Oxidative stress is a major cause of
diabetic nephropathy. Upregulation of the key antioxidative
transcription factor, nuclear factor-erythroid 2-related factor 2 (Nrf2), was found to prevent the development of
diabetic nephropathy. The present study was designed to explore the
therapeutic effect of Nrf2 induced by proteasomal inhibitor
MG132 at a low dose (10 μg/kg) on
diabetic nephropathy. Transgenic type 1 diabetic (OVE26) mice displayed renal dysfunction with
albuminuria by 3 mo of age, at which time
MG132 treatment was started. After 3-mo treatment with
MG132, renal function, morphology, and biochemical changes were examined with real-time PCR, Western blotting, and immunohistochemical examination. Compared with age-matched, nontreated diabetic mice, MG132-treated diabetic mice showed significant improvements in terms of renal structural and functional alterations. These
therapeutic effects were associated with increased Nrf2 expression and transcriptional upregulation of Nrf2-regulated
antioxidants. Mechanistic study using human renal tubular HK11 cells confirmed the role of Nrf2, as silencing the Nrf2 gene with its specific
siRNA abolished
MG132 prevention of high-
glucose-induced profibrotic response. Furthermore, diabetes was found to significantly increase proteasomal activity in the kidney, an effect that was significantly attenuated by 3 mo of treatment with
MG132. These results suggest that
MG132 upregulates Nrf2 function via inhibition of diabetes-increased proteasomal activity, which can provide the basis for the
therapeutic effect of
MG132 on the kidney against diabetes-induced oxidative damage,
inflammation,
fibrosis, and eventual dysfunction.