Narciclasine Ameliorates Diabetic Kidney Injury and Obesity-related Metabolic Phenotypes in db/db Mice

 

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Narciclasine Ameliorates Diabetic Kidney Injury and Obesity-related Metabolic Phenotypes in db/db Mice

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An
Xiao
An Xiao dr.xiaoan@qq.com Shenzhen Qianhai Taikang Hospital Department of Nephrology / Hemodialysis Shenzhen China *
Xiaoer Chen 1252003427@qq.com Nanfang Hospital, Southern Medical University Division of Nephrology Guangzhou China -
Jing Nie niejing@pkufh.com Peking University First Hospital Biobank of Peking University First Hospital, Department of Clinical Medical Research Beijing China -
 
 
 
 
 
 
 
 
 
 
 
 

Diabetic kidney disease (DKD) still lacks therapies that reverse or halt progression of structural kidney injury at early albuminuric stages. Extending our recent study published in Kidney International that identified narciclasine (Ncls) through a patient-derived transcriptomic approach and validated kidney protection across renal fibrosis models, we conducted a preclinical drug evaluation in db/db mice with early DKD, assessing renal protection and effects on obesity-related metabolic phenotypes.

Male db/db mice received oral Ncls or vehicle beginning at 10 weeks of age, when obesity and albuminuria were evident. Treatment continued for 10 weeks. We prospectively tracked body weight, urinary albumin (albuminuria), serum total cholesterol, glucose, and liver enzymes (ALT/AST). At the study end, kidneys were assessed by PAS staining (glomerular hypertrophy, mesangial matrix expansion, glomerulosclerosis) and immunohistochemistry for F4/80+ macrophages. Outcomes were compared with age-matched vehicle controls.

By week 12 (two weeks after initiation), Ncls reversed the upward trajectories of body weight and albuminuria; both declined consistently through week 20. At endpoint, Ncls markedly attenuated glomerular hypertrophy, mesangial expansion, and glomerulosclerosis on PAS, and reduced interstitial F4/80+ macrophage area. Systemically, Ncls significantly lowered serum total cholesterol and improved hepatic indices (reduced ALT/AST), whereas serum glucose remained unchanged. Together, these data indicate parallel improvement of renal structural/proteinuric readouts and obesity-related metabolic phenotypes.

Ncls yields glycemia-independent improvements in early diabetic kidney injury in db/db mice, reducing albuminuria and glomerular pathology while concurrently improving body weight, cholesterol, and liver enzymes. These findings nominate Ncls as a kidney-protective candidate and support preclinical optimization and combination strategies alongside current standard therapies for DKD.

Kewords