Renoprotective effect of Tanshinone IIA, an active component of Salvia miltiorrhiza, on rats with chronic kidney disease
Young-Min Ahn
Department of Internal Medicine, College of Oriental Medicine, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul 130-702, Republic of Korea
These authors contributed equally to this article.
Search for more papers by this authorSu Kang Kim
Kohwang Medical Research Institute, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul, 130-701, Republic of Korea
These authors contributed equally to this article.
Search for more papers by this authorSang-Hun Lee
Department of Internal Medicine, College of Oriental Medicine, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul 130-702, Republic of Korea
Search for more papers by this authorSe-Young Ahn
Department of Internal Medicine, College of Oriental Medicine, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul 130-702, Republic of Korea
Search for more papers by this authorSung Wook Kang
Kohwang Medical Research Institute, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul, 130-701, Republic of Korea
Search for more papers by this authorJoo-Ho Chung
Kohwang Medical Research Institute, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul, 130-701, Republic of Korea
Search for more papers by this authorSung-Do Kim
Department of Pediatrics, East West Kidney Diseases Research Institute, Kyung-Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul 130-702, Republic of Korea
Search for more papers by this authorCorresponding Author
Byung-Cheol Lee
Department of Internal Medicine, College of Oriental Medicine, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul 130-702, Republic of Korea
Department of Internal Medicine, College of Oriental Medicine, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-702, Republic of KoreaSearch for more papers by this authorYoung-Min Ahn
Department of Internal Medicine, College of Oriental Medicine, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul 130-702, Republic of Korea
These authors contributed equally to this article.
Search for more papers by this authorSu Kang Kim
Kohwang Medical Research Institute, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul, 130-701, Republic of Korea
These authors contributed equally to this article.
Search for more papers by this authorSang-Hun Lee
Department of Internal Medicine, College of Oriental Medicine, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul 130-702, Republic of Korea
Search for more papers by this authorSe-Young Ahn
Department of Internal Medicine, College of Oriental Medicine, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul 130-702, Republic of Korea
Search for more papers by this authorSung Wook Kang
Kohwang Medical Research Institute, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul, 130-701, Republic of Korea
Search for more papers by this authorJoo-Ho Chung
Kohwang Medical Research Institute, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul, 130-701, Republic of Korea
Search for more papers by this authorSung-Do Kim
Department of Pediatrics, East West Kidney Diseases Research Institute, Kyung-Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul 130-702, Republic of Korea
Search for more papers by this authorCorresponding Author
Byung-Cheol Lee
Department of Internal Medicine, College of Oriental Medicine, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-Ku, Seoul 130-702, Republic of Korea
Department of Internal Medicine, College of Oriental Medicine, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-702, Republic of KoreaSearch for more papers by this authorAbstract
Chronic kidney disease (CKD) is a common cause of end-stage renal disease. Antihypertensive agents are used clinically to inhibit the progression of CKD, but cannot prevent eventual renal failure. This study investigated the effect of Tanshinone IIA, an active component of Salvia miltiorrhiza, in rats suffering from CKD induced by 5/6 nephrectomy. After development of renal insufficiency, the rats were treated with Tanshinone IIA (10 mg/kg) for 8 weeks. Serum creatinine, angiotensin II (Ang II), transforming growth factor β1 (TGF-β1) and collagen IV levels were significantly reduced in Tanshinone IIA treated rats compared with a control group. In addition, Tanshinone IIA suppressed increases in urinary protein excretion in CKD rats. These findings suggest that chronic oral administration of Tanshinone IIA can improve renal dysfunction associated with CKD. Copyright © 2010 John Wiley & Sons, Ltd.
REFERENCES
- Anderson PW, Do YS, Hsueh WA. 1993. Angiotensin II causes mesangial cell hypertrophy. Hypertension 21: 29–35.
- Eknoyan G, Lameire N, Barsoum R et al. 2004. The burden of kidney disease: improving global outcomes. Kidney Int 66: 1310–1314.
- el-Agroudy AE, Hassan NA, Foda MA et al. 2003. Effect of angiotensin II receptor blocker on plasma levels of TGF-beta 1 and interstitial fibrosis in hypertensive kidney transplant patients. Am J Nephrol 23: 300–306.
- Fogo AB. 1999. Mesangial matrix modulation and glomerulosclerosis. Exp Nephrol 7: 147–159.
- Gilbertson DT, Liu J, Xue JL et al. 2005. Projecting the number of patients with end-stage renal disease in the United States to the year 2015. J Am Soc Nephrol 16: 3736–3741.
- Jang SI, Jeong SI, Kim KJ et al. 2003. Tanshinone IIA from Salvia miltiorrhiza inhibits inducible nitric oxide synthase expression and production of TNF-alpha, IL-1beta and IL-6 in activated RAW 264.7 cells. Planta Med 69: 1057–1059.
- Ji Z, Huang C, Liang C et al. 2005. Protective effects of blocking renin–angiotensin system on the progression of renal injury in glomerulosclerosis. Cell Mol Immunol 2: 150–154.
- Johnson RJ, Alpers CE, Yoshimura A et al. 1992. Renal injury from angiotensin II-mediated hypertension. Hypertension 19: 464–474.
- Kim H, Lee E, Lee S et al. 1998. Effect of Rehmannia glutinosa on immediate type allergic reaction. Int J Immunopharmacol 20: 231–240.
- Kim DD, Sánchez FA, Durán RG et al. 2007. Endothelial nitric oxide synthase is a molecular vascular target for the Chinese herb Danshen in hypertension. Am J Physiol Heart Circ Physiol 292: H2131–H2137.
- Kim SK, Jung KH, Lee BC. 2009. Protective effect of Tanshinone IIA on the early stage of experimental diabetic nephropathy. Biol Pharm Bull 32: 220–224.
- Kurogi Y. 2003. Mesangial cell proliferation inhibitors for the treatment of proliferative glomerular disease. Med Res Rev 23: 15–31.
- Lee AR, Wu WL, Chang WL et al. 1987. Isolation and bioactivity of new tanshinones. J Nat Prod 50: 157–160.
- Lee LK, Meyer TW, Pollock AS et al. 1995. Endothelial cell injury initiates glomerular sclerosis in the rat remnant kidney. J Clin Invest 96: 953–964.
- Lewis EJ, Hunsicker LG, Bain RP et al. 1993. The effect of angiotensin-converting-enzyme inhibition on diabetic nephropathy. The Collaborative Study Group. N Engl J Med 329: 1456–1462.
- Lu XY, Li M, Weng MW. 2007. Inhibition effects of constituents of Radix Salviae Miltiorrhizae on proliferation and procollagen transcription of dermal fibroblasts in systemic sclerosis. Zhonghua Yi Xue Za Zhi 87: 2426–2428.
- Maki DD, Ma JZ, Louis TA et al. 1995. Long-term effects of antihypertensive agents on proteinuria and renal function. Arch Intern Med 155: 1073–1080.
- Nakamura T, Obata J, Kimura H et al. 1999. Blocking angiotensin II ameliorates proteinuria and glomerular lesions in progressive mesangioproliferative glomerulonephritis. Kidney Int 55: 877–889.
- Niu XL, Ichimori K, Yang X et al. 2000. Tanshinone II-A inhibits low density lipoprotein oxidation in vitro. Free Radic Res 33: 305–312.
- Norman JT, Fine LG. 1999. Progressive renal disease: fibroblasts, extracellular matrix, and integrins. Exp Nephrol 7: 167–177.
- Ray PE, Bruggeman LA, Horikoshi S et al. 1994. Angiotensin II stimulates human fetal mesangial cell proliferation and fibronectin biosynthesis by binding to AT1 receptors. Kidney Int 45: 177–184.
- Remuzzi G, Bertani T. 1998. Pathophysiology of progressive nephropathies. N Engl J Med 339: 1448–1456.
- Roberts AB, McCune BK, Sporn MB. 1992. TGF-beta: regulation of extracellular matrix. Kidney Int 41: 557–559.
- Ruggenenti P, Schieppati A, Remuzzi G. 2001. Progression, remission, regression of chronic renal diseases. Lancet 357: 1601–1608.
- Ruiz-Ortega M, Lorenzo O, Suzuki Y et al. 2001. Proinflammatory actions of angiotensins. Curr Opin Nephrol Hypertens 10: 321–329.
- Ryu SY, No Z, Kim SH et al. 1997. Two novel abietane diterpenes from Salvia miltiorrhiza. Planta Med 63: 44–46.
- Song Y, Li C, Cai L. 2004. Fluvastatin prevents nephropathy likely through suppression of connective tissue growth factor-mediated extracellular matrix accumulation. Exp Mol Pathol 76: 66–75.
- Steffes MW, Osterby R, Chavers B et al. 1989. Mesangial expansion as a central mechanism for loss of kidney function in diabetic patients. Diabetes 38: 1077–1081.
- Tang J, Zhan C, Zhou J. 2008. Effects of tanshinone IIA on transforming growth factor beta1-Smads signal pathway in renal interstitial fibroblasts of rats. J Huazhong Univ Sci Technolog Med Sci 28: 539–542.
- Thilo W. 1975. [Principles for the state control of oral vaccines against bacterial intestinal infections]. Z Gesamte Hyg 21: 888–891.
- Wang AM, Sha SH, Lesniak W et al. 2003. Tanshinone (Salviae miltiorrhizae extract) preparations attenuate aminoglycoside-induced free radical formation in vitro and ototoxicity in vivo. Antimicrob Agents Chemother 47: 1836–1841.
- Winer N, Sowers JR. 2004. Epidemiology of diabetes. J Clin Pharmacol 44: 397–405.
- Wolf G, Haberstroh U, Neilson EG. 1992. Angiotensin II stimulates the proliferation and biosynthesis of type I collagen in cultured murine mesangial cells. Am J Pathol 140: 95–107.
- Wolf G, Neilson EG. 1993. Angiotensin II as a renal growth factor. J Am Soc Nephrol 3: 1531–1540.