Cholecystokinin Plays a Novel Protective Role in Diabetic Kidney Through Anti-inflammatory Actions on Macrophage Anti-inflammatory Effect of Cholecystokinin

被引:66
作者
Miyamoto, Satoshi [1 ]
Shikata, Kenichi [1 ,2 ]
Miyasaka, Kyoko [3 ]
Okada, Shinichi [1 ]
Sasaki, Motofumi [1 ]
Kodera, Ryo [1 ,2 ]
Hirota, Daisho [1 ]
Kajitani, Nobuo [1 ]
Takatsuka, Tetsuharu [1 ]
Kataoka, Hitomi Usui [1 ,4 ]
Nishishita, Shingo [1 ]
Sato, Chikage [1 ,5 ]
Funakoshi, Akihiro [6 ]
Nishimori, Hisakazu [7 ]
Uchida, Haruhito Adam [1 ]
Ogawa, Daisuke [1 ,5 ]
Makino, Hirofumi [1 ]
机构
[1] Okayama Univ, Dept Med & Clin Sci, Grad Sch Med Dent & Pharmaceut Sci, Okayama, Japan
[2] Okayama Univ Hosp, Ctr Innovat Clin Med, Okayama, Japan
[3] Tokyo Kasei Univ, Dept Nutr & Physiol, Tokyo, Japan
[4] Okayama Univ, Dept Primary Care & Med Educ, Grad Sch Med Dent & Pharmaceut Sci, Okayama, Japan
[5] Okayama Univ, Dept Diabet Nephropathy, Grad Sch Med Dent & Pharmaceut Sci, Okayama, Japan
[6] Kyushu Natl Canc Ctr, Dept Gastroenterol, Fukuoka, Japan
[7] Okayama Univ, Dept Hematol & Oncol, Grad Sch Med Dent & Pharmaceut Sci, Okayama, Japan
关键词
NF-KAPPA-B; PULMONARY INTERSTITIAL MACROPHAGES; INTERCELLULAR-ADHESION MOLECULE-1; CCK-A RECEPTOR; MONOCYTE MIGRATION; ANGIOTENSIN-II; EXPRESSION; NEPHROPATHY; MICE; RAT;
D O I
10.2337/db11-0402
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Inflammatory process is involved in the pathogenesis of diabetic nephropathy. In this article, we show that cholecystokinin (CCK) is expressed in the kidney and exerts renoprotective effects through its anti-inflammatory actions. DNA microarray showed that CCK was upregulated in the kidney of diabetic wild-type (WT) mice but not in diabetic intracellular adhesion molecule-1 knockout mice. We induced diabetes in CCK-1 receptor (CCK-1R) and CCK-2R double-knockout (CCK-1R(-/-),-2R(-/-)) mice, and furthermore, we performed a bone marrow transplantation study using CCK-1R(-/-) mice to determine the role of CCK-1R on macrophages in the diabetic kidney. Diabetic CCK-1R(-/-),-2R(-/-) mice revealed enhanced albuminuria and inflammation in the kidney compared with diabetic WT mice. In addition, diabetic WT mice with CCK-1R(-/-) bone marrow-derived cells developed more albuminuria than diabetic CCK-1R(-/-) mice with WT bone marrow-derived cells. Administration of sulfated cholecystokinin octapeptide (CCK-8S) ameliorated albuminuria, podocyte loss, expression of proinflammatory genes, and infiltration of macrophages in the kidneys of diabetic rats. Furthermore, CCK-8S inhibited both expression of tumor necrosis factor-alpha and chemotaxis in cultured THP-1 cells. These results suggest that CCK suppresses the activation of macrophage and expression of proinflammatory genes in diabetic kidney. Our findings may provide a novel strategy of therapy for the early stage of diabetic nephropathy. Diabetes 61:897-907, 2012
引用
收藏
页码:897 / 907
页数:11
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