Glomerular podocyte damage is considered to be one of the main mechanisms leading to
Diabetic nephropathy (DN). However, the relevant mechanism of podocyte injury is not yet clear. This study aimed to investigate the effect of
peroxiredoxin 6 (Prdx6) on the pathogenesis of podocyte injury induced by high
glucose (HG). The mouse glomerular podocyte
MPC5 was stimulated with 30 nM
glucose, and the Prdx6 overexpression vector or specificity
protein 1 (Sp1) overexpression vector was transfected into
MPC5 cells before the high
glucose stimulation. As results, HG treatment significantly reduced the expression of Prdx6 and Sp1 in
MPC5 cells. Prdx6 overexpression increased cell viability, while inhibited podocyte death,
inflammation and podocyte destruction in HG-induced
MPC5 cells. Prdx6 overexpression inhibited HG-induced ROS and MDA production, while restored SOD and GSH activity in
MPC5 cells. Prdx6 overexpression also eliminated ferroptosis caused by HG, which was reflected in the suppression of
iron accumulation and the increase in SLC7A11 and GPX4 expression. The improvement effect of Prdx6 on HG-induced podocyte damage could be eliminated by
erastin. Moreover, Sp1 could bind to the three Sp1 response elements in the Prdx6 promoter, thereby directly regulating the transcriptional activation of Prdx6 in podocytes. Silencing Sp1 could eliminate the effect of Prdx6 on HG-induced podocyte damage. Further, Prdx6 overexpression attenuated renal
injuries in
streptozotocin-induced DN mice. Sp1-mediated upregulation of Prdx6 expression prevents podocyte injury in
diabetic nephropathy via mitigation of oxidative stress and ferroptosis, which may provide new insights for the study of the mechanism of DN.