Ligustrazine ameliorates acute kidney injury through downregulation of NOD2‑mediated inflammation

Int J Mol Med. 2020 Mar;45(3):731-742. doi: 10.3892/ijmm.2020.4464. Epub 2020 Jan 10.

Abstract

Ligustrazine has been used to alleviate clinical acute kidney injury (AKI); however, the underlying molecular mechanisms are poorly understood. In order to further elucidate the molecular mechanism underlying its occurrence, the role of nucleotide‑binding oligomerization domain‑containing 2 (NOD2) in AKI was investigated in the present study, and the results indicated that ligustrazine exerts an important protective effect against AKI in vivo by inhibiting the upregulation of NOD2 expression and reducing apoptosis of kidney cells following ischemia/reperfusion injury in rat models. Furthermore, the inhibitory role of ligustrazine on the upregulation of NOD2 and apoptosis of kidney cells induced by CoCl2 and oxygen and glucose deprivation followed by reoxygenation was investigated in in vitro experiments. The effect of ligustrazine on NOD2 downregulation was partially blocked by inhibiting autophagy. To the best of our knowledge, the results of the present study are the first to provide evidence that ligustrazine can inhibit NOD2‑mediated inflammation to protect against renal injury, which may be in part attributed to the induction of autophagy. These findings may help design and develop new approaches and therapeutic strategies for AKI to prevent the deterioration of renal function.

MeSH terms

  • Acute Kidney Injury / drug therapy*
  • Acute Kidney Injury / metabolism*
  • Animals
  • Apoptosis / drug effects
  • Blotting, Western
  • Cell Line
  • Cell Survival / drug effects
  • Cell Survival / genetics
  • Immunohistochemistry
  • In Situ Nick-End Labeling
  • Male
  • Nod2 Signaling Adaptor Protein / genetics
  • Nod2 Signaling Adaptor Protein / metabolism*
  • Pyrazines / therapeutic use*
  • Rats
  • Rats, Sprague-Dawley
  • Reperfusion Injury / drug therapy
  • Reperfusion Injury / immunology
  • Reperfusion Injury / metabolism
  • Reverse Transcriptase Polymerase Chain Reaction

Substances

  • NOD2 protein, rat
  • Nod2 Signaling Adaptor Protein
  • Pyrazines
  • tetramethylpyrazine