中国比较医学杂志2025，Vol.35Issue(7)：25-35,11.DOI:10.3969/j.issn.1671-7856.2025.07.003
黄芪甲苷通过调控HIF-1α信号通路调节M2巨噬细胞极化对糖尿病肾病的作用机制研究
Mechanism of astragaloside Ⅳ in regulating M2 macrophage polarization via the HIF-1α signaling pathway in diabetic nephropathy
摘要
Abstract
Objective To investigate the regulatory effects of astragaloside Ⅳ on the hypoxia-inducible factor 1-α(HIF-1α)signaling pathway in diabetic nephropathy and to explore its potential therapeutic mechanisms.Methods We established a diabetic nephropathy mouse model by injecting streptozotocin,and assessed the effects of astragaloside Ⅳ on the expression of Collagen Ⅰ and α-smooth muscle actin by quantitative reverse transcription polymerase chain reaction and Western blot.Datasets of patients with diabetic kidney disease downloaded from the Gene Expression Omnibus(GEO)database were subjected to differential gene enrichment analysis,and activated pathways were screened out.The effects of astragaloside Ⅳ in reducing renal fibrosis and the inflammatory response and regulating macrophage polarization were evaluated by immunohistochemistry and flow cytometry.The key role of the HIF-1α pathway in diabetic nephropathy was further validated using the HIF-1α inhibitor LW6.Results Analysis of the GEO database showed that the HIF-1α/nuclear factor-κB signaling pathway was activated in patients with diabetic nephropathy.Astragaloside Ⅳ treatment significantly inhibited the expression of HIF-1α and its downstream fibrosis-related molecules in the diabetic nephropathy mouse model,reducing renal fibrosis and inflammatory responses.Astragaloside Ⅳ also promoted M2 macrophage polarization while suppressing M1 macrophage activation.The critical role of the HIF-1α pathway in the pathology of diabetic nephropathy was confirmed by experiments using the HIF-1α inhibitor LW6.Conclusions This study demonstrated that astragaloside Ⅳ can significantly mitigate fibrosis and inflammation in diabetic nephropathy by regulating the HIF-1α signaling pathway and promoting favorable macrophage polarization.关键词
黄芪甲苷/HIF-1α/糖尿病肾病/纤维化/炎症Key words
astragaloside Ⅳ/HIF-1α/diabetic nephropathy/fibrosis/inflammation分类
医药卫生引用本文复制引用
苏燚,宋科..黄芪甲苷通过调控HIF-1α信号通路调节M2巨噬细胞极化对糖尿病肾病的作用机制研究[J].中国比较医学杂志,2025,35(7):25-35,11.基金项目
中国智慧工程研究会智能工程与教育专业委员会《医药卫生健康服务体系研究》项目(YYJK0224). （YYJK0224）
