ENO1 通过 NF-κB-M1 巨噬细胞轴加重急性肾损伤炎症的机制研究
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1.西南医科大学附属中医医院中西医结合研究中心,四川 泸州 646000;2.西南医科大学中西医结合学院,四川 泸州 646000;3.北京中日友好医院临床医学研究所,北京 100029

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R692;R392. 12;R364. 5

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Enolase 1 exacerbates inflammatory response in acute kidney injury via the NF-κB-M1 macrophage axis
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1. Research Center of Integrated Chinese and Western Medicine, the Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou 646000, China. 2. College of Integrated Chinese and Western Medicine, Southwest Medical University, Luzhou 646000. 3. Institute of Clinical Medical Sciences,China-Japan Friendship Hospital, Beijing 100029

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    摘要:

    目的 本研究旨在阐明烯醇酶 1(ENO1)是否通过调控 NF-κB 信号通路介导巨噬细胞 M1 极化从而加重肾损伤。 方法 采用缺血再灌注损伤(IRI)法构建 C57BL / 6 小鼠急性肾损伤(AKI)模型(n= 12),随机分为假手术组(Sham)及 IRI 组。 术后第 3 天检测肾功能(血清肌酐(SCr)、尿素氮(BUN)),观察肾组织病理变化(HE、PAS 染色),并采用 IHC 和 Western blot 检测 ENO1、肾损伤标志物 KIM-1 及核因子 κB(NF-κB)通路关键蛋白(p-p65、IκBα)表达,ELISA 法检测炎症因子(TNF-α、IL-1β、IL-6)水平。 体外实验以叔丁基过氧化氢(t-BHP)刺激人肾小管上皮细胞(HK2)建立氧化应激模型,通过敲低或过表达 ENO1,分析其对巨噬细胞极化标志物( iNOS、CD206) 的影响。 结果 在 AKI 模型中,ENO1 表达显著升高(P<0. 05),并伴随肾功能(SCr、BUN)恶化(P<0. 001)、炎症因子升高及肾组织损伤加重(P<0. 001)。 机制上,ENO1 可激活 NF-κB 通路(p-p65 升高,IκBα 降解(P<0. 01,P<0. 001)),促进巨噬细胞向促炎 M1 表型转化( iNOS 表达升高)。 敲低ENO1 可抑制 NF-κB 活化(P<0. 05,P<0. 001),减轻 M1 极化及炎症损伤(P<0. 01);而过表达 ENO1 则加剧上述效应。 结论 肾缺血再灌注或氧化应激可诱导肾小管细胞中 ENO1 表达上调,ENO1 作为新型旁分泌调控介质,通过激活 NF-κB 通路促使巨噬细胞 M1 极化(对 M2 表型无显著影响),从而加剧 AKI 炎症级联反应,提示 ENO1 可能作为 AKI 治疗的潜在靶点,为干预炎症反应提供了新思路。

    Abstract:

    Objective To determine if enolase 1 (ENO1) exacerbates renal injury by regulating the nuclear factor (NF)-κB signaling pathway to mediate M1 macrophage polarization. Methods An acute kidney injury (AKI) model was established in C57BL / 6 mice ( n= 12) via ischemia-reperfusion injury ( IRI). Mice were assigned randomly to Sham and IRI groups. Renal function was detected on the 3rd day after surgery by measuring serum creatinine ( SCr) and blood urea nitrogen ( BUN), and pathological changes in renal tissue were detected by hematoxylin-eosin and periodic acid-Schiff staining. Expression levels of ENO1, kidney injury molecule-1 (KIM-1),and key proteins in the NF-κB pathway ( phospho-p65, nuclear factor-κB inhibitor α ( IκBα)) were detected by immunohistochemistry or Western blot, and levels of inflammatory cytokines ( tumor necrosis factor ( TNF)-α,interleukin (IL)-1β, IL-6) were quantified by enzyme-linked immunosorbent assay. Human renal tubular epithelial cells ( HK2 ) were exposed to tert-butyl hydroperoxide in vitro to induce oxidative stress, followed by ENO1 knockdown or overexpression to assess the impact on macrophage polarization markers (inducible nitric oxide synthase (iNOS), CD206). Results ENO1 expression was markedly upregulated in AKI mice(P<0. 05), accompanied by deteriorated renal function ( SCr, BUN, P<0. 001), elevated inflammatory cytokines, and aggravated renal tissue injury(P<0. 001). Mechanistically, ENO1 activated the NF-κB pathway, evidenced by increased p-p65 levels and IκBα degradation ( P<0. 01, P<0. 001 ), and promoted macrophage polarization towards the M1 phenotype (upregulated iNOS). Knockdown of ENO1 suppressed NF-κB activation ( P<0. 05, P< 0. 001), attenuated M1 polarization, and ameliorated inflammatory injury(P<0. 01), while ENO1 overexpression further enhanced NF-κB activity and exacerbated inflammatory responses. Conclusions IRI or oxidative stress can induce the upregulation of ENO1 expression in renal tubular cells. As a novel paracrine regulatory mediator, ENO1 promotes macrophage M1 polarization via activating the NF-κB pathway (with no significant effect on the M2 phenotype), thereby aggravating the inflammatory cascade in AKI. This suggests that ENO1 may serve as a potential therapeutic target for AKI, providing a novel insight for intervening in the inflammatory response.

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贾龙浩,朱李卓尔,谭睿陟,李 平,王 丽. ENO1 通过 NF-κB-M1 巨噬细胞轴加重急性肾损伤炎症的机制研究[J].中国比较医学杂志,2026,36(7):16~26.

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  • 收稿日期:2025-10-09
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  • 在线发布日期: 2026-05-06
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