Nutr Res Pract.  2023 Jun;17(3):421-437. 10.4162/nrp.2023.17.3.421.

Highly water-soluble diacetyl chrysin ameliorates diabetes-associated renal fibrosis and retinal microvascular abnormality in db/db mice

Affiliations
  • 1Department of Food and Nutrition and Nutrition and Korean Institute of Nutrition, Hallym University, Chuncheon 24252, Korea
  • 2Department of Pharmacology, College of Medicine, Hallym University, Chuncheon 24252, Korea
  • 3FrontBio Inc., Chuncheon 24232, Korea
  • 4Department of Biochemistry, College of Medicine, Hallym University, Chuncheon 24252, Korea

Abstract

BACKGROUND/OBJECTIVES
Chronic or intermittent hyperglycemia is associated with the development of diabetic complications. Oxidative stress and inflammation can be altered by hyperglycemia in diverse tissues, including kidneys and eyes, and play a pivotal role in diabetic complications. Our previous studies showed that the water-insoluble 5,7-dihydroxyflvone chrysin effectively combats diabetic damages incurred in diabetic kidneys and retinas. The current study employed the newly-synthesized 5.7-di-O-acetylchrysin, having higher solubility than chrysin, to compare the effects on diabetes-associated renal fibrosis and abnormal retinal neovascularization.
MATERIALS/METHODS
In the in vivo study, db/db mice as animal models of type 2 diabetes were orally administrated 10 mg/kg BW diacetylchrysin, daily for 10 weeks.
RESULTS
Unlike chrysin, oral administration of 10 mg/kg diacetylchrysin did not lower the blood glucose level and 24 h urine volume in db/db mice. Nevertheless, the urinary albumin excretion was markedly reduced. The administration of diacetylchrysin also diminished the deposition of collagen fibers in diabetic glomeruli and tubules by suppressing the induction of connective tissue growth factor and collagen IV in diabetic kidneys. Supplying diacetylchrysin enhanced the membrane type-1 matrix metalloproteinase (MMP) expression reduced in diabetic kidneys, while the tissue inhibitor of MMP-2 induction was attenuated in diacetylchrysin-challenged diabetic kidneys. In addition, supplementing diacetylchrysin to diabetic mice ameliorated renal injury due to glomerulosclerosis and tubular interstitial fibrosis. Furthermore, the reduced retinal inductions of Zonula occludens-1 and vascular endothelial cadherin in db/db mice were elevated in the retinal tissues of diacetylchrysintreated animals. Oral administration of diacetylchrysin curtailed the induction of vascular endothelial growth factor (VEGF) and VEGF receptor 2 in db/db mice, ultimately retarding diabetes-associated retinal neovascularization. Additionally, the retinal formation of acellular capillaries with leaky vessels was reduced in diacetylchrysin-treated db/db mice.
CONCLUSION
Diacetylchrysin may act as a potent pro-health agent for treating renal fibrosisassociated diabetic nephropathy and retinal neovascularization-associated diabetic retinopathy.

Keyword

5,7-diacetylchrysin; renal fibrosis; retinal neovascularization; diabetic nephropathy; diabetic retinopathy

Figure

  • Fig. 1 Chemical structures of chrysin and diacetylchrysin (A), and changes in food intake (B), drinking water intake (C), and body weight (D) of db/m controls and db/db mice after the 10 week-supplementing challenge with diacetylchrysin. The db/db mice were supplemented with 10 mg/kg diacetylchrysin for 10 weeks. The db/m mice were introduced as control animals. The data are presented as mean ± SEM for each treatment group (n = 9).SEM, standard error of mean.*P < 0.05 relative to 10th week or db/m control mice.

  • Fig. 2 Blood levels of fasting glucose (A) and glycated hemoglobin level (HbA1c, B), oral glucose tolerance curve (C), 24 h urine volume (D), and urinary albumin excretion (E) of db/db mice treated with diacetylchrysin. The db/db mice were supplemented with 10 mg/kg diacetylchrysin for 10 weeks. The db/m mice were introduced as control animals. The blood glucose levels and HbA1c, 24 h urine volume, and urinary albumin excretion were measured after the 10 weeks treatment of diacetylchrysin. The values (mean ± SEM, n = 9) not sharing a common small letter are significantly different at P < 0.05.HbA1C, hemoglobin A1c; SEM, standard error of mean.*P < 0.05 relative to db/m control mice.

  • Fig. 3 Effects of diacetylchrysin on formation of collagen fibers in glomeruli (A) and renal tubules (B). The db/db mice were supplemented with 10 mg/kg diacetylchrysin for 10 weeks. The db/m mice were employed as control animals. Glomerular and tubular fibrosis in db/db mouse kidneys was observed by Masson’s trichrome staining (A and B). The collagen fibers were stained in blue. Each photograph is representative of 4 mice. Magnification: 200-fold.

  • Fig. 4 Effects of diacetylchrysin on the expressions of CTGF (A), collagen IV (B), MT1-MMP (C), and TIMP-2 (D) in db/db mice. The db/db mice were orally treated with 10 mg/kg diacetylchrysin or 10 mg/kg chrysin for 10 weeks. The db/m mice were introduced as control animals. Western blot analysis with tissue extracts was conducted with a primary antibody against CTGF, collagen IV, MT1-MMP, and TIMP-2. β-Actin protein was used as an internal control. The bar graphs (mean ± SEM, n = 3) in the right panel represent quantitative results obtained from a densitometer. Values not sharing a common small letter are significantly different at P < 0.05.CTGF, connective tissue growth factor; MT1-MMP, membrane type 1-matrix metalloproteinase; TIMP-2, tissue inhibitor of metalloproteinase 2; SEM, standard error of mean.

  • Fig. 5 Inhibition of renal interstitial fibrosis (arrows) in glomeruli (A) and renal tubules (B) of db/db mice by diacetylchrysin. The db/db mice were supplemented with 10 mg/kg diacetylchrysin for 10 weeks. The db/m mice were employed as control animals. Glomerular and tubular tissue sections were stained by PAS reagent and counterstained with hematoxylin (A and B). Each photograph is representative of four mice. Magnification: 200-fold.PAS, Periodic acid-Schiff.

  • Fig. 6 Effects of diacetylchrysin on the expression of endothelial junction markers. The db/db mice were orally supplemented with 10 mg/kg diacetylchrysin daily for 10 weeks. The db/m mice were introduced as control animals. Mouse retinal tissue extracts were subject to Western blot analysis with a primary antibody against ZO-1 (A), VE-cadherin (D), and PECAM-1 (E). β-Actin protein was used as an internal control. Bar graphs (mean ± SEM, n = 3) in the right panel represent densitometric results of left blot bands. Values not sharing a common small letter differ, P < 0.05. Histological sections of mouse retina were immunohistochemically stained using a primary antibody of ZO-1 and red Cy3-conjugated secondary antibody for visualizing the ZO-1 induction (B). In another experiment with 10 mg/kg chrysin administration, the ZO-1 expression was identified as 3,3′-diaminobenzidine staining (brown) and the sections were counterstained with hematoxylin (C). Each photograph is representative of four mice. Magnification: 200-fold. Retinal layers are labeled as follows: NFL/GCL, IPL, INL, OPL, ONL, and photoreceptor IS/OS.ZO, Zona occluden; VE, vascular endothelial; PECAM, platelet endothelial adhesion molecule; SEM, standard error of mean; NFL, neurofiber layer; GCL, ganglion cell layer; IPL, inner plexiform layer; INL, inner nuclear layer; OPL, outer plexiform layer; ONL, outer nuclear layer; IS, inner segment; OS, outer segment.

  • Fig. 7 Inhibition of retinal tissue induction of VEGF (A) and VEGFR2 (B) by diacetylchrysin. The db/db mice were orally administered 10 mg/kg diacetylchrysin daily for 10 weeks. The db/m mice were employed as control animals. Mouse retinal tissue extracts were subject to Western blot analysis with a primary antibody against VEGF and VEGFR2 (A and B, respectively). β-Actin protein was used as an internal control. Bar graphs (mean ± SEM, n = 3) in the right panel represent densitometric results of left blot bands. Values not sharing a common small letter differ, P < 0.05. Immunocytochemical analysis of VEGFR2 in db/db mice treated with 10 mg/kg chrysin was achieved by histological staining of mouse retina sections using a primary antibody of VEGFR2. FITC-conjugated secondary antibody was used for visualizing the VEGFR2, and the nuclear staining was done with 4′,6-diamidino-2-phenylindole (C). Each photograph is representative of 4 mice. Magnification: 200-fold. Retinal layers are labeled as follows: NFL/GCL, IPL, INL, OPL, ONL, and photoreceptor IS/OS.VEGF, vascular endothelial growth factor; VEGFR2, VEGF receptor 2; SEM, standard error of mean; FITC, fluorescein isothiocyanate; NFL, neurofiber layer; GCL, ganglion cell layer; IPL, inner plexiform layer; INL, inner nuclear layer; OPL, outer plexiform layer; ONL, outer nuclear layer; IS, inner segment; OS, outer segment.

  • Fig. 8 Inhibition of abnormal neovascularization by diacetylchrysin. The db/db mice were orally supplemented with 10 mg/kg diacetylchrysin daily for 10 weeks. The db/m mice were employed as control animals. To reveal acellular capillaries (red arrow) in db/db mice treated with 10 mg/kg diacetylchrysin, retinal vessels were subjected to H&E staining (A). Magnification: 200-fold. To detect new capillary bed formation (yellow arrow) and vessel leakage (red arrow) by diacetylchrysin exposure (B), typical appearance of retinal capillaries was observed by FITC-dextran-perfused retinal flat-mounts. Retinas were dissected, flat mounted, and observed by confocal microscopy. Magnification: 400-fold. Each photograph is representative of 4 mice.H&E, hematoxylin and eosin; FITC, fluorescein isothiocyanate.

  • Fig. 9 Schematic diagram showing the effects of diacetylchrysin on nephropathy and retinopathy in the type 2 diabetic mouse model. The arrows indicate activation by hyperglycemia or diacetylchrysin.


Reference

1. Negre-Salvayre A, Salvayre R, Augé N, Pamplona R, Portero-Otín M. Hyperglycemia and glycation in diabetic complications. Antioxid Redox Signal. 2009; 11:3071–3109. PMID: 19489690.
2. Gilbert MP. Screening and treatment by the primary care provider of common diabetes complications. Med Clin North Am. 2015; 99:201–219. PMID: 25456651.
3. Viigimaa M, Sachinidis A, Toumpourleka M, Koutsampasopoulos K, Alliksoo S, Titma T. Macrovascular complications of type 2 diabetes mellitus. Curr Vasc Pharmacol. 2020; 18:110–116. PMID: 30961498.
4. Cole JB, Florez JC. Genetics of diabetes mellitus and diabetes complications. Nat Rev Nephrol. 2020; 16:377–390. PMID: 32398868.
5. Park S, Kang HJ, Jeon JH, Kim MJ, Lee IK. Recent advances in the pathogenesis of microvascular complications in diabetes. Arch Pharm Res. 2019; 42:252–262. PMID: 30771210.
6. Gross JL, de Azevedo MJ, Silveiro SP, Canani LH, Caramori ML, Zelmanovitz T. Diabetic nephropathy: diagnosis, prevention, and treatment. Diabetes Care. 2005; 28:164–176. PMID: 15616252.
7. Cheung N, Mitchell P, Wong TY. Diabetic retinopathy. Lancet. 2010; 376:124–136. PMID: 20580421.
8. Adki KM, Kulkarni YA. Potential biomarkers in diabetic retinopathy. Curr Diabetes Rev. 2020; 16:971–983. PMID: 32065092.
9. Feldman EL, Callaghan BC, Pop-Busui R, Zochodne DW, Wright DE, Bennett DL, Bril V, Russell JW, Viswanathan V. Diabetic neuropathy. Nat Rev Dis Primers. 2019; 5:41. PMID: 31197153.
10. Fioretto P, Mauer M. Histopathology of diabetic nephropathy. Semin Nephrol. 2007; 27:195–207. PMID: 17418688.
11. Menon MC, Chuang PY, He CJ. The glomerular filtration barrier: components and crosstalk. Int J Nephrol. 2012; 2012:749010. PMID: 22934182.
12. Jefferson JA, Shankland SJ, Pichler RH. Proteinuria in diabetic kidney disease: a mechanistic viewpoint. Kidney Int. 2008; 74:22–36. PMID: 18418356.
13. Gorriz JL, Martinez-Castelao A. Proteinuria: detection and role in native renal disease progression. Transplant Rev (Orlando). 2012; 26:3–13. PMID: 22137726.
14. Kanasaki K, Taduri G, Koya D. Diabetic nephropathy: the role of inflammation in fibroblast activation and kidney fibrosis. Front Endocrinol (Lausanne). 2013; 4:7. PMID: 23390421.
15. Liu Y. Cellular and molecular mechanisms of renal fibrosis. Nat Rev Nephrol. 2011; 7:684–696. PMID: 22009250.
16. Duffield JS. Cellular and molecular mechanisms in kidney fibrosis. J Clin Invest. 2014; 124:2299–2306. PMID: 24892703.
17. Arboleda-Velasquez JF, Valdez CN, Marko CK, D’Amore PA. From pathobiology to the targeting of pericytes for the treatment of diabetic retinopathy. Curr Diab Rep. 2015; 15:573. PMID: 25620405.
18. Wong TY, Cheung CM, Larsen M, Sharma S, Simó R. Diabetic retinopathy. Nat Rev Dis Primers. 2016; 2:16012. PMID: 27159554.
19. Al-Latayfeh M, Silva PS, Sun JK, Aiello LP. Antiangiogenic therapy for ischemic retinopathies. Cold Spring Harb Perspect Med. 2012; 2:a006411. PMID: 22675660.
20. Campochiaro PA. Molecular pathogenesis of retinal and choroidal vascular diseases. Prog Retin Eye Res. 2015; 49:67–81. PMID: 26113211.
21. Boyer DS, Hopkins JJ, Sorof J, Ehrlich JS. Anti-vascular endothelial growth factor therapy for diabetic macular edema. Ther Adv Endocrinol Metab. 2013; 4:151–169. PMID: 24324855.
22. Zheng HX, Qi SS, He J, Hu CY, Han H, Jiang H, Li XS. Cyanidin-3-glucoside from black rice ameliorates diabetic nephropathy via reducing blood glucose, suppressing oxidative stress and inflammation, and regulating transforming growth factor β1/Smad expression. J Agric Food Chem. 2020; 68:4399–4410. PMID: 32192334.
23. Kang MK, Park SH, Choi YJ, Shin D, Kang YH. Chrysin inhibits diabetic renal tubulointerstitial fibrosis through blocking epithelial to mesenchymal transition. J Mol Med (Berl). 2015; 93:759–772. PMID: 26062793.
24. Kang MK, Park SH, Kim YH, Lee EJ, Antika LD, Kim DY, Choi YJ, Kang YH. Dietary compound chrysin inhibits retinal neovascularization with abnormal capillaries in db/db mice. Nutrients. 2016; 8:782. PMID: 27918469.
25. Zhou L, Zhang P, Yang G, Lin R, Wang W, Liu T, Zhang L, Zhang J. Solubility of chrysin in ethanol and water mixtures. J Chem Eng Data. 2014; 59:2215–2220.
26. Hwang SH, Kim HY, Zuo G, Wang Z, Lee JY, Lim SS. Anti-glycation, carbonyl trapping and anti-inflammatory activities of chrysin derivatives. Molecules. 2018; 23:1752. PMID: 30018253.
27. Zhang A, Huang S. Progress in pathogenesis of proteinuria. Int J Nephrol. 2012; 2012:314251. PMID: 22693670.
28. Zoja C, Abbate M, Remuzzi G. Progression of renal injury toward interstitial inflammation and glomerular sclerosis is dependent on abnormal protein filtration. Nephrol Dial Transplant. 2015; 30:706–712. PMID: 25087196.
29. Capitão M, Soares R. Angiogenesis and inflammation crosstalk in diabetic retinopathy. J Cell Biochem. 2016; 117:2443–2453. PMID: 27128219.
30. Kusuhara S, Fukushima Y, Ogura S, Inoue N, Uemura A. Pathophysiology of diabetic retinopathy: the old and the new. Diabetes Metab J. 2018; 42:364–376. PMID: 30362302.
31. Bhatti JS, Sehrawat A, Mishra J, Sidhu IS, Navik U, Khullar N, Kumar S, Bhatti GK, Reddy PH. Oxidative stress in the pathophysiology of type 2 diabetes and related complications: current therapeutics strategies and future perspectives. Free Radic Biol Med. 2022; 184:114–134. PMID: 35398495.
32. Zheng S, Huang K, Tong T. Efficacy and mechanisms of oleuropein in mitigating diabetes and diabetes complications. J Agric Food Chem. 2021; 69:6145–6155. PMID: 34042426.
33. Oliveira S, Monteiro-Alfredo T, Silva S, Matafome P. Curcumin derivatives for type 2 diabetes management and prevention of complications. Arch Pharm Res. 2020; 43:567–581. PMID: 32557163.
34. Khan M, Liu H, Wang J, Sun B. Inhibitory effect of phenolic compounds and plant extracts on the formation of advance glycation end products: a comprehensive review. Food Res Int. 2020; 130:108933. PMID: 32156381.
35. Rodríguez ML, Pérez S, Mena-Mollá S, Desco MC, Ortega ÁL. Oxidative stress and microvascular alterations in diabetic retinopathy: future therapies. Oxid Med Cell Longev. 2019; 2019:4940825. PMID: 31814880.
36. Gowd V, Kang Q, Wang Q, Wang Q, Chen F, Cheng KW. Resveratrol: evidence for its nephroprotective effect in diabetic nephropathy. Adv Nutr. 2020; 11:1555–1568. PMID: 32577714.
37. Catrina SB, Zheng X. Hypoxia and hypoxia-inducible factors in diabetes and its complications. Diabetologia. 2021; 64:709–716. PMID: 33496820.
38. Lee EJ, Kang MK, Kim DY, Kim YH, Oh H, Kang YH. Chrysin inhibits advanced glycation end products-induced kidney fibrosis in renal mesangial cells and diabetic kidneys. Nutrients. 2018; 10:882. PMID: 29987200.
39. Ravindran S, Munusamy S. Renoprotective mechanisms of sodium-glucose co-transporter 2 (SGLT2) inhibitors against the progression of diabetic kidney disease. J Cell Physiol. 2022; 237:1182–1205. PMID: 34713897.
40. Alicic RZ, Cox EJ, Neumiller JJ, Tuttle KR. Incretin drugs in diabetic kidney disease: biological mechanisms and clinical evidence. Nat Rev Nephrol. 2021; 17:227–244. PMID: 33219281.
41. Abbate M, Zoja C, Corna D, Rottoli D, Zanchi C, Azzollini N, Tomasoni S, Berlingeri S, Noris M, Morigi M, et al. Complement-mediated dysfunction of glomerular filtration barrier accelerates progressive renal injury. J Am Soc Nephrol. 2008; 19:1158–1167. PMID: 18354030.
42. Osaadon P, Fagan XJ, Lifshitz T, Levy J. A review of anti-VEGF agents for proliferative diabetic retinopathy. Eye (Lond). 2014; 28:510–520. PMID: 24525867.
43. Tan Y, Fukutomi A, Sun MT, Durkin S, Gilhotra J, Chan WO. Anti-VEGF crunch syndrome in proliferative diabetic retinopathy: a review. Surv Ophthalmol. 2021; 66:926–932. PMID: 33705807.
44. Sulaiman RS, Basavarajappa HD, Corson TW. Natural product inhibitors of ocular angiogenesis. Exp Eye Res. 2014; 129:161–171. PMID: 25304218.
45. Stompor-Gorący M, Bajek-Bil A, Machaczka M. Chrysin: perspectives on contemporary status and future possibilities as pro-health agent. Nutrients. 2021; 13:2038. PMID: 34198618.
46. Zhu ZY, Wang WX, Wang ZQ, Chen LJ, Zhang JY, Liu XC, Wu SP, Zhang YM. Synthesis and antitumor activity evaluation of chrysin derivatives. Eur J Med Chem. 2014; 75:297–300. PMID: 24556144.
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