Podocyte inflammatory injury has been indicated to play a pivotal role in the occurrence and development of
diabetic nephropathy (DN). However, the pathogenesis of
inflammation remains unclear. Recent researches have shown that
GDF-15, a member of the
transforming growth factor-β superfamily, were elevated under pathological conditions, such as
myocardial ischemia,
cancer, as well as
inflammation. Here, we demonstrated that
GDF-15 could alleviate podocyte inflammatory injury by modulating the NF-κB pathway.
GDF-15 and other pro-inflammatory factors, such as TNF-α, IL-1β, and
IL-6 were upregulated in the serum of HFD/STZ rat models.
GDF-15 was also elevated in diabetic glomeruli and hyperglycemic stimuli treated-podocytes. The silence of
GDF-15 in HG-stimulated podocytes further augmented
inflammation and podocyte injury, while overexpression of
GDF-15 significantly reduced the inflammatory response in podocytes. Mechanistically, we demonstrated that
GDF-15 could inhibit the nuclear translocation of NF-κB through IKK and IκBα by interaction with
ubiquitin ligase NEDD4L. Taken together, our data suggested a protective mechanism of elevated
GDF-15 in DN through obstruction of
ubiquitin degradation of IKK by inhibiting NEDD4L expression, thus decreasing the activation of NF-κB and relieving the
inflammation.
GDF-15 could serve as a potential therapeutic target for DN.