Diabetic nephropathy constitutes the leading cause for
end-stage kidney disease.
Ginkgetin is a common natural non-toxic biflavone and fulfills pleiotropic pharmacological characterizations, such as anti-
inflammation and kidney injury. Nevertheless, its efficacy in
diabetic nephropathy remains elusive. Here,
ginkgetin exhibited little cytotoxicity in glomerular mesangial cells. Of note,
ginkgetin restrained high
glucose (HG)-induced mesangial cell proliferation and oxidative stress by inhibiting ROS and
malonaldehyde levels, but enhancing
antioxidant SOD activity. Additionally,
ginkgetin suppressed HG-evoked transcript and release of inflammatory
cytokine TNF-α, IL-1β, and
IL-6. Concomitantly, the increased extracellular matrix (ECM) deposition in HG-treated glomerular mesangial cells was attenuated by
ginkgetin via decreasing expression of
collagen IV,
fibronectin, and
laminin. Intriguingly,
ginkgetin-restored HG-impaired autophagy; whereas blocking autophagy by its inhibitor 3-MA overturned
ginkgetin function against HG-evoked mesangial cell dysfunction. Mechanistically,
ginkgetin-mediated AMPK/mTOR axis accounted for HG-impaired autophagy. Importantly, blockage of AMPK signaling reversed
ginkgetin-restored autophagy and its protective efficacy against HG-induced dysfunction in mesangial cells. Thus, these findings highlight that
ginkgetin may attenuate HG-evoked mesangial cell
hyperplasia, oxidative stress,
inflammation, and ECM accumulation by activating AMPk/mTOR-mediated autophagy pathway. Therefore,
ginkgetin may alleviate the progression of
diabetic nephropathy by regulating glomerular mesangial cell dysfunction, supporting a promising therapeutic agent against
diabetic nephropathy.