MAPK) (#8690), phosphorylated p38 MAPK (p-p38 MAPK) (#4511), nuclear factor kappa B inhibitor alpha (IκBα) (#4814) and phosphorylated IκBα (p-IκBα) (#2859) were purchased from Cell Signaling Technology (Danvers, MA, USA).

Cell culture

Conditionally immortalized mouse podocytes were provided by the National Infrastructure of Cell Line Resource (Beijing, China). Podocytes were cultured in RPMI 1640 medium supplemented with 10% FBS, 100 U/mL penicillin, 0.1 mg/ml streptomycin and 10 U/mL of mouse recombinant interferon-γ (IFN-γ) (PeproTech, California, USA) at 33 °C in a humidified atmosphere containing 5% CO2. Podocytes were cultured in RPMI 1640 medium without IFN-γ at 37 °C for 10–14 days to induce differentiation.

Cell viability

Cell viability was determined by the 3-(4, 5-dimethylthiazolyl-2-yl)-2,5-diphenyltetrazolium bromide (MTT) method according to the manufacturer’s instruction. Briefly, podocytes were plated in 96-well plates at a density of 4 × 103 cells/well and incubated with normal glucose (NG, 5.5 mM glucose+ 34.5 mM mannitol), high glucose (HG, 40 mM glucose) and HG with catalpol at different concentrations (1, 5, 10 μM) for 72 h. Mannitol (34.5 mM) was added to the NG group for osmotic control [18]. Then, an MTT solution (5 mg/mL) was added to each well, and the podocytes were incubated for 4 h at 37 °C. The supernatants were then aspirated, and 150 μL of dimethyl sulfoxide (DMSO) was added to solubilize formazan crystals with shaking for 10 min. Absorbance readings of the test and control samples were measured at 490 nm with a microplate reader (Thermo Scientific, Boston, USA) and cell viability is expressed in terms of the percentage viability, which was calculated as the ratio of the absorbance of a treated sample to the absorbance of the untreated control sample multiplied by 100.

LDH assay

The release of LDH was measured by a commercial assay kit. Briefly, podocytes were plated in 96-well plates at a density of 4 × 103 cells/well and incubated with NG, HG or HG with catalpol as described for the cell viability assay. At the end of the treatment, the culture medium was collected to assay LDH activity. Absorbance of test and control samples were measured at 450 nm with a microplate reader (Thermo Scientific, Boston, USA).

Dichlorofluorescein assay to detect ROS

Intracellular ROS levels were measured using an ROS assay kit (Solarbio Life Sciences, Beijing, China). Briefly, podocytes were seeded in 6-well plates at a density of 2× 105 cells/well and incubated with NG, HG or HG with catalpol as described for the cell viability assay. Then, the podocytes were incubated with 10 μM 2′,7′-dichlorofluorescin diacetate (DCFH-DA) for 20 min at 37 °C. After the cells were washed three times with phosphate-buffered saline (PBS) solution to remove extracellular DCFH-DA, the fluorescence intensity was detected by flow cytometery (BD Biosciences, New York, USA).

Annexin V/PI staining

Cell apoptosis was detected with FITC Annexin V apoptosis detection kits (BD Biosciences, New York, USA) according to the manufacturer’s instruction. Briefly, 1 × 106 cells were harvested, washed, and resuspended in 500 μL of 1× loading buffer. Then, 5 μL of Annexin V-FITC and 5 μL of propidium iodide (PI) were added to the cells, which were incubated for 15 min in the dark at room temperature. Cell apoptosis was detected by flow cytometry (BD Biosciences, New York, USA).

SOD and MDA assays

SOD and MDA were measured by using commercial assay kits according to the manufacturer’s instructions. In brief, podocytes were seeded in 6-well plates at a density of 2× 10 5 cells/well and incubated with NG, HG or HG with catalpol as described for the cell viability assay. At the end of the treatment, the podocytes were washed with PBS three times and homogenized in 0.5 mL of buffer solution. The homogenates were centrifuged, and the supernatants were used to measure the SOD activity and MDA level. SOD activity and MDA level were detected in terms of absorbance readings measured at 450 nm and 530 nm wavelength respectively with a microplate reader (Thermo Scientific, Boston, USA).

Determination of inflammatory cytokine levels in podocytes

Inflammatory cytokines, tumour necrosis factor α (TNF-α), interleukin-1β (IL-1β) and interleukin-6 (IL-6) levels in podocytes were determined using commercial ELISA kits (Biocalvin Science and Technology Ltd., Suzhou, China). All commercial kits were used according to the manufacturer’s instructions.

Immunofluorescence staining

Bax, caspase-3, Bcl-2 and NF-κB levels were determined by immunofluorescence staining, which was performed according to methods described previously [19]. Briefly, after blocking with 5% BSA, podocytes were incubated with primary antibodies against Bax, caspase-3, Bcl-2 and NF-κB diluted 1:100. Alexa Fluor 488-conjugated goat anti-rabbit (Beyotime, Shanghai, China) or Alexa Fluor 555-conjugated goat anti-rabbit (Beyotime, Shanghai, China) were used as secondary antibodies. DNA was detected by staining for 5 min with DAPI (Beyotime, Shanghai, China), and the coverslips were mounted in glass shield (Beyotime, Shanghai, China). Caspase-3, Bcl-2 and Bax in podocytes were visualized by fluorescence microscopy (Nikon Corporation, Tokyo, Japan), and NF-κB in podocytes was visualized by confocal microscopy (Olympus Corporation, Tokyo, Japan).

Western blot analysis

Western blotting was used to evaluate the levels of caspase-3, Bcl-2, Bax, NOX4, β-actin, TLR4, MyD88, p38 MAPK, p-p38 MAPK, IκBα, and p-IκBα protein. Briefly, podocytes were incubated with NG, HG or HG with catalpol as described for the cell viability assay. The podocytes were washed with PBS for three times and treated with 1 mL of radio immunoprecipitation assay (RIPA) lysis buffer containing phenylmethylsulfonyl fluoride. Supernatants were collected by centrifugation at 12,000 g for 30 min at 4 °C. The supernatants were mixed with loading buffer and boiled for 10 min. Then equal amounts of protein were loaded and separated by 10% sodium dodecyl sulfate-polyacrylamide gel, and the proteins were transferred from the gel onto polyvinylidene fluoride membranes. Then, the membranes were blocked with 5% nonfat dry milk in Tris-buffered saline containing 0.1% Tween-20 (TBST) for 1 h at room temperature. Primary antibodies were diluted in TBST (anti-Bax, 1:500; anti-cleaved caspase-3, 1:500; anti-Bcl-2, 1:500; anti-NOX4, 1:500; anti-TLR4, 1:1000; anti-MyD88, 1:1000; anti-p38 MAPK, 1:1000; anti-IκBα, 1:1000; anti-p-p38 MAPK, 1:1000; anti-p-IκBα, 1:1000; anti-β-actin, 1:5000) and incubated with the blots overnight at 4 °C. The blots were washed five times in TBST, treated for 1 h with IRDyeIgG (1:5000), and washed four times in TBST again. Densitometry analysis was performed as previously described [20].

Data analysis

The results are expressed as the mean ± SD. Differences between two groups were assessed by one-way ANOVA followed by a post-hoc test (Fisher’s Least Significant Difference test) using SPSS 18.0 (IBM, New York, NY, USA). Differences were statistically significant when p < 0.05.

Results

Catalpol mitigates HG-induced podocyte injury

The treatment of podocytes with HG for 72 h induced cytotoxicity, as the cell viability decreased significantly compared to that of cells treated with normal glucose (NG) in the MTT test (Fig. 2a). When podocytes were treated with different concentrations (1, 5 and 10 μM) of catalpol, the cell viability was significantly increased. In the LDH release assay, HG significantly increased LDH release from podocytes, and catalpol (1, 5 and 10 μM) decreased LDH release from podocytes.

Fig. 2
figure 2

The protective effect of catalpol on HG-induced podocyte injury. a Cell viability (n = 6). b LDH release (n = 6). Data are presented as the mean ± SD. ** p < 0.01 vs NG, # p < 0.05, ## p < 0.01 vs HG

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The antioxidant effect of catalpol against HG-induced podocyte injury

To determine the effect of catalpol on the antioxidant enzyme activity of podocytes under HG conditions, we assessed the SOD activity and MDA level. As shown in Fig. 3a,b, HG treatment significantly decreased SOD activity and increased MDA level in podocytes compared to those in podocytes treated with NG (p < 0.01). However, treatment with catalpol at 5 and 10 μM significantly increased SOD activity and decreased MDA level compared with those in the HG treatment group (p < 0.01). Moreover, we next assessed ROS generation in podocytes dyed with DCFH-DA (Fig. 3c, d). The ROS content of the HG treatment group was significantly increased compared to that in the NG treatment group (p < 0.01). However, catalpol suppressed ROS generation in podocytes exposed to HG (p < 0.01).

Fig. 3
figure 3

The antioxidant effect of catalpol on HG-induced podocyte injury. a The activity of SOD (n = 6). b The level of MDA (n = 6). c The ROS content of podocytes sorted by flow cytometry. d Histogram of the ROS content of podocytes (n = 3). e NOX4 detection in podocytes by western blotting. f Histogram of NOX4 expression relative to β-actin (n = 3). Data are presented as the mean ± SD. ** p < 0.01 vs NG, ## p < 0.01 vs HG

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To assess the possible effect of HG on ROS-generating enzyme expression, we analysed the expression of NOX4, which is a key enzyme related to diabetes known to increase ROS levels in podocytes under various conditions [21]. As shown in Fig. 3e and f, HG treatment significantly elevated NOX4 expression compared with that following NG treatment, and catalpol (5 and 10 μM) treatment significantly reduced the expression of NOX4 in podocytes incubated with HG.

The anti-apoptotic effect of catalpol against HG-induced podocyte injury

To elucidate whether the protective effect of catalpol is associated with reduced apoptosis, podocyte apoptosis was measured by flow cytometry. As shown in Fig. 4a, HG treatment significantly increased the percentage of apoptotic podocytes compared to that following NG treatment (p < 0.01), and catalpol treatment significantly decreased the extent of HG-induced apoptosis in podocytes (p < 0.01).

Fig. 4
figure 4

The anti-apoptotic effect of catalpol on HG-induced podocyte injury. a Populations of apoptotic podocytes sorted by flow cytometry. b Histogram of the apoptosis rate of podocytes (n = 3). c Bax, Bcl-2, and cleaved caspase-3 detection in podocytes by western blotting. d Histogram of the Bcl-2/Bax ratio in podocytes (n = 3). e Relative level of cleaved caspase-3 to β-actin in podocytes (n = 3). f Immunofluorescence staining for Bcl-2. g Immunofluorescence staining for Bax h Immunofluorescence staining for caspase-3. Data are presented as the mean ± SD. ** p < 0.01 vs NG, # p < 0.05, ## p < 0.01 vs HG

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To further evaluate the anti-apoptotic role of catalpol in HG-induced podocyte injury, we measured Bcl-2, Bax and cleaved caspase-3 expression in podocytes using western blotting (Fig. 4c). As shown in Fig. 4d, HG treatment significantly decreased the ratio of Bcl-2 to Bax compared to that in the NG treatment group (p < 0.01), whereas catalpol treatment (5, 10 μM) significantly increased the Bcl-2/Bax ratio (p < 0.01) in podocytes exposed to HG. In addition, incubation with HG significantly increased cleaved caspase-3 expression in podocytes (p < 0.01), which was significantly attenuated by catalpol treatment (Fig. 4e). Moreover, immunofluorescence staining was performed to analyse the expression of Bcl-2 (Fig. 4f), Bax (Fig. 4g) and caspase-3 (Fig. 4h) in podocytes. The results of immunofluorescence staining were the same as those of western blotting, and showed that HG increased the expression of Bax and caspase-3 and decreased the expression of Bcl-2, while catalpol reversed these changes.

The anti-inflammatory effect of catalpol in HG-induced podocyte injury

HG-induced podocyte injury is always associated with inflammation. To explore the anti-inflammatory effect of catalpol, we conducted ELISA to determine the IL-1β, IL-6 and TNF-α levels in podocytes exposed to HG, which were significantly higher in the HG-treated group than in the NG-treated group (p < 0.01), and catalpol treatment significantly decreased the levels of IL-1β, IL-6 and TNF-α in podocytes following HG treatment (Fig. 5).

Fig. 5
figure 5

The anti-inflammatory effect of catalpol on HG-induced podocyte injury. a Relative level of IL-1β (n = 6). b Relative level of IL-6 (n = 6). c Relative level of TNF-α (n = 6). Data are presented as the mean ± SD. ** p < 0.01 vs NG, # p < 0.05, ## p < 0.01 vs HG

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Effect of catalpol on TLR4/MyD88 signaling pathway in HG-induced podocyte injury

TLR4/MyD88 signaling pathway plays an important role in podocyte injury. In the present study, the expression of TLR4 and MyD88 in the HG group was significantly elevated compared with that in the NG group, as shown in Fig. 6 (p < 0.01), and catalpol treatment significantly decreased the expression of TLR4 and MyD88 in podocytes treated with HG. These results suggest that catalpol significantly inhibits the elevation of TLR4 and MyD88 in HG-induced podocyte injury.

Fig. 6
figure 6

Effect of catalpol on TLR4/MyD88 signaling pathway in HG-induced podocyte injury. a TLR4 and MyD88 detections in podocytes by western blotting. b The relative level of TLR4 to β-actin in podocytes (n = 3). c The relative level of MyD88 to β-actin in podocytes (n = 3). Data are expressed as the mean ± SD. ** p < 0.01 vs NG, # p < 0.05, ## p < 0.01 vs HG

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Effect of catalpol on ROS-mediated p38 MAPK/NF-κB signaling pathway in HG-induced podocyte injury

Since ROS can induce cell apoptosis via the p38 MAPK/NF-κB signaling pathway, we analysed the expression of p38 MAPK and IκBα and their phosphorylation. As shown in Fig. 7, although no significant change was observed in the expression of IκBα and p38 MAPK among all groups, treatment with HG significantly increased the levels of p-p38 MAPK and p-IκBα compared to those in the NG group, and catalpol treatment significantly inhibited the phosphorylation of p38 MAPK and IκBα compared with that in the HG group. In addition, immunofluorescence staining showed that HG significantly increased NF-κB translocation to nucleus and catalpol reversed this effect (Fig. 7d).

Fig. 7
figure 7

Effect of catalpol on the ROS-mediated p38 MAPK/NF-κB signaling pathway in HG-induced podocyte injury. a p38 MAPK, p-p38 MAPK, IκBα and p-IκBα detections in podocytes by western blotting. b Ratio of p-p38 MAPK/p38 MAPK in podocytes (n = 3). c Ratio of p-IκBα/IκBα in podocytes (n = 3). d Immunofluorescence staining for NF-κB. Data are presented as the mean ± SD. ** p < 0.01 vs NG, # p < 0.05, ## p < 0.01 vs HG

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Discussion

Catalpol has a wide range of pharmacological activities and has been demonstrated to exert protective effects against DN progression by ameliorating a variety of pathological changes. In the present study, the protective effect of catalpol on HG-induced podocyte injury was evaluated. Catalpol ameliorated apoptosis and inflammation by inhibiting NOX4 to alleviate ROS generation, and suppressing the TLR4/MyD88 and p38 MAPK signaling pathways to prevent NF-κB activation and translocation into the nucleus.

Podocytes are terminally differentiated cells, and podocyte injury is a pivotal event that leads to proteinuria in DN [22]. HG treatment dramatically decreased the cell viability and increased the percentage of apoptotic cells, which is consistent with the results of several studies [7, 23]. Furthermore, these damages were reversed by catalpol. Apoptosis, a tightly controlled process of cell death, is necessary for development and typical cell growth in organisms, and podocyte apoptosis is observed in vivo and in vitro models of DN [24, 25]. Bax and Bcl-2 are the key mediators of the intrinsic apoptotic response and cell apoptosis is stimulated by Bax and inhibited by Bcl-2 [26, 27]. Generally, the ratio of Bcl-2 to Bax is used to evaluate the degree of apoptosis; when this ratio decreases, apoptosis is stimulated. The anti-apoptotic effect of catalpol has been demonstrated in several models [28, 29]. In our study, HG treatment decreased the ratio of Bcl-2 to Bax in podocytes, resulting in their apoptosis, and catalpol increased the ratio of Bcl-2 to Bax in podocytes, showing that catalpol largely blocks apoptosis. In addition, several studies have demonstrated that the exposure of podocytes to HG can lead to inflammation [30, 31], which was confirmed in our study. HG treatment elevated the secretion of the pro-inflammatory cytokines IL-1β, TNF-α and IL-6, which was reversed by catalpol treatment. These results indicated that catalpol exerts a protective effect against HG-induced podocyte injury via its anti-apoptotic and anti-inflammatory effects.

Many stimulating factors, including ROS production, induce cell apoptosis [32]. ROS, the products of normal metabolism and xenobiotic exposure, are major factors associated with the pathogenesis of DN [33, 34] and crucial to the initiation of apoptosis in podocytes [35, 36]. Previous studies have confirmed that ROS are overproduced in podocytes in DN [37]. NOX4-dependent ROS production induces apoptosis in podocytes [38], which was observed in podocyte injury under DN conditions [39]. Choi et al. showed that catalpol could suppress the production of intracellular ROS elicited by AGE through inhibition of NADPH oxidase activity in human monocytic THP-1 cells [40]. In the present study, HG increased NOX4 expression and the intracellular ROS levels, which is consistent with the results of Fu et al. [41], and catalpol mitigated increased NOX4 and ROS. These results provide evidence that catalpol counteracts HG-induced ROS generation, indicating that the anti-apoptotic and anti-inflammatory effects of catalpol on HG-induced podocyte injury are associated with its antioxidant effect.

The p38 MAPK/NF-κB signaling pathway, which is regulated by ROS, plays an important role in apoptosis and inflammation [42,43,44,45]. The activation of p38 MAPK, a pro-apoptotic signaling factor downstream of ROS, leads to cell apoptosis [46]. Accumulating evidence suggests that excessive ROS can activate the pro-apoptotic p38 MAPK signaling pathway, which is associated with podocyte injury and proteinuria in DN [22]. In the present study, although there was no difference in the expression of p38 MAPK between NG-treated and HG-treated podocytes, the phosphorylation of p38 MAPK was significantly increased in HG-treated podocytes compared to that in NG-treated podocytes, and this phosphorylation was reversed by catalpol treatment. NF-κB is a crucial transcription factor involved in the progression of DN, and serves as an important downstream transcription factor of p38 MAPK activation [47, 48]. In the present study, p-I휅Bα and the nucleus translocation of NF-κB were increased significantly in HG-treated podocytes compared with those in NG-treated podocytes, however, both of these effects were inhibited by catalpol treatment. These results demonstrated that catalpol can suppress the p38 MAPK/NF-κB signaling pathway in HG-induced podocyte injury, which is related to its anti-apoptotic and anti-inflammatory effects of catalpol.

Moreover, TLR4/MyD88 signaling pathway plays an important role in inflammation in podocyte injury in vivo and in vitro models of DN [49,50,51], and TLR4 knockdown was shown to attenuate the increase in cell apoptosis in HG-induced podocyte injury [52]. TLR4 can recruit MyD88, which can also activate the NF-κB signaling pathway and cytokine production in podocyte injury [53, 54]. In the present study, the TLR4/MyD88 signaling pathway was activated, and cytokine production was observed in HG-induced podocyte injury, which is consistent with the results of several studies [52, 54]. Furthermore, catalpol significantly down regulated TLR4 and MyD88 expression and therefore prevented IκBα phosphorylation and degradation, possibly inhibiting NF-κB translocation into the nucleus and activation of the inflammatory response. These results indicated that catalpol can suppress TLR4/MyD88 signaling pathway activated in HG-induced podocyte injury to prevent NF-κB activation and translocation into nucleus and ultimately alleviate apoptosis and inflammation.

Conclusions

This study demonstrated the anti-apoptotic and anti-inflammatory effects of catalpol on HG-induced podocyte injury. Those effects may be related to the inhibition of NOX4, which alleviates ROS generation, and suppression of the TLR4/MyD88 and p38 MAPK signaling pathways to prevent NF-κB activation and translocation into the nucleus. Therefore, catalpol could be a promising therapeutic agent for the treatment for podocyte injury against DN.

Availability of data and materials

The datasets used and analysed in the current study are available from the corresponding author upon reasonable request.

Abbreviations

Bax:

Bcl2-associated x

Bcl-2:

B-cell lymphoma-2

DMSO:

Dimethyl sulfoxide

DN:

Diabetic nephropathy

ELISA:

Enzyme-linked immunosorbent assay

ESRD:

End-stage renal disease

FBS:

Foetal bovine serum

HG:

High glucose

IFN-γ:

Interferon-γ

IL-1β:

Interleukin-1β

IL-6:

Interleukin-6

IκBα:

Nuclear factor kappa B inhibitor alpha

LDH:

Lactate dehydrogenase

MDA:

Malondialdehyde

MTT:

3-(4, 5-dimethylthiazolyl-2-yl)-2,5-diphenyltetrazolium bromide

MyD88:

Myeloid differentiation primary response gene 88

NF-κB:

Nuclear factor kappa B

NG:

Normal glucose

NOX4:

Nicotinamide adenine dinucleotide phosphate oxidase enzyme 4

p38 MAPK:

p38 mitogen-activated protein kinase

PI:

Propidium iodide

p-IκBα:

phosphorylated IκBα

p-p38 MAPK:

phosphorylated p38 MAPK

RIPA:

Radio immunoprecipitation assay

ROS:

Reactive oxygen species

RPMI:

Roswell Park Memorial Institute

SOD:

Superoxide dismutase

TLR4:

Toll-like receptor 4

TNF-α:

Tumour necrosis factor α

References

  1. Ogurtsova K, Da RFJ, Huang Y, Linnenkamp U, Guariguata L, Cho NH, et al. IDF diabetes atlas: global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Res Clin Pract. 2017;128:40–50.

    Article  CAS  Google Scholar 

  2. Chen LH, Chien YW, Chang ML, Hou CC, Chan CH, Tang HW, et al. Taiwanese green Propolis ethanol extract delays the progression of type 2 diabetes mellitus in rats treated with Streptozotocin/high-fat diet. Nutrients. 2018;10:503.

    Article  PubMed Central  Google Scholar 

  3. Tagawa A, Yasuda M, Kume S, Yamahara K, Nakazawa J, Chinkanasaki M, et al. Impaired podocyte autophagy exacerbates proteinuria in diabetic nephropathy. Diabetes. 2016;65:755–67.

    Article  CAS  PubMed  Google Scholar 

  4. Vivekanand J, Guillermo GG, Kunitoshi I, Zuo L, Saraladevi N, Brett P, et al. Chronic kidney disease: global dimension and perspectives. Lancet. 2013;382:260–72.

    Article  Google Scholar 

  5. Fineberg D, Jandeleitdahm KA, Cooper ME. Diabetic nephropathy: diagnosis and treatment. Nat Rev Endocrinol. 2013;9:713–23.

    Article  CAS  PubMed  Google Scholar 

  6. Wolf G, Chen S, Ziyadeh FN. From the periphery of the glomerular Capillary Wall toward the Center of Disease Podocyte Injury Comes of age in diabetic nephropathy. Diabetes. 2005;54:1626–34.

    Article  CAS  PubMed  Google Scholar 

  7. Weil EJ, Lemley KV, Mason CC, Yee B, Jones L, Blouch K, et al. Podocyte detachment and reduced glomerular capillary endothelial fenestration promote kidney disease in type 2 diabetic nephropathy. Kidney Int. 2012;82:1010–7.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Pagtalunan ME, Miller PL, Jumping-Eagle S, Nelson RG, Myers BD, Rennke HG, et al. Podocyte loss and progressive glomerular injury in type II diabetes. J Clin Invest. 1997;99:342–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. White KE, Bilous RW, Marshall SM, El Nahas M, Remuzzi G, Piras G, et al. Podocyte number in normotensive type 1 diabetic patients with albuminuria. Diabetes. 2002;51:3083–9.

    Article  CAS  PubMed  Google Scholar 

  10. Berthier CC, Zhang H, Schin M, Henger A, Nelson RG, Yee B, et al. Enhanced expression of Janus kinase-signal transducer and activator of transcription pathway members in human diabetic nephropathy. Diabetes. 2009;58:469–77.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Mathieson PW. The podocyte as a target for therapies--new and old. Nat Rev Nephrol. 2011;8:52–6.

    Article  PubMed  Google Scholar 

  12. Greka A, Mundel P. Cell biology and pathology of podocytes. Annu Rev Physiol. 2012;74:299–323.

    Article  CAS  PubMed  Google Scholar 

  13. Reidy K, Kang HM, Hostetter T, Susztak K. Molecular mechanisms of diabetic kidney disease. J Clin Invest. 2014;124:2333–40.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Chen W, Li X, Jia LQ, Wang J, Zhang L, Hou D, et al. Neuroprotective activities of catalpol against CaMKII-dependent apoptosis induced by LPS in PC12 cells. Br J Pharmacol. 2013;169:1140–52.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Bi J, Jiang B, Zorn A, Zhao RG, Liu P, An LJ. Catalpol inhibits LPS plus IFN-γ-induced inflammatory response in astrocytes primary cultures. Toxicol in Vitro. 2013;27:543–50.

    Article  CAS  PubMed  Google Scholar 

  16. Dong Z, Chen CX. Effect of catalpol on diabetic nephropathy in rats. Phytomedicine. 2013;20:1023–9.

    Article  CAS  PubMed  Google Scholar 

  17. Yang S, Deng H, Zhang Q, Xie J, Zeng H, Jin X, et al. Amelioration of diabetic mouse nephropathy by Catalpol correlates with Down-regulation of Grb10 expression and activation of insulin-like growth factor 1 / insulin-like growth factor 1 receptor signaling. PLoS One. 2016;11:e0151857.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Qiao C, Ye W, Li S, Wang H, Ding X. Icariin modulates mitochondrial function and apoptosis in high glucose-induced glomerular podocytes through G protein-coupled estrogen receptors. Mol Cell Endocrinol. 2018;473:146–55.

    Article  CAS  PubMed  Google Scholar 

  19. Tovini L, McClelland SE. Impaired CENP-E function renders large chromosomes more vulnerable to Congression failure. Biomolecules. 2019;9:E44.

    Article  PubMed  Google Scholar 

  20. Zeng M, Li M, Li M, Zhang B, Li B, Zhang L, et al. 2-Phenylacetamide isolated from the seeds of Lepidium apetalum and its estrogen-like effects in vitro and in vivo. Molecules. 2018;23:2293.

    Article  PubMed Central  Google Scholar 

  21. Fakhruddin S, Alanazi W, Jackson KE. Diabetes-induced reactive oxygen species: mechanism of their generation and role in renal injury. J Diabetes Res. 2017;2017:8379327.

    Article  PubMed  PubMed Central  Google Scholar 

  22. D'Agati VD. Podocyte injury in focal segmental glomerulosclerosis: lessons from animal models (a play in five acts). Kidney Int. 2008;73:399–406.

    Article  CAS  PubMed  Google Scholar 

  23. Liu BC, Song X, Lu XY, Li DT, Eaton DC, Shen BZ, et al. High glucose induces podocyte apoptosis by stimulating TRPC6 via elevation of reactive oxygen species. Biochim Biophys Acta. 1833;2013:1434–42.

    Google Scholar 

  24. Lei X, Zhang L, Li Z, Ren J. Astragaloside IV/lncRNA-TUG1/TRAF5 signaling pathway participates in podocyte apoptosis of diabetic nephropathy rats. Drug Des Devel Ther. 2018;12:2785–93.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Chen X, Zhao L, Xing Y, Lin B. Down-regulation of microRNA-21 reduces inflammation and podocyte apoptosis in diabetic nephropathy by relieving the repression of TIMP3 expression. Biomed Pharmacother. 2018;108:7–14.

    Article  CAS  PubMed  Google Scholar 

  26. Solano-Galvez SG, Abadi-Chiriti J, Gutierrez-Velez L, Rodriguez-Puente E, Konstat-Korzenny E, Alvarez-Hernandez DA, et al. Apoptosis: Activation and Inhibition in Health and Disease. Med Sci (Basel). 2018;6:54.

    Google Scholar 

  27. Xu C, Tang F, Lu M, Yang J, Han R, Mei M, et al. Pretreatment with Astragaloside IV protects human umbilical vein endothelial cells from hydrogen peroxide induced oxidative stress and cell dysfunction via inhibiting eNOS uncoupling and NADPH oxidase - ROS - NF-κB pathway. Can J Physiol Pharmacol. 2016;94:1132–40.

    Article  CAS  PubMed  Google Scholar 

  28. Wang Y, Shao Y, Gao Y, Wan G, Wan D, Zhu H, et al. Catalpol prevents denervated muscular atrophy related to the inhibition of autophagy and reduces BAX/BCL2 ratio via mTOR pathway. Drug Des Devel Ther. 2018;13:243–53.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Hu H, Wang C, Jin Y, Meng Q, Liu Q, Liu Z, et al. Catalpol inhibits homocysteine-induced oxidation and inflammation via inhibiting Nox4/NF-κB and GRP78/PERK pathways in human aorta endothelial cells. Inflammation. 2019;42:64–80.

    Article  CAS  PubMed  Google Scholar 

  30. Zhan X, Yan C, Chen Y, Wei X, Xiao J, Deng L, et al. Celastrol antagonizes high glucose-evoked podocyte injury, inflammation and insulin resistance by restoring the HO-1-mediated autophagy pathway. Mol Immunol. 2018;104:61–8.

    Article  CAS  PubMed  Google Scholar 

  31. Li S, Liu X, Lei J, Yang J, Tian P, Gao Y. Crocin protects podocytes against oxidative stress and inflammation induced by high glucose through inhibition of NF-κB. Cell Physiol Biochem. 2017;42:1481–92.

    Article  CAS  PubMed  Google Scholar 

  32. Xu M, Sun B, Li D, Mao R, Li H, Li Y, et al. Beneficial effects of small molecule oligopeptides isolated fromPanax ginsengMeyer on pancreatic Beta-cell dysfunction and death in diabetic rats. Nutrients. 2017;9:1061.

    Article  PubMed Central  Google Scholar 

  33. Bahmani F, Kia M, Soleimani A, Mohammadi AA, Asemi Z. The effects of selenium supplementation on biomarkers of inflammation and oxidative stress in patients with diabetic nephropathy: a randomised, double-blind, placebo-controlled trial. Br J Nutr. 2016;116:1222–8.

    Article  CAS  Google Scholar 

  34. Miranda-Díaz AG, Pazarín-Villaseñor L, Yanowsky-Escatell FG, Andrade-Sierra J. Oxidative stress in diabetic nephropathy with early chronic kidney disease. J Diabetes Res. 2016;2016:7047238.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Liu Y. Advanced oxidation protein products: a causative link between oxidative stress and podocyte depletion. Kidney Int. 2009;76:1125.

    Article  CAS  PubMed  Google Scholar 

  36. Weil EJ, Lemley KV, Yee B, Lovato T, Richardson M, Myers BD, et al. Podocyte detachment in type 2 diabetic nephropathy. Am J Nephrol. 2011;33:21–4.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Zheng S, Carlson EC, Yang L, Kralik PM, Huang Y, Epstein PN. Podocyte-specific overexpression of the antioxidant metallothionein reduces diabetic nephropathy. Am J Nephrol. 2008;19:2077–85.

    Article  CAS  Google Scholar 

  38. Xu Y, Zhang J, Fan L, He X. miR-423-5p suppresses high-glucose-induced podocyte injury by targeting Nox4. Biochem Biophys Res Commun. 2018;505:339–45.

    Article  CAS  PubMed  Google Scholar 

  39. Li X, Cai W, Lee K, Liu B, Deng Y, Chen Y, et al. Puerarin attenuates diabetic kidney injury through the suppression of NOX4 expression in podocytes. Sci Rep. 2017;7:14603.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Choi HJ, Jang HJ, Chung TW, Jeong SI, Cha J, Choi JY, et al. Catalpol suppresses advanced glycation end-products-induced inflammatory responses through inhibition of reactive oxygen species in human monocytic THP-1 cells. Fitoterapia. 2013;86:19–28.

    Article  CAS  PubMed  Google Scholar 

  41. Fu Y, Wang C, Zhang D, Chu X, Zhang Y, Li J. miR-15b-5p ameliorated high glucose-induced podocyte injury through repressing apoptosis, oxidative stress, and inflammatory responses by targeting Sema3A. J Cell Physiol. 2019;234:20869–78.

    Article  CAS  PubMed  Google Scholar 

  42. Peng K-T, Chiang Y-C, Ko H-H, Chi P-L, Tsai C-L, Ko M-I, et al. Mechanism of Lakoochin a inducing apoptosis of A375.S2 melanoma cells through mitochondrial ROS and MAPKs pathway. Int J Mol Sci. 2018;19:2649.

    Article  PubMed Central  Google Scholar 

  43. Zhang J, Chen J, Yang J, Xu CW, Pu P, Ding JW, et al. Resveratrol attenuates oxidative stress induced by balloon injury in the rat carotid artery through actions on the ERK1/2 and NF-kappa B pathway. Cell Physiol Biochem. 2013;31:230–41.

    Article  CAS  PubMed  Google Scholar 

  44. Sanchez AP, Sharma K. Transcription factors in the pathogenesis of diabetic nephropathy. Expert Rev Mol Med. 2009;11:e13.

    Article  PubMed  Google Scholar 

  45. Chen J, Xu J, Li J, Du L, Chen T, Liu P, et al. Epigallocatechin-3-gallate attenuates lipopolysaccharide-induced mastitis in rats via suppressing MAPK mediated inflammatory responses and oxidative stress. Int Immunopharmacol. 2015;26:147–52.

    Article  CAS  PubMed  Google Scholar 

  46. Finkel T, Holbrook NJ. Oxidants, oxidative stress and the biology of ageing. Nature. 2000;408:239–47.

    Article  CAS  PubMed  Google Scholar 

  47. Zhang X, Liu J, Pang X, Zhao J, Wang S, Wu D. Aldosterone induces C-reactive protein expression via MR-ROS-MAPK-NF-κB signal pathway in rat vascular smooth muscle cells. Mol Cell Endocrinol. 2014;395:61–8.

    Article  CAS  PubMed  Google Scholar 

  48. Deng Y, Tang K, Chen R, Liu Y, Nie H, Wang H, et al. Effects of Shugan-Jianpi recipe on the expression of the p38 MAPK/NF-κB signaling pathway in the hepatocytes of NAFLD rats. Medicines. 2018;5:106.

    Article  CAS  PubMed Central  Google Scholar 

  49. Wang Y, Li Y, Zhang T, Chi Y, Liu M, Liu Y. Genistein and Myd88 activate autophagy in high glucose-induced renal podocytes in vitro. Med Sci Monit. 2018;24:4823–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Yao T, Zha D, Gao P, Shui H, Wu X. MiR-874 alleviates renal injury and inflammatory response in diabetic nephropathy through targeting toll-like receptor-4. J Cell Physiol. 2018;234:871–9.

    Article  PubMed  Google Scholar 

  51. Yang S, Zhang J, Wang S, Shi J, Zhao X. Knockdown of angiopoietin-like protein 2 ameliorates diabetic nephropathy by inhibiting TLR4. Cell Physiol Biochem. 2017;43:685–96.

    Article  CAS  PubMed  Google Scholar 

  52. Liu Y, Xu Z, Ma F, Jia Y, Wang G. Knockdown of TLR4 attenuates high glucose-induced podocyte injury via the NALP3/ASC/Caspase-1 signaling pathway. Biomed Pharmacother. 2018;107:1393–401.

    Article  CAS  PubMed  Google Scholar 

  53. Ren H, Hu X, Liu Y, Dai D, Liu X, Wang Z, et al. Salvia przewalskii extract of total phenolic acids inhibit TLR4 signaling activation in podocyte injury induced by puromycin aminonucleoside in vitro. Ren Fail. 2018;40:273–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  54. Jialal I, Major AM, Devaraj S. Global toll-like receptor 4 knockout results in decreased renal inflammation, fibrosis and podocytopathy. J Diabetes Complicat. 2014;28:755–61.

    Article  PubMed  Google Scholar 

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Acknowledgements

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Funding

This research was funded by The Major Science and Technology Projects in Henan Province: Study on the key technology for quality control and the key characteristics of Rehmannia glutinosa, Dioscorea opposita Thunb and Achyranthes bidentata Blume from Henan Province (171100310500) and the National Key Research and Development Project (the Major Project for Research of the Modernization of TCM): Key Technology Research for the Characteristic Chinese Medicine Industry Chain of Rehmannia glutinosa (2017YFC1702800).

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  1. Yan Chen and Qingpu Liu contributed equally to this work.

Authors and Affiliations

  1. College of Pharmacy, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People’s Republic of China

    Yan Chen, Qingpu Liu, Zengfu Shan, Yingying Zhao, Meng Li, Xiaoke Zheng & Weisheng Feng

  2. College of Basic Medicine, Henan University of Chinese Medicine, Zhengzhou, Henan, 450046, People’s Republic of China

    Baiyan Wang

  3. Collaborative Innovation Center for Respiratory Disease Diagnosis and Treatment & Chinese Medicine Development of Henan Province, Zhengzhou, Henan, 450046, People’s Republic of China

    Xiaoke Zheng & Weisheng Feng

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  1. Yan Chen
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Contributions

YC, QL and XZ conceived and designed the experiments; YC, QL, ZS, YZ, ML and BW performed the experiments; YC and QL analysed the data; YC wrote the paper; XZ and WF supervised the project. All authors read and approved the final manuscript.

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Chen, Y., Liu, Q., Shan, Z. et al. The protective effect and mechanism of catalpol on high glucose-induced podocyte injury. BMC Complement Altern Med 19, 244 (2019). https://doi.org/10.1186/s12906-019-2656-8

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Keywords

BMC Complementary Medicine and Therapies

ISSN: 2662-7671

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