PMID- 34095318 OWN - NLM STAT- MEDLINE DCOM- 20211210 LR - 20240226 IS - 2314-6753 (Electronic) IS - 2314-6745 (Print) VI - 2021 DP - 2021 TI - Tacrolimus Protects Podocytes from Apoptosis via Downregulation of TRPC6 in Diabetic Nephropathy. PG - 8832114 LID - 10.1155/2021/8832114 [doi] LID - 8832114 AB - Podocyte injury plays an important role in diabetic nephropathy (DN), and apoptosis is one of its mechanisms. The transient receptor potential channel 6 (TRPC6) is expressed in podocytes and mediates podocyte injury induced by high glucose levels. Tacrolimus is a novel immunosuppressive agent that is reported to play an important role in podocyte protection. The purpose of this study was to investigate the potential mechanism of podocyte protection by tacrolimus in a type 2 diabetic mellitus (T2DM) rat model and in immortalized mouse podocytes (MPC5). Transmission electron microcopy was used to evaluate renal injury morphology. After treatment with FK506, we measured 24-hour urinary albumin-to-creatinine ratios and creatinine clearance rates as well as major biochemical parameters such as glucose, insulin, serum creatinine, urea nitrogen, total cholesterol, triglycerides, alanine transaminase, and aspartate aminotransferase. Nephrin and TRPC6 protein expression and podocyte apoptotic rates in vivo and in vitro were measured using immunohistochemical staining, TUNEL assays, and flow cytometry, respectively. Western blot was used to measure expression of cleaved-caspase-3 and bax/bcl-2. Exposed to high glucose (HG), DM rats exhibited disrupted biochemical conditions and impaired podocyte structure. Decreased expression of nephrin and increased expression of TRPC6, cleaved-caspase-3, and bax/bcl-2 ratios were found in podocytes, along with higher apoptotic percentage, while tacrolimus intervention counteracted the effect of HG on podocytes. Our results suggest that tacrolimus protects podocytes during the progression of type 2 diabetic nephropathy, possibly ameliorating podocyte apoptosis by downregulating the expression of TRPC6. CI - Copyright (c) 2021 Ruixia Ma et al. FAU - Ma, Ruixia AU - Ma R AUID- ORCID: 0000-0002-5492-2575 AD - Department of Nephrology, Affiliated Hospital of Qingdao University, Qingdao, Shandong, China. FAU - Wang, Ying AU - Wang Y AUID- ORCID: 0000-0002-4847-2539 AD - Department of Nephrology, Affiliated Hospital of Qingdao University, Qingdao, Shandong, China. FAU - Xu, Yan AU - Xu Y AD - Department of Nephrology, Affiliated Hospital of Qingdao University, Qingdao, Shandong, China. FAU - Wang, Rui AU - Wang R AD - Department of Intensive Care Unit, Affiliated Hospital of Qingdao University, Qingdao, Shandong, China. FAU - Wang, Xianghua AU - Wang X AD - Department of Nephrology, Affiliated Hospital of Qingdao University, Qingdao, Shandong, China. FAU - Yu, Ning AU - Yu N AD - Department of Ultrasound, Affiliated Hospital of Qingdao University, Qingdao, Shandong, China. FAU - Li, Minghui AU - Li M AD - Department of Emergency, Affiliated Hospital of Qingdao University, Qingdao, Shandong, China. FAU - Zhou, Yan AU - Zhou Y AD - Department of Nephrology, Affiliated Hospital of Qingdao University, Qingdao, Shandong, China. LA - eng PT - Journal Article DEP - 20210520 PL - England TA - J Diabetes Res JT - Journal of diabetes research JID - 101605237 RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (TRPC Cation Channels) RN - 0 (TRPC6 Cation Channel) RN - 0 (Trpc6 protein, mouse) RN - 0 (Trpc6 protein, rat) RN - WM0HAQ4WNM (Tacrolimus) SB - IM MH - Animals MH - Apoptosis/*drug effects MH - Apoptosis Regulatory Proteins/metabolism MH - Cell Line MH - Diabetic Nephropathies/*drug therapy/genetics/metabolism/pathology MH - Disease Models, Animal MH - Down-Regulation MH - Male MH - Mice MH - Podocytes/*drug effects/metabolism/ultrastructure MH - Rats, Wistar MH - Signal Transduction MH - TRPC Cation Channels/genetics/*metabolism MH - TRPC6 Cation Channel/genetics/*metabolism MH - Tacrolimus/*pharmacology MH - Rats PMC - PMC8163546 COIS- All authors declare no financial competing interests. EDAT- 2021/06/08 06:00 MHDA- 2021/12/15 06:00 PMCR- 2021/05/20 CRDT- 2021/06/07 06:05 PHST- 2020/09/13 00:00 [received] PHST- 2021/04/18 00:00 [revised] PHST- 2021/04/24 00:00 [accepted] PHST- 2021/06/07 06:05 [entrez] PHST- 2021/06/08 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/05/20 00:00 [pmc-release] AID - 10.1155/2021/8832114 [doi] PST - epublish SO - J Diabetes Res. 2021 May 20;2021:8832114. doi: 10.1155/2021/8832114. eCollection 2021.