Renal tubulointerstitial
fibrosis was a crucial pathological feature of
diabetic nephropathy (DN), and renal tubular injury might associate with abnormal mitophagy. In this study, we investigated the effects and molecular mechanisms of AMPK agonist
metformin on mitophagy and cellular injury in renal tubular cell under diabetic condition. The high fat diet (HFD) and
streptozotocin (STZ)-induced type 2 diabetic mice model and HK-2 cells were used in this study.
Metformin was administered in the
drinking water (200 mg/kg/d) for 24 weeks. Renal tubulointerstitial lesions, oxidative stress and some indicators of mitophagy (e.g., LC3II, Pink1, and Parkin) were examined both in renal tissue and HK-2 cells. Additionally, compound C (an AMPK inhibitor) and Pink1
siRNA were applied to explore the molecular regulation mechanism of
metformin on mitophagy. We found that the expression of p-AMPK, Pink1, Parkin, LC3II, and Atg5 in renal tissue of diabetic mice was decreased obviously.
Metformin reduced the levels of serum
creatinine, urine
protein, and attenuated renal oxidative injury and
fibrosis in HFD/STZ induced diabetic mice. In addition,
Metformin reversed mitophagy dysfunction and the over-expression of NLRP3. In vitro pretreatment of HK-2 cells with
AMPK inhibitor compound C or Pink1
siRNA negated the beneficial effects of
metformin. Furthermore, we noted that
metformin activated p-AMPK and promoted the translocation of Pink1 from the cytoplasm to mitochondria, then promoted the occurrence of mitophagy in HK-2 cells under HG/HFA ambience. Our results suggested for the first time that AMPK agonist
metformin ameliorated renal oxidative stress and tubulointerstitial
fibrosis in HFD/STZ-induced diabetic mice via activating mitophagy through a p-AMPK-Pink1-Parkin pathway.