Figure 5. Astragalus injection has effects on the protein expressions

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Effects of Astragalus injection on TGF-β/Smads
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pathway in kidney in type 2 diabetic mice
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Yanna Nie1, Shuyu Li1, Yuee Yi1, Weilian Su1, Xinlou Chai1, Dexian Jia1 and Qian
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Wang1
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Beijing, China.
School of Preclinical Medicine, Beijing University of Chinese Medicine, 100029,
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 Corresponding author
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Email addresses:
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YN: love_rapunzel@163.com
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SL: lishuyu0706@163.com
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YY:yijin_tao@163.com
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WS:susulin2005@163.com
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XC:mmxin3@126.com
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DJ:jiadexian2002@yahoo.com.cn
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QW: wangqianchai@163.com
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Abstract
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Background
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In traditional Chinese medicine, astragalus injection is used to treat diabetic
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nephropathy. This study was carried out to determine whether astragalus injection has
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any effects on diabetic nephropathy by modulation of TGF -β/Smads signaling
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pathway.
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Methods
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The 14-week-old diabetic male KKAy mice were randomly divided into model group
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and astragalus injection treatment group, while the same age male C57BL/6J mice
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were selected as the normal group. The treatment group received daily intraperitoneal
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injection of astragalus (0.03 ml/10g.d), while the model group only received an
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injection of the same amount of saline. Mice were killed at 24th week respectively.
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The serum of each group were obtained and the blood glucose, creatinine and urea
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nitrogen were detected. The kidney was used for morphometric studies. The
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expression of TGF-β1, TGFβ-RⅠand Smad3/7 were detected by reverse
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transcription-polymerase chain reaction (RT-PCR) and western blot.
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Results
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Mice of model group became obese, suffered health disorders such as
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hyperglycaemia, polyuria and proteinuria. Astragalus injection treatment significantly
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reduced albuminuria, improved renal function and ameliorated renal histopathologic
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changes. Moreover, Astragalus injection increased the expression of Smad7, inhibited
2
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the expression of TGF-β RⅠ,Smad3 and its phosphorylation, TGF-β RⅠand
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decreased the mRNA level of TGF-β1.
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Conclusions
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TGF-β/Smads signal pathway plays an important role in the development of diabetic
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nephropathy (DN). Astragalus injections can preclude or mitigate DN by rebalancing
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TGF-β/Smads signalling and possess a protective effect on renal damage of DN in
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KKay mice.
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Background
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Diabetic nephropathy (DN) is a major microvascular complication of diabetes
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mellitus and the leading cause of end-stage renal disease [1]. A pathological change in
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diabetic nephropathy is the accumulation of normal and abnormal extracellular matrix
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components in the glomeruli and the interstitium of kidney [2]. TGF-β is a secreted
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protein that plays a critical role in the renal fibrosis and the accumulation of ECM [3].
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Intraperitoneal injection of TGF-β alone is sufficient to initiate a prominent renal
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fibrotic response [4]. TGF-β isoforms and their receptors are upregulated in both
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experimental and human DN [5,6]. We focus on TGF-β1 because it is the most highly
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expressed isoform in kidney and has been most closely linked to the pathophysiology
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of DN [6]. It was reported that TGF-β1 is stimulated by high glucose and is mainly
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expressed in renal tubular epithelial cells of diabetic mice [7].
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TGF-β1 binds to the TGFβ-RⅡ which recruits the binding of TGF-β RⅠ to
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form a heterotetramer. Then the TGF-β RⅠ phosphorylates the Smad proteins [8,9],
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after which the activated Smad2/Smad3 associate with Smad4 and this complex
3
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translocates to the nucleus where it is involved in mediating transcriptional responses
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on target genes [10]. Ultimately, the predominant effect of TGF-β is to promote
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matrix accumulation.
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Astragalus (Astragalus membranaceus) has long been known as an
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immune-modulating herb in traditional Chinese medicine. In clinical practice, it has
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been widely used in treating diabetes and kidney abnormalities caused by diabetes in
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the form of astragalus injection[11,12]. There are mainly polysaccharoses,
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astragaloside, isoflavones, and saponin glycosides extracted from astragalus [13].
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Recent studies have shown that astragalus has antifibrotic effect in a rat model and
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can inhibit the expression of TGF-β1, reduce extracellular matrix (ECM) synthesis
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and block tubular epithelial-to-mesenchymal transition (EMT) process [14,15]. A
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meta-analysis results revealed that astragalus injection had more therapeutic effect in
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DN patients such as reducing urine protein and improving renal function [16].
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Astragaloside Ⅳ, one of the main actived ingredients of astragalus, was proved that
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could ameliorate podocyte apoptosis, prevent acute kidney injury and attenuate
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glycated albumin-induced EMT in renal proximal tubular cells [17,18].
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Therefore, understanding the mechanisms of the astragalus injection to treat DN
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is essential for clinical therapy. We employs diabetic nephropathy model to
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investigate the effects of astragalus injection on TGF-β/Smads pathway.
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Methods
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Chemicals and reagent
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Astragalus injections were purchased from the Chengdu di’aojiuhong pharmaceutical
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factory, Chengdu, China.
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Experimental animals and treatment
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All experiments were performed in accordance with the guidelines on Ethical
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Standards for the investigation in animals; the study was approved by the the animal
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research committee of the Beijing University of Chinese Medicine. Sixteen male
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KKAy mice (9-11 weeks of age) weighing 25-28 g were used. Eight male C57BL/6J
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mice (9-11 weeks of age) weighing 23-25 g were also used. All the mice were
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purchased from Animal Center of Chinese Academy of Medical Science (Beijing,
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China) and were raised in the Clinical Institute of China-Japan Friendship Hospital
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(Beijing, China). During the experimental protocol, the KKAy mice were allowed free
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access to high-fat diet (HFD) and pure water. As a control, the C57BL/6J mice were
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allocated a normal diet and pure water.
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At 14 weeks of age, the tail blood was taken to measure blood glucose. A mouse
whose glucose is higher than 13.9 mM can be seen as a diabetic mouse. Then the
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KKAy mice were randomly divided into the model group (MG, n=8) and the
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treatment group (TG, n=8) so that the averages of body weight and blood glucose
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levels were approximately equal. The C57BL/6J mice were used as the normal group
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(NG, n=8). The treatment group received daily intraperitoneal injection of astragalus
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(0.03 ml/10g.d), while the model group only received an injection of the same amount
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of saline. The mice were housed individually in plastic cages with free access to food
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and water throughout the experimental periods.
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Weekly measurements of body weight were conducted and no differences were
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detected among the groups. Samples for determination of the blood glucose were
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taken from the tip of the tail by using the BREEZE2 Blood Glucose Test Strips (Bayer
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HealthCare, USA) every four weeks. At 24 weeks of age, all the mice were deprived
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of food pellets for 10 h. Blood was then collected from the orbital plexus. Samples
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were kept on ice for 1 h, then the plasma was separated by centrifugation at 2000 rpm
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for 15 min at 4℃ and subsequently stored in tubes at -20℃ until analysis. Some
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kidney tissues were excised and instantly frozen in liquid nitrogen for the following
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polymerase chain reaction (PCR) and Western blotting assay. Others were fixed in 4%
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buffered paraformaldehyde for HE (hematoxylin and eosin) staining and Masson
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staining.
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Biochemical analysis
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Mice were executed after taking blood samples at 24 weeks of age, The levels of
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blood urea nitrogen (UREA) and plasma creatinine (CREA) were measured by
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Automated Biochemical Analyzer (Hitachi, Japan).
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Albumin urine analysis
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The metabolic cages method was used to collect the urine samples. The
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concentrations of albumin urine samples were assessed using an automatic
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biochemistry analyzer (DADE Xpand, USA). Albuminuria in mice was expressed as
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milligrams per 24 h.
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Renal histological analysis
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Kidney sections were fixed in 4% buffered paraformaldehyde, embedded in paraffin
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and cut into 4-μm thick sections which were prepared for hematoxylin-eosin (HE) and
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Masson staining.
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Analysis of TGF-β1, TGFβ-RⅠ and Smad3 mRNA expressions by Reverse
transcriptase-PCR
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Total RNA was extracted from the kidney samples using Trizol reagent (Invitrogen,
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CA, USA). The total RNA concentration and purity were determined by measuring
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the OD260 and OD280 ratio. RNA was reverse-transcribed using GoScript Reverse
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Transcription System (Promega, USA) following the manufacturer instructions.
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Primers for PCR (Table 1)were designed and synthesized by Sangon Biotech Co. , Ltd
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(Shanghai, China). PCR reaction was performed using a thermal cycler (Bio-Rad
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Laboratory, USA) by the following contidions: 95℃ for 5 min; 95℃ for 30 s, 50℃
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for 30 s, 72℃ for 40 s, repeated for 36 cycles; and 72℃ for 8 min. Then a carefully
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prepared 1% agarose gel that would present the PCR products clearly was run. The
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quantity of specific mRNA was normalized as a ratio to the amount of β-actin mRNA.
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Western blot analysis for TGF-β1, TGFβ-RⅠ, Smad3/7 and p-Smad3
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The lysates were clarified by centrifugation and supernatants were collected. Protein
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concentrations were determined using the BCA Protein Assay (Applygen, Beijing,
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China). Equivalent amounts of tissue protein (80 μg) were resolved on SDS
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polyacrylamide gels and electroblotted to PVDF. The membranes were bloked in 5%
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(W/V) nonfat milk at room temperature for 1 h, and then incubated with the primary
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antibody against Smad3 (dilution 1: 200, Santa cruz, CA, USA), Smad7 (dilution
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1:200, Santa cruz, CA, USA), p-Smad3(dilution1: , epitomics, CA, USA) and β-actin
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(dilution 1: 1000, Santa cruz, CA, USA) overnight at 4℃ over night. After washing
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in 0.1% Tween TBS buffer, the membranes were incubated with horseradish
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peroxidase (HRP)-linked anti-mouse secondary antibody at 1:3000 dilution.
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Following washing in 0.1% Tween TBS buffer, the immunolabeled proteins were
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detected by enhanced chemiluminescense detection reagents (Applygen, Beijing,
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China). The density of bands was analyzed by Quantity One software.
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Statistical Analysis
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Numerical data are expressed as means ± standard deviation (SD) of at least three
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independent experiments. The significance of differences was examined using
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ANOVA. Values of P <0.05 were considered significant.
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Results
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Astragalus injection controls blood glucose levels and body weights
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The normal group didn’t display any obvious fluctuations in body status. However,
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the mice in the model group demonstrated retarded spirit, slow activities and
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lacklustre body hairs, which are typical manifestations of diabetes. Despite
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exhibitions of the similar symptoms to those of the model group, the treatment group
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showed much milder sufferings.
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The body weights of the mice in the model group were significantly higher than
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those in the normal group (P<0.01, Fig.1A), and the condition persisted during our
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experiment. Although the body weights of the mice in the treatment group also
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gradually increased, the mean weight of those was significantly lower than that of
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mice in the model group, as evidenced by measurement at 16,18,20 and 24 weeks
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respectively (Fig.1A). The blood glucose levels in the model group were also
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increased as compared with the normal group (P<0.01, Fig.1B), which were
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sigficantly reduced after the treatment with astragalus injections at 20 and 24 weeks
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(P<0.01, Fig.1B). However, the astragalus injection treatments were not able to bring
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glucose back to its normal level.
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Astragalus injection reduces albuminuria and renal function deterioration
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At 24 weeks of age, there were significant differences in the concentration of
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creatinine, blood urea nitrogen and albumin between the normal group and the model
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group (P<0.01, P<0.01, P<0.01, Fig.2). The treatment group showed significantly
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lower levels of plasma creatinine, blood urea nitrogen and urinary albumin after being
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administrated with astragalus injections, as compared to the model group. ( P<0.05,
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P<0.01, P<0.01, Fig.2).
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Astragalus injection prevents renal morphological changes in diabetic mice
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To identify the pathological damage in the kidney and to confirm the protective effect
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of astragalus injection on DN, HE and masson staining were performed. Compared
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with the normal group, a variety of damages of DN were detected in renal pathology
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of the model group, including thickening of basal membrane, vacuolar degeneration in
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the renal tubular epithelial cells (Fig.3 A-C). Masson staining revealed obvious
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glomerular sclerosis and interstitial fibrosis in KKay mouse. However, treatment with
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astragalus injection reversed these changes to a certain degree (Fig.3).
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Effects of astragalus injection on the expression of Smad3, Smad7, TGF-β1,
TGFβ-RⅠat mRNA level
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Using Reverse transcriptase-PCR , we found that astragalus injections significantly
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modulated the mRNA expression of Smad3, Smad7, TGF-β1, TGFβ-RⅠin kidneys of
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diabetic mice. The relative amounts of Smad3, TGF-β1, TGFβ-RⅠ mRNA were
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lower in diabetic mice treated with astragalus injections compared with the model
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group (P<0.01, P<0.01, P<0.05, Fig.4). Inversely, Smad7 expression was lower in
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KKay mice than in the normal mice (P<0.05, Fig.4), and astragalus injection
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treatment markedly induced Smad7 expression in diabetic mice (P<0.05, Fig.4).
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Effects of astragalus injection on the expression of Smad3, Smad7, TGF-β1,
TGFβ-RⅠ and p-Smad3 at protein level
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To examine the Smad3/7, TGF-β1 and TGFβ-RⅠexpressions, we employed western
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blot analysis. The model group showed higher levels of Smad3, TGF-β1, TGFβ-RⅠ
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(P<0.01, P<0.05, P<0.01, Fig.5 ) and lower level of Smad7 (P<0.01, Fig.5) compared
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with the normal group. The astragalus injection significantly reversed the increase in
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Smad3, TGFβ-RⅠ proteins (P<0.01, P<0.05) and the decrease in Smad7(P<0.01)
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protein in diabetic mice. But it had no effect on TGF-β1 expression (Fig.5).
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Smad3 is activated by phosphorylation. We then examined the expression of
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phosphorylated Smad3 by western blot. The results demonstrated that the
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phosphorylation of Smad3 as a fraction of total Smad3 was significantly increased in
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kidneys in the model group when compared with the normal group (P<0.01, Fig.6).
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Conversely, astragalus injection treatment significantly inhibited the Smad3 activation
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(P<0.01, Fig.6).
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Discussion
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Diabetic nephropathy, one of the most frequent chronic microvascular complications
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of diabetes mellitus, is the leading cause of end-stage kidney failure [19,20]. Its main
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pathological changes are ECM accumulation, degeneration of tubular epithelial cells,
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atrophy even disappearance of some tubules, thickening of basal membrane and
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infiltration with inflammatory cells in mesenchyme [21,22]. The KKAy mouse, which
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is known to serve as an excellent model of type-2 diabetes, was produced by
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transferring the yellow obese gene (Ay alele) into the KK/Ta mouse [23]. In the
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previous study, KKAy mice had developed obesity, hyperglycaemia and albuminuria
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by 14-week old. Furthermore, HE staining demonstrated the thickened glomerular
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basement membrance, vacuolar degeneration in the renal tubular epithelial cells. And
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Masson staining revealed obvious glomerular sclerosis and interstitial fibrosis in
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KKay mouse, a finding that is consistent with previous studies [22].
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The Chinese herbal astragalus is an effective medical prescription which is
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clinically used to treat DN [16,24]. All of the major constituents of astragalus have
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been shown to differentially lower high blood glucose levels and improve impaired
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glucose tolerance in type 2 diabetic models [25,26]. In this study, astragalus injection,
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the aqueous extract of astragalus, administration of which for 10 weeks did have a
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mild hypoglycemic effect as suggested in our data above. However, good glycemic
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control with insulin has been demonstrated to ameliorate DN in STZ-DM rats [27],
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suggesting that astragalus injection possesses other renoprotective mechanism beyond
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the sugar lowering effect. Diabetic albuminuria is an early hallmark of DN and is
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always associated with the development of characteristic histopathologic features. The
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results that there were aggravated kidney injuries such as albuminuria, glomerular
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sclerosis and interstitial fibrosis in KKay mice supported this notion. However,
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astragalus injection treatment attenuated theses changes in diabetic kidneys.
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Supporting this result may be the idea that astragalus injection can improve renal
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function through inhibiting EMT process and collagen production [28]. Moreover, it
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was found that levels of serum creatinine and blood urea nitrogen were elevated
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significantly in KKay mouse and the treatment group showed milder symptoms than
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the model group after administration of astragalus injection, indicating that astragalus
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injection could ameliorate renal function deterioration. Taken together, astragalus
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injection may be appropriate to control blood glucose levels and body weight.
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Specifically, it can reverse renal histopathologic changes, attenuate albuminuria,
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through which renal function may be improved. So there is a need for investigating
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the molecular mechanism of astragalus injection in treating DN.
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Then we aimed to investigate the mechanism of the astragalus injection to treat
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DN by focusing on the TGFβ/Smad pathway. TGF-β, a multifunctional cytokine,
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which leads to renal fibrosis, plays a crucial role in the pathogenesis of DN.
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Interestingly, the administration of TGF-β neutralizing antibodies significantly
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reduced renal fibrosis [9]. In our previous studies, we concluded that TGF-β1 proteins
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were high in diabetic kidneys of the KKay mice by immunohistochemistry. Moreover,
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We also found that TGF-β1 was mainly expressed in the cytoplasm of the renal
260
tubular epithelial cells and is rarely expressed in glomeruli [29]. In this study, the
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amount of TGF-β1 expression was higher in the model group than that in the normal
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group, all of which are consistent with others’ findings [30,31]. Furthermore,
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astragalus injection treatment significantly reduced mRNA expression of TGF-β1.
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This finding suggested that it may play a role in downregulation of TGF-β1 at
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transcriptional level. Our western blot studies confirmed that the model group showed
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upregulated TGF-β RⅠproteins, however increased TGF-β RⅠwas not significant at
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mRNA levels. This phenomenon may be ascribed to the possibility that the mRNA of
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TGF-β RⅠis apt to degrade due to its unstable nature.
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One of our aims in this experiment was to investigate the effect of astragalus
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injection on Smad3/7. Smad7, as one of the inhibitory Smads, blocks TGF-β signaling
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pathway by inhibiting Smad2/3 phosphorylation and thereby exerting its anti-fibrotic
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effect [32]. Increasing evidence has shown that disruption of Smad7 may accelerate
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renal fibrosis [33,34], Our results that KKay mice with down-regulated Smad7
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developed more severe renal dysfunction further confirmed this viewpoint. Besides
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the inhibitory Smads, there are receptor-regulated Smads that can transduce TGFβ
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signal, such as Smad2 and Smad3. Smad3 is a critical downstream mediator
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responsible for renal fibrosis and is proved to function in the diabetes-induced
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up-regulation of fibronectin and α3 (Ⅳ) collagen, and therefore may play a critical
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role in the early phase of DN [35,36]. It is well documented that smad3-deficient mice
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are protected from renal fibrosis by reduced EMT, collagen deposition, and the
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expression of profibrotic TGF-β target genes [37,38]. As shown in our results, the
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expression of Smad3 and p-Smad3 were increased in diabetic kidney. Furthermore,
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astragalus injection suppressed Smad3 expression and its phosphorylation and
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promoted Smad7 expression resulting in improved conditions provides further
285
evidence for its effectiveness in treatment of DN.
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Conclusions
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In conclusion, we believe that the diabetic nephropathy is caused by the imbalanced
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TGF-β/Smad pathway, and as a result, FN increases and assembles, leading to
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glomerular sclerosis and interstitial fibrosis. In consistent with our expectation,
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astragalus injection alleviates DN by suppressing Smad3, p-Smad3 and TGF-β RⅠ
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expression. Concurrently, it also exerts its effect by reducing the mRNA level of
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TGF-β1 and promoting Smad7 expression, These results demonstrated that astragalus
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injection could be a potential agent for amelioration of DN via blockade of
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TGF-β/Smad pathway.
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Abbreviations
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TGF-β: transforming growth factor-beta; DN: Diabetic nephropathy; TGFβ-R:
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transforming growth factor-beta receptor; UREA: blood urea nitrogen; CREA: plasma
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creatinine.
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Competing interests
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The authors have declared that there is no conflict of interest.
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Authors' contributions
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YN carried out the animal experiments, performed the statistical analysis and drafted
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the manuscript. YY participated in the western blot assay. WS involved in the
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extraction of RNA and RT-PCR, XC and DJ participated in the HE staining and
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discussion of the experiment. SL and QW formulated the original ideas and working
306
hypothesis. QW is the owner of the research grant and revised the draft of manuscript.
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All authors read and approved the final manuscript.
308
Acknowledgements
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This study was supported by the National Natural Science Foundation of China (no.
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30672756; no. 81072926) and innovation team project funded by Beijing university of
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Chinese medicine (no. 2011-CXD-04).
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30. Lingyun Li, Nerimiah Emmett, David Mann, Xueying Zhao: Fenofibrate
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factor-β1/Smad3 in diabetic nephropathy. Exp Biol Med 2010, 235:
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31. SW Hong, M Isono, S Chen, FN Ziyadeh: Increased glomerular and
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tubular expression of TGF--β1, its type II receptor, and activation of the
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Smad signaling pathway in the db/db mouse. Am J Pathol 2001, 158:
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1653–1663
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32. Schiffer M, Schiffer LE, Gupta A, et al: Inhibitory smads and TGF-beta
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signaling in glomerular cells. J Am Soc Nephrol 2002, 13: 2657-2666
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33. Arthur C. K. Chung, Xiao R. Huang, Li Zhou, et al: Disruption of the
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Smad7 gene promotes renal fibrosis and inflammation in unilateral
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ureteral obstruction (UUO) in mice. Nephrol Dial Transplant 2009, 24:
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1443-1454
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34. Hai Yong Chen, Xiao R. Huang, Wansheng Wang, et al: The protective role
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of Smad7 in diabetic kidney disease: mechanism and therapeutic
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potential. Diabetes. 2011, 60: 590-601
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35. Wang A, Ziyadeh FN, Lee EY, et al: Interference with TGF-beta signaling
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by Smad3-knockout in mice limits diabetic glomerulosclerosis without
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affecting albuminuria. Am J Physiol Renal Physiol 2007, 293: F1657–1665
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36. Fujimoto M, Maezawa Y, Yokote K, et al: Mice lacking Smad3 are
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protected against streptozotocin-induced diabetic glomerulopathy.
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Biochem Biophys Res Commun 2003, 305: 1002–1007
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37. Arany P. R, Flanders KC, DeGraff W, et al: Absence of Smad3 confers
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radioprotection through modulation of ERK-MAPK in primary dermal
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fibroblasts. J Dermatol Sci 2007, 48: 35–42
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38. Inazaki K, Kanamaru Y, Kojima Y, et al: Smad3 deficiency attenuates renal
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fibrosis, inflammation, and apoptosis after unilateral ureteral obstruction.
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Kidney Int 2004, 66: 597–604
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Figures
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Figure 1- Body weights and the blood glucose levels in different weeks (means ±
424
SD, n=6-8). NG: the normal group. MG: the model group. TG: the astragalus
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injection treatment group. The bargraphs summarize average values for body weight
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and blood glucose. A: body weights gradually increased in mice in the model group.
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Astragalus injection treatment could significantly inhibit body weight gains. B:
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diabetic mice (the model group) remained hyperglycemic and C57BL/6J mice (the
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normal group) remained normoglycemic throughout the period of study. The tendency
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for astragalus injection treatment to reduce the blood glucose concentration in diabetic
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mice was obvious. but the astragalus injection treatments can not return the blood
432
glucose levels to normal. Compared with NG, *P<0.05, **P<0.01.Compared with
433
MG, P<0.05, P<0.01.
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Figure 2 - The concentration of plasma creatinine, blood urea nitrogen, urine
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albumin at 24 weeks of age (means ± SD, n=6-8). NG: the normal group. MG: the model
436
group. TG: the astragalus injection treatment group. A: the mean of plasma creatinine was
437
elevated in the model group. The increase in plasma creatinine with diabetes was prevented in
438
the treatment group. B: blood urea nitrogen tracked with the plasma creatinine, increasing in
439
model group but decreasing in the treatment group. C: urine albumin also increased in the
440
model group, which was markedly reduced with astragalus injection treatment. Compared
441
with NG, *P<0.05, **P<0.01. Compared with MG, P<0.05 , P<0.01.
20
442
Figure 3. Renal pathology of different groups (HE , masson ×400). Figures show
443
pathologic damages in KKAy mice at 24 weeks of age. Glomerulosclerosis and interstitial
444
fibrosis are the main pathology in diabetic nephropathy. A-C: HE staining. A: the normal
445
group. B: the model group. HE staining showed thickened basal membrane and vacuolar
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degeneration in the renal tubular epithelial cells. C: the treatment group. D-F: Masson
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staining. D: the normal group. E: the model group. Masson staining revealed collagen
448
deposition (blue color) in the interstitium and glomeruli. F: the treatment group. It showed
449
more improved kidney pathological.
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Figure 4. Astragalus injection has effects on the mRNA expressions of
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Smad3/7, TGF-β1, TGFβ-RⅠ(means ± SD, n=3). Mice were sacrificed at 24 week. NG:
452
the normal group. MG: the model group. The model group showed decreased
453
expression of Smad7 and increased expression of Smad3, TGFβ-RⅠ, TGF-β1. TG: the
454
astragalus injection treatment group. Compared with NG, *P<0.05, **P<0.01.
455
Compared with MG, P<0.05 , P<0.01.
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Figure 5. Astragalus injection has effects on the protein expressions of
457
Smad3/7, TGF-β1, TGFβ-RⅠ(means ± SD, n=3). Protein extracts from the renal cortex
458
were analyzed to evaluate the expression of TGF-β/Smad proteins. NG: the normal
459
group. MG: the model group. TG: the astragalus injection treatment group. The
460
reduction in Smad3 and TGFβ-RⅠprotein levels was similarly observed in diabetic
461
mice after astragalus injection treatment, but no significant change was observed in
462
TGF-β1 level. Compared with NG, *P<0.05, **P<0.01. Compared with MG,
463
P<0.05
, P<0.01.
21
464
Figure 6. Smad3 phosphorylation in diabetic mice was suppressed by
465
astragalus injection (means ± SD, n=3). NG: the normal group. MG: the model group.
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TG: the astragalus injection treatment group. The Smad3 was actived in diabetes. The
467
ratio of phosphorylated Smad3 to total Smad3 was increased in KKay mice. In addition,
468
Smad3 activation were significantly inhibited in astragalus injection treated diabetic mice.
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Representative western blots of p-Smad3 and total Smad3 are shown in figure6. Compared
470
with NG, *P<0.05, **P<0.01. Compared with MG, P<0.05 , P<0.01.
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Tables
472
Table 1 - PCR sequences and PCR products
name
TGF-β1
TGFβ-RⅠ
Smad7
Smad3
β-actin
length
493bp
172bp
309bp
232bp
243bp
Upstream primer(5’-3’)
TCCCTCAACCTCAAATTATTCA
GGCGAAGGCATTACAGTGTT
ACAGAAAGTGCGGAGCAAGAT
GGGCCAACAAGTCAACAAGT
GAAATCGTGCGTGACATTAAGG
Downstream primer(5’-3’)
GCGGTCCACCATTAGCAC
TGCACATACAAATGGCCTGT
CTGATGAACTGGCGGGTGTAG
CTGGCTGGCTAAGGAGTGAC
CACGTCACACTTCATGATGGAG
473
474
Additional files
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476
477
478
Additional file 1 – revised manuscript with corrections red-marked
A revised version with corrections in red mark is for convenient scrutiny. It is in the
formats of MS word.
22
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