Growing evidences indicate that high
glucose toxicity-associated fibrotic effects play a pivotal role in
diabetic nephropathy (DN). Tubular epithelial-myofibroblast transdifferentiation is a major hallmark of renal
fibrosis event under diabetic stress. Roots of Glycyrrhiza uralensis (Radix glycyrrhizae) used as a
sweetener and
traditional Chinese medicine possess high potential for renal protection. In this study, a cell model for high
glucose (HG) injury with HK-2 renal proximal tubular epithelial cell line and a type-II-diabetes model with Apoeem1/Narl /Narl mice was established and the beneficial effects of aqueous R. glycyrrhizae extract (RGE) was investigated. RGE-induced regulation on the high
glucose-induced excessive production of TGF-β1 and the Smad/Stat3 mechanisms of renal
fibrosis were determined. HK-2 cells were challenged with 45 mM of high
glucose for 48 hr. Following high
glucose challenge, the cells were treated with 0.5, 1, and 1.5 mg/ml concentrations of RGE. The effect of RGE on DN was determined using high
fructose diet-induced type-II-diabetes in Apoeem1/Narl /Narl mice models. Our results showed that RGE suppressed the expression of HG-induced TGFβ signaling and associated
fibrosis mechanism better than the pharmacological
drug acarbose. These data suggest that RGE as a potential herbal supplement in attenuating
fibrosis-associated
diabetic nephropathy and a potential agent in diabetes treatments.