机译
17β-雌二醇通过调节细胞外基质并转化生长因子-β蛋白表达和信号传导来减轻糖尿病肾病
摘要:We have previously shown that supplementation with 17β-estradiol (E2) from the onset of diabetes attenuates the development of diabetic renal disease. The aim of this study was to examine if E2 can also attenuate the disease process once it has already developed. The study was performed in non-diabetic (ND) and streptozotocin (STZ)-induced diabetic (D) Sprague-Dawley rats. E2 supplementation began after 9 weeks of diabetes for further 8 weeks. Diabetes was associated with an increase in urine albumin excretion (UAE) (ND; 9.4±1.0; D, 56.2±8.9 mg/day; P<0.001), glomerulosclerosis (GSI; ND, 0.13±0.02; D, 1.38±0.09 AU; P<0.01), tubulointerstitial fibrosis (TIFI; ND, 0.17±0.04; D, 1.35±0.10 AU; P<0.01), renal cortical collagen type I (CI; ND, 1.02±0.05; D, 1.83±0.03 ROD; P<0.001), collagen type IV (CIV; ND, 0.97±0.05; D, 1.56±0.03 ROD, P<0.01), laminin (L; ND, 1.03±.0.03; D, 1.80±0.02 ROD; P<0.001), PAI-1 (ND, 0.34±0.08; D, 0.88±0.03 ROD; P<0.01), TIMP-1 (ND, 0.30±0.07; D, 0.93±0.14 ROD; P<0.01), TIMP-2 (ND, 0.40±0.09; D, 0.96±0.11 ROD; P<0.01), TGF-β (ND; 0.70±0.14; D, 1.63±0.08 ROD; P<0.001), TGF-βRI (ND, 0.69±0.23; D, 1.47±0.14 ROD; P<0.05), TGF-βRI (ND, 0.40±0.09; D, 1.07±0.10 ROD; P<0.001), Smad2/3 (ND, 0.68±0.08; D, 1.71±0.03 ROD; P<0.01), pSmad2/3 (ND, 0.28±0.07; D, 0.74±0.12 ROD, P<0.05) and Smad4 (ND, 0.82±.0.24; D, 1.77±0.03 ROD; P<0.05) protein expression and CD68-positive cells (ND, 5.0±0.8; D, 33.8±2.4 cells/mm2; P<0.001). Decreases in MMP-2 (ND, 1.35±0.06; D, 0.98±0.05 ROD; P<0.05) protein expression and activity (MMP-2 act; ND, 0.39±0.09; D, 0.22±0.01 ROD; P<0.05), Smad6 (ND, 0.85±0.10; D, 0.40±0.03 ROD; P<0.001) and Smad7 (ND, 1.41±0.06; D, 1.01±0.05 ROD; P<0.05) protein expression were also associated with D. E2 supplementation either completely or partially attenuated these changes. We conclude that E2 attenuates the progression of disease once it has already developed via regulating extracellular matrix, TGF-β and expression of its downstream regulatory proteins.