GLP-1 receptor agonist ameliorates obesity-induced chronic kidney injury via restoring renal metabolism homeostasis

PLoS One. 2018 Mar 28;13(3):e0193473. doi: 10.1371/journal.pone.0193473. eCollection 2018.

Abstract

Increasing evidence indicates that obesity is highly associated with chronic kidney disease (CKD). GLP-1 receptor (GLP-1R) agonist has shown benefits on kidney diseases, but its direct role on kidney metabolism in obesity is still not clear. This study aims to investigate the protection and metabolic modulation role of liraglutide (Lira) on kidney of obesity. Rats were induced obese by high-fat diet (HFD), and renal function and metabolism changes were evaluated by metabolomic, biological and histological methods. HFD rats exhibited systemic metabolic disorders such as obesity, hyperlipidemia and impaired glucose tolerance, as well as renal histological and function damages, while Lira significantly ameliorated these adverse effects in HFD rats. Metabolomic data showed that Lira directly reduced renal lipids including fatty acid residues, cholesterol, phospholipids and triglycerides, and improved mitochondria metabolites such as succinate, citrate, taurine, fumarate and nicotinamide adenine dinucleotide (NAD+) in the kidney of HFD rats. Furthermore, we revealed that Lira inhibited renal lipid accumulation by coordinating lipogenic and lipolytic signals, and partly rescued renal mitochondria function via Sirt1/AMPK/PGC1α pathways in HFD rats. This study suggested that Lira alleviated HFD-induced kidney injury at least partly via directly restoring renal metabolism, thus GLP-1R agonist is a promising therapy for obesity-associated CKD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • AMP-Activated Protein Kinases / metabolism
  • Animals
  • Fibrosis
  • Glucagon-Like Peptide-1 Receptor / agonists*
  • Homeostasis / drug effects*
  • Kidney / drug effects*
  • Kidney / injuries*
  • Kidney / metabolism
  • Kidney / pathology
  • Lipid Metabolism / drug effects
  • Liraglutide / pharmacology*
  • Male
  • Metabolomics
  • Mitochondria / drug effects
  • Mitochondria / metabolism
  • Obesity / metabolism*
  • Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Signal Transduction / drug effects
  • Sirtuin 1 / metabolism

Substances

  • Glucagon-Like Peptide-1 Receptor
  • Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha
  • Liraglutide
  • AMP-Activated Protein Kinases
  • Sirt1 protein, rat
  • Sirtuin 1

Grants and funding

This work was supported by National Natural Science Foundation of China, 31200754 (Dr. Jingping Liu); National Natural Science Foundation of China 81571808 (Dr. Jingping Liu); and China Postdoctoral Science Foundation, 2012M511931 (Dr. Jingping Liu).