Inflammation and
lipid disorders play crucial roles in synergistically accelerating the progression of
diabetic nephropathy (DN). In this study we investigated how
inflammation and
lipid disorders caused tubulointerstitial injury in DN in vivo and in vitro. Diabetic db/db mice were injected with 10%
casein (0.5 mL, sc) every other day for 8 weeks to cause chronic
inflammation. Compared with db/db mice,
casein-injected db/db mice showed exacerbated tubulointerstitial injury, evidenced by increased secretion of extracellular matrix (ECM) and
cholesterol accumulation in tubulointerstitium, which was accompanied by activation of the
CXC chemokine ligand 16 (CXCL16) pathway. In the in vitro study, we treated HK-2 cells with IL-1β (5 ng/mL) and high
glucose (30 mmol/L). IL-1β treatment increased
cholesterol accumulation in HK-2 cells, leading to greatly increased ROS production, ECM
protein expression levels, which was accompanied by the upregulated expression levels of
proteins in the CXCL16 pathway. In contrast, after CXCL16 in HK-2 cells was knocked down by
siRNA, the IL-1β-deteriorated changes were attenuated. In conclusion,
inflammation accelerates renal tubulointerstitial lesions in mouse DN via increasing the activity of CXCL16 pathway.