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Quercetin ameliorates renal injury in hyperuricemic rats via modulating ER stress pathways

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机构: [1]Shanghai Pudong New Area Peoples Hosp, Dept Tradit Chinese Med, Shanghai, Peoples R China [2]Tianping Community Hlth Serv Ctr, Shanghai, Peoples R China [3]Shanghai Univ Tradit Chinese Med, Dept Anesthesiol, Shanghai Peoples Hosp 7, Shanghai, Peoples R China [4]Hangtou Hesha Community Hlth Serv Ctr, Dept Gen Practice, Shanghai, Peoples R China [5]Shanghai Univ Tradit Chinese Med, Sch Pharm, Shanghai, Peoples R China [6]Shanghai Jiao Tong Univ, Tongren Hosp, Sch Med, Dept Tradit Chinese Med, Shanghai, Peoples R China
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关键词: quercetin hyperuricemia kidney injury inflammation fibrosis oxidative stress er stress

摘要:
Hyperuricemia is a key risk factor for chronic kidney disease (CKD), yet effective treatments remain limited. This study demonstrates that quercetin exerts potent renoprotective effects in hyperuricemia-induced CKD through multifaceted mechanisms. In rats with hyperuricemia induced by adenine (0.1 g/kg) and potassium oxonate (1.5 g/kg), quercetin treatment (50 or 100 mg/kg) significantly improved renal function by reducing urinary ACR, serum creatinine, uric acid, BUN, and blood pressure, while alleviating renal inflammation, fibrosis, and crystal deposition. Mechanistic studies revealed quercetin's ability to suppress ER stress markers (GRP78, CHOP, p-PERK, IRE1 alpha, ATF6), inhibit renal GLUT9 expression, and downregulate downstream inflammatory (TLR4/NF-kappa B/IL-1 beta/TNF-alpha), fibrotic (collagen I/alpha-SMA/fibronectin), and oxidative pathways, while enhancing antioxidant defenses and inhibiting apoptosis. Notably, quercetin showed superior efficacy to febuxostat (5 mg/kg), the clinical gold standard. These findings establish quercetin as a promising therapeutic candidate for hyperuricemia-associated kidney injury through its comprehensive modulation of ER stress-mediated pathological processes.

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出版当年[2025]版:
大类 | 3 区 医学
小类 | 3 区 药学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 药学
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出版当年[2023]版:
Q1 PHARMACOLOGY & PHARMACY
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Q1 PHARMACOLOGY & PHARMACY

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第一作者机构: [1]Shanghai Pudong New Area Peoples Hosp, Dept Tradit Chinese Med, Shanghai, Peoples R China
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