PMID- 37017270 OWN - NLM STAT- MEDLINE DCOM- 20230406 LR - 20230411 IS - 1525-6049 (Electronic) IS - 0886-022X (Print) IS - 0886-022X (Linking) VI - 45 IP - 1 DP - 2023 Dec TI - Ginsenoside Rg1 treatment alleviates renal fibrosis by inhibiting the NOX4-MAPK pathway in T2DM mice. PG - 2197075 LID - 10.1080/0886022X.2023.2197075 [doi] LID - 2197075 AB - Diabetic kidney disease (DKD) is a severe complication of type 2 diabetes mellitus (T2DM). However, the pathogenesis of DKD remains unclear, and effective treatment strategies are still lacking. Ginsenoside Rg1 (Rg1) has been reported to improve DKD, but the mechanism is unclear. NADPH oxidase 4 (NOX4) is an essential reactive oxygen species (ROS) source in the kidney. The mitogen-activated protein kinase (MAPK) signaling may exacerbate renal fibrosis. Therefore, we hypothesized that Rg1 might alleviate renal injury and fibrosis by inhibiting NOX4 and MAPK signaling in T2DM-induced DKD. We found that Rg1 significantly improves lipid deposition, fibrosis, and ROS production and reduces NOX4, p22phox, p47phox, p-ERK, p-JNK, and p-P38 MAPK expressions in the T2DM mice kidneys. We also found that the high-fat diet treatment in mice and the palmitate (PA) and PA + HG (high glucose) exposure in human mesangial cells could significantly induce lipid deposition, ROS production, fibrosis, and the activation of NOX4-MAPK signaling. The results suggest that high lipid and glucose may play a significant role in DKD progression, while Rg1 may attenuate renal fibrosis by inhibiting NOX4-MAPK signaling. FAU - Ji, Pengmin AU - Ji P AD - Department of Pharmacology, School of Basic Medical Sciences, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University, Hefei, China. FAU - Shi, Qifeng AU - Shi Q AD - Department of Pharmacology, School of Basic Medical Sciences, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University, Hefei, China. FAU - Liu, Yan AU - Liu Y AD - Department of Pharmacology, School of Basic Medical Sciences, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University, Hefei, China. FAU - Han, Min AU - Han M AD - Department of Pharmacology, School of Basic Medical Sciences, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University, Hefei, China. FAU - Su, Yong AU - Su Y AD - Department of Pharmacy, The First Affiliated Hospital of Anhui Medical University, Hefei, China. FAU - Sun, Ran AU - Sun R AD - Department of Pharmacology, School of Basic Medical Sciences, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University, Hefei, China. FAU - Zhou, Huimin AU - Zhou H AD - Department of Pharmacology, School of Basic Medical Sciences, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University, Hefei, China. FAU - Li, Weizu AU - Li W AD - Department of Pharmacology, School of Basic Medical Sciences, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University, Hefei, China. FAU - Li, Weiping AU - Li W AD - Department of Pharmacology, School of Basic Medical Sciences, Key Laboratory of Anti-inflammatory and Immunopharmacology, Ministry of Education, Anhui Medical University, Hefei, China. LA - eng PT - Journal Article PL - England TA - Ren Fail JT - Renal failure JID - 8701128 RN - EC 1.6.3.- (NADPH Oxidase 4) RN - 0 (Reactive Oxygen Species) RN - PJ788634QY (ginsenoside Rg1) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinases) RN - IY9XDZ35W2 (Glucose) RN - 0 (Lipids) RN - EC 1.6.3.- (NOX4 protein, human) RN - EC 1.6.3.- (Nox4 protein, mouse) SB - IM MH - Mice MH - Humans MH - Animals MH - NADPH Oxidase 4/metabolism MH - Reactive Oxygen Species/metabolism MH - *Mitogen-Activated Protein Kinases MH - *Diabetes Mellitus, Type 2/complications/drug therapy MH - Fibrosis MH - Glucose/pharmacology MH - Lipids PMC - PMC10078147 OTO - NOTNLM OT - MAPK OT - NOX4 OT - Type 2 diabetes mellitus OT - diabetic kidney disease OT - ginsenoside Rg1 COIS- No potential conflict of interest was reported by the author(s). EDAT- 2023/04/06 06:00 MHDA- 2023/04/06 06:41 PMCR- 2023/04/05 CRDT- 2023/04/05 07:23 PHST- 2023/04/06 06:41 [medline] PHST- 2023/04/05 07:23 [entrez] PHST- 2023/04/06 06:00 [pubmed] PHST- 2023/04/05 00:00 [pmc-release] AID - 2197075 [pii] AID - 10.1080/0886022X.2023.2197075 [doi] PST - ppublish SO - Ren Fail. 2023 Dec;45(1):2197075. doi: 10.1080/0886022X.2023.2197075.