PMID- 37248536 OWN - NLM STAT- MEDLINE DCOM- 20230531 LR - 20230603 IS - 1757-6512 (Electronic) IS - 1757-6512 (Linking) VI - 14 IP - 1 DP - 2023 May 29 TI - Intravenous injection of human umbilical cord-derived mesenchymal stem cells ameliorates not only blood glucose but also nephrotic complication of diabetic rats through autophagy-mediated anti-senescent mechanism. PG - 146 LID - 10.1186/s13287-023-03354-z [doi] LID - 146 AB - BACKGROUND: Diabetic nephropathy (DN) is one of the most severe complications of diabetes mellitus, which is characterized by early occurrence of albuminuria and end-stage glomerulosclerosis. Senescence and autophagy of podocytes play an important role in DN development. Human umbilical cord-derived mesenchymal stem cells (hucMSCs) have potential in the treatment of diabetes and its complications. However, the role of hucMSCs in the treatment of DN and the underlying mechanism remain unclear. METHODS: In vivo, a streptozotocin-induced diabetic male Sprague Dawley rat model was established to determine the renoprotective effect of hucMSCs on DN by biochemical analysis, histopathology, and immunohistochemical staining of renal tissues. And the distribution of hucMSCs in various organs in rats within 168 h was analyzed. In vitro, CCK8 assay, wound healing assay, and beta-galactosidase staining were conducted to detect the beneficial effects of hucMSCs on high glucose-induced rat podocytes. Real-time PCR and western blot assays were applied to explore the mechanism of action of hucMSCs. RESULTS: The in vivo data revealed that hucMSCs were distributed into kidneys and significantly protected kidneys from diabetic damage. The in vitro data indicated that hucMSCs improved cell viability, wound healing, senescence of the high glucose-damaged rat podocytes through a paracrine action mode. Besides, the altered expressions of senescence-associated genes (p16, p53, and p21) and autophagy-associated genes (Beclin-1, p62, and LC3) were improved by hucMSCs. Mechanistically, hucMSCs protected high glucose-induced injury in rat podocytes by activating autophagy and attenuating senescence through the AMPK/mTOR pathway. CONCLUSIONS: In conclusion, hucMSCs might be a promising therapeutic strategy for the clinical treatment of DN-induced renal damages. CI - (c) 2023. The Author(s). FAU - Li, Xinyue AU - Li X AD - School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou, China. FAU - Guo, Le AU - Guo L AD - School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou, China. FAU - Chen, Jingan AU - Chen J AD - School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou, China. FAU - Liang, Haowei AU - Liang H AD - School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou, China. FAU - Liu, Yi AU - Liu Y AD - School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou, China. FAU - Chen, Wei AU - Chen W AD - Cancer Institute of Integrated Traditional Chinese and Western Medicine, Key Laboratory of Cancer Prevention and Therapy Combining Traditional Chinese and Western Medicine of Zhejiang Province, Zhejiang Academy of Traditional Chinese Medicine, Tongde Hospital of Zhejiang Province, 234 Gucui Road, Hangzhou, 310012, Zhejiang, China. FAU - Zhou, Li AU - Zhou L AD - The First Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou, China. zhouli@zcmu.edu.cn. FAU - Shan, Letian AU - Shan L AD - The First Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou, China. letian.shan@zcmu.edu.cn. AD - Cell Resource Bank and Integrated Cell Preparation Center of Xiaoshan District, Hangzhou Regional Cell Preparation Center (Shangyu Biotechnology Co., Ltd), Hangzhou, China. letian.shan@zcmu.edu.cn. FAU - Wang, Hui AU - Wang H AUID- ORCID: 0000-0003-0108-8254 AD - School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou, China. wh@zcmu.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230529 PL - England TA - Stem Cell Res Ther JT - Stem cell research & therapy JID - 101527581 RN - 0 (Blood Glucose) SB - IM MH - Rats MH - Humans MH - Male MH - Animals MH - Rats, Sprague-Dawley MH - Blood Glucose/metabolism MH - *Diabetes Mellitus, Experimental/metabolism MH - Injections, Intravenous MH - *Diabetic Nephropathies/therapy/metabolism MH - *Mesenchymal Stem Cells/metabolism MH - Autophagy MH - Umbilical Cord/metabolism PMC - PMC10228071 OTO - NOTNLM OT - AMPK/mTOR signaling OT - Diabetic nephropathy OT - Human umbilical cord-derived mesenchymal stem cells OT - Paracrine effect OT - Podocytes COIS- The authors declare no competing interests. EDAT- 2023/05/30 01:06 MHDA- 2023/05/31 06:42 PMCR- 2023/05/29 CRDT- 2023/05/29 23:34 PHST- 2022/07/20 00:00 [received] PHST- 2023/04/24 00:00 [accepted] PHST- 2023/05/31 06:42 [medline] PHST- 2023/05/30 01:06 [pubmed] PHST- 2023/05/29 23:34 [entrez] PHST- 2023/05/29 00:00 [pmc-release] AID - 10.1186/s13287-023-03354-z [pii] AID - 3354 [pii] AID - 10.1186/s13287-023-03354-z [doi] PST - epublish SO - Stem Cell Res Ther. 2023 May 29;14(1):146. doi: 10.1186/s13287-023-03354-z.