MECHANISTIC INSIGHTS INTO THE ROLE OF SHORT-CHAIN FATTY ACIDS IN AMELIORATING DIABETIC KIDNEY DISEASE VIA REGULATION OF THE PODOCYTE NR1I3-AUTOPHAGY AXIS

 

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MECHANISTIC INSIGHTS INTO THE ROLE OF SHORT-CHAIN FATTY ACIDS IN AMELIORATING DIABETIC KIDNEY DISEASE VIA REGULATION OF THE PODOCYTE NR1I3-AUTOPHAGY AXIS

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Lei
Chen
Shengnan Chen 18231084201@163.com The First Affiliated Hospital of Xi’an Jiaotong University Department of Critical Care Nephrology and Blood Purification Xi’an China -
Hongli Jiang j92106@sina.com The First Affiliated Hospital of Xi’an Jiaotong University Department of Critical Care Nephrology and Blood Purification Xi’an China -
Lei Chen chl1221@hotmail.com The First Affiliated Hospital of Xi’an Jiaotong University Department of Critical Care Nephrology and Blood Purification Xi’an China *
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The global prevalence of diabetes continues to rise, with diabetic kidney disease (DKD) as its major microvascular complication, imposing substantial medical and socioeconomic burdens. Current therapies fail to halt DKD progression, highlighting the need for novel interventions. Short-chain fatty acids (SCFAs), key gut microbiota metabolites, have emerged as potential modulators of metabolic and renal diseases. This study investigated the protective effects of SCFAs on type 2 DKD and the underlying mechanisms.

Type 2 DKD was induced in db/db mice, which were then treated with SCFAs. Metabolomics, renal function tests, histopathology, and survival analysis were performed to evaluate therapeutic efficacy. Transcriptomic profiling, bioinformatics, and molecular assays were used to identify SCFAs-responsive pathways and targets. In vitro, high-glucose-induced podocyte injury models were used to evaluate the protective effects of SCFAs on podocyte injury and autophagy. Functional assays, including gene knockdown and overexpression, were conducted to explore the Nr1i3-Beclin 1 axis. Chromatin immunoprecipitation (ChIP) and dual-luciferase reporter assays were performed to confirm transcriptional regulation.

1) DKD mice exhibited decreased plasma SCFAs, which were restored by SCFAs supplementation, accompanied by improved survival, reduced blood glucose, serum creatinine, blood urea nitrogen, and albuminuria. 

2)  Histopathology revealed renal atrophy, glomerular basement membrane thickening, mesangial expansion, and collagen deposition in DKD mice, all alleviated by SCFAs.

3)  Transmission electron microscopy indicated severe podocyte foot process effacement and reduced autophagosomes in DKD, whereas SCFAs improved foot process structure and autophagosome formation.

4) Transcriptomics showed downregulated SCFAs transport and autophagy pathways in DKD. Thirteen key SCFAs-responsive genes were identified, including nuclear receptor Nr1i3, predicted to regulate Beclin 1. Western blot confirmed that SCFAs partially restored Nr1i3 and autophagy-related protein expression.

5) Immunofluorescence showed reduced Nr1i3 and Beclin 1 co-localization in DKD glomeruli, which was enhanced by SCFAs. Similarly, SCFAs strengthened Nephrin and LC3B co-localization. In vitro, SCFAs dose-dependently promoted autophagy and alleviated podocyte injury, effects blocked by the autophagy inhibitor 3-MA. 

6) Molecular docking revealed stable binding between SCFAs and Nr1i3, with overlapping sites for agonist TCPOBOP and inhibitor CINPA1. Immunofluorescence showed that Nr1i3 was mainly cytoplasmic under high glucose but translocated to the nucleus following SCFAs treatment, suggesting SCFAs-induced nuclear activation of Nr1i3.

7) Knockdown of Nr1i3 reduced Beclin 1, LC3B, and Nephrin expression and diminished SCFAs protection, while Nr1i3 overexpression enhanced these effects. Beclin 1 knockdown similarly impaired autophagy and podocyte markers without affecting Nr1i3, confirming Nr1i3 acts upstream.

8) ChIP-qPCR confirmed Nr1i3 binding to the Beclin 1 promoter, and dual-luciferase assays showed Nr1i3 overexpression activated Beclin 1 transcription.

SCFAs supplementation delays DKD progression by restoring podocyte autophagy and cytoskeletal integrity. Nr1i3 functions as a nuclear receptor for SCFAs, directly promoting Beclin 1 transcription and autophagy activation. The SCFAs–Nr1i3–Beclin 1 axis represents a potential therapeutic target for DKD.

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