PMID- 32934682 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 1792-0981 (Print) IS - 1792-1015 (Electronic) IS - 1792-0981 (Linking) VI - 20 IP - 5 DP - 2020 Nov TI - Metformin attenuates renal interstitial fibrosis through upregulation of Deptor in unilateral ureteral obstruction in rats. PG - 17 LID - 10.3892/etm.2020.9144 [doi] LID - 17 AB - Renal interstitial fibrosis (RIF) is a common pathological process that accompanies chronic kidney disease (CKD) and that progresses to end-stage renal failure (ESRD). Accumulating evidence has revealed that persistent mammalian target of rapamycin (mTOR) activation in kidneys is closely associated with the occurrence and progression of CKD. The DEP domain-containing mTOR interacting protein (Deptor) is an endogenous negative regulator of mTOR. Metformin can attenuate renal fibrosis in an animal model of diabetic nephropathy. Previous studies demonstrated that metformin can attenuate renal fibrosis in several models of CKD. However, the precise mechanisms of this effect are not well understood. The present study aimed to examine the mechanism of action of metformin on unilateral ureteral obstruction (UUO)-induced RIF in rats in vivo. Sprague-Dawley rats were randomly divided into a sham-operated group, three UUO groups examined at different time points (3, 7 and 14 days after UUO surgery), and three metformin-treated groups, treated with three different concentrations of metformin. The metformin-treated groups were administered metformin orally every day for 14 consecutive days following surgery. The protein expression levels of Deptor, alpha-smooth muscle actin (alpha-SMA), phosphorylated (p-)mTOR, p-ribosomal protein S6 kinase (p-p70S6K) and CD68 were assessed. The present results suggested that, following UUO, there was a significant reduction of Deptor expression, and an increase in collagen deposition in the extracellular matrix over time, accompanied by an increased expression of several proteins including CD68, alpha-SMA, p-mTOR and p-p70S6K. Notably, metformin treatment reversed these effects. In conclusion, the present results suggested that metformin attenuated RIF of UUO rats, and the mechanism of action was found to be associated with the increase in Deptor expression and inhibition of the mTOR/p70S6K pathway in the kidneys of UUO rats. CI - Copyright: (c) Wang et al. FAU - Wang, Yanxia AU - Wang Y AD - Department of Pharmacology, Xuzhou Medical University, Xuzhou, Jiangsu 221000, P.R. China. FAU - Wang, Yan AU - Wang Y AD - Department of Pharmacy, Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221000, P.R. China. FAU - Li, Yong AU - Li Y AD - Department of Gastrointestinal Surgery, Xuzhou Central Hospital, Xuzhou, Jiangsu 221006, P.R. China. FAU - Lu, Linghong AU - Lu L AD - Department of Pharmacology, Xuzhou Medical University, Xuzhou, Jiangsu 221000, P.R. China. FAU - Peng, Yingxian AU - Peng Y AD - Department of Pharmacology, Xuzhou Medical University, Xuzhou, Jiangsu 221000, P.R. China. FAU - Zhang, Shu AU - Zhang S AD - Department of Pharmacology, Xuzhou Medical University, Xuzhou, Jiangsu 221000, P.R. China. FAU - Xia, Anzhou AU - Xia A AD - Department of Pharmacology, Xuzhou Medical University, Xuzhou, Jiangsu 221000, P.R. China. LA - eng PT - Journal Article DEP - 20200826 PL - Greece TA - Exp Ther Med JT - Experimental and therapeutic medicine JID - 101531947 PMC - PMC7471900 OTO - NOTNLM OT - DEP domain-containing mTOR interacting protein OT - interstitial fibrosis OT - mTOR OT - metformin OT - unilateral ureteral obstruction EDAT- 2020/09/17 06:00 MHDA- 2020/09/17 06:01 PMCR- 2020/08/26 CRDT- 2020/09/16 05:38 PHST- 2019/04/16 00:00 [received] PHST- 2020/01/14 00:00 [accepted] PHST- 2020/09/16 05:38 [entrez] PHST- 2020/09/17 06:00 [pubmed] PHST- 2020/09/17 06:01 [medline] PHST- 2020/08/26 00:00 [pmc-release] AID - ETM-0-0-09144 [pii] AID - 10.3892/etm.2020.9144 [doi] PST - ppublish SO - Exp Ther Med. 2020 Nov;20(5):17. doi: 10.3892/etm.2020.9144. Epub 2020 Aug 26.