IMR Press / FBL / Volume 28 / Issue 6 / DOI: 10.31083/j.fbl2806121
Open Access Original Research
Salvianolic Acid C Inhibits the Epithelial-Mesenchymal Transition and Ameliorates Renal Tubulointerstitial Fibrosis
Ming Wu1,2,3,*,†Junyan Lin1,2,3,†Di Huang1,2,3Chaoyang Ye1,2,3Dongping Chen1,2,3,*
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1 Department of Nephrology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, 201203 Shanghai, China
2 TCM Institute of Kidney Disease of Shanghai University of Traditional Chinese Medicine, 201203 Shanghai, China
3 Key Laboratory of Liver and Kidney Diseases, Ministry of Education, Shanghai Key Laboratory of Traditional Chinese Clinical Medicine, 201203 Shanghai, China
*Correspondence: mingwunl@126.com (Ming Wu); 13764362569@163.com (Dongping Chen)
These authors contributed equally.
Front. Biosci. (Landmark Ed) 2023, 28(6), 121; https://doi.org/10.31083/j.fbl2806121
Submitted: 28 September 2022 | Revised: 4 February 2023 | Accepted: 9 February 2023 | Published: 27 June 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: Salvianolic acid C (SAC) is a natural compound derived from Salvia miltiorrhiza that can protect against renal diseases. The aims of this work were to explore the effect of SAC on kidney tubulointerstitial fibrosis and study the associated mechanism. Methods: Models for unilateral ureteral obstruction (UUO) and aristolochic acid I (AAI) were established in mice to study renal tubulointerstitial fibrosis. Rat kidney fibroblasts (NRK-49F) and human kidney epithelial cells (HK2) were used as cellular models to evaluate the effects of SAC on kidney fibrosis. Results: Treatment with SAC for two weeks reduced the level of renal tubulointerstitial fibrosis in UUO- and AAI-induced fibrotic kidneys, as demonstrated by Masson’s staining and Western blot. SAC inhibited extracellular matrix protein expression in NRK-49F cells and TGF-β-stimulated HK2 cells in dose-dependent fashion. Moreover, SAC inhibited the expression of epithelial-mesenchymal transition (EMT) factors in animal and cellular models of kidney fibrosis, as well as the EMT-related transcription factor snail. Furthermore, SAC inhibited the fibrosis-related signaling pathway Smad3 in the fibrotic kidneys of two mouse models and in renal cells. Conclusions: We conclude that SAC inhibits EMT and ameliorates tubulointerstitial fibrosis through involvement of the signaling pathway for transforming growth factor-β (TGF-β)/Smad.

Keywords
renal fibrosis
EMT
SAC
CKD
Funding
PWZxq2017-07/Key Disciplines Group Construction Project of Pudong Health Bureau of Shanghai
ZY(2018-2020)-CCCX-2003-08/The Three Year Action Plan Project of Shanghai Accelerating Development of Traditional Chinese Medicine
81873617/National Natural Science Foundation of China
82170747/National Natural Science Foundation of China
201740193/Scientific Research Foundation of Shanghai Municipal Commission of Health and Family Planning
CHABP2021-13/2021 Research Project of Blood Purification Center Branch of Chinese Hospital Association
Figures
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