糖尿病関連腎臓病の新たな進展メカニズムを解明~腸内細菌叢そうが産生するペプチドが腎の老化と線維化を促進~

ad

2025-08-26 三重大学

三重大学大学院医学系研究科の研究グループは、糖尿病関連腎臓病(DKD)の進展に腸内細菌叢由来ペプチド「corisin」が関与する新たなメカニズムを解明しました。研究では、DKD患者の血液および尿中でcorisinが増加し、疾患の重症度と関連することを確認。さらに、corisinの発生源が腸内細菌叢であり、DKDではその産生が増加することを明らかにしました。マウス実験では、corisin阻害により腎臓の老化が抑制され、線維化が改善。細菌叢由来のペプチドがDKD悪化の要因となることを初めて示し、これを標的とした新たな治療法の可能性が期待されます。本成果は『Nature Communications』に掲載され、JSTや科研費などの支援を受けて実施されました。

糖尿病関連腎臓病の新たな進展メカニズムを解明~腸内細菌叢そうが産生するペプチドが腎の老化と線維化を促進~
図1 DKD 患者検体における corisin の検討 (A)DKD 患者の尿中 corisin の上昇、(B)DKD 患者の血液中 corisin と eGFR の相関、(C)ヒトでの corisin および corisin 様ペプチドの配列の解析

<関連情報>

微生物由来のコリシンは、細胞老化を促進することで腎臓の線維化を加速する Microbiota-derived corisin accelerates kidney fibrosis by promoting cellular aging

Taro Yasuma,Hajime Fujimoto,Corina N. D’Alessandro-Gabazza,Masaaki Toda,Mei Uemura,Kota Nishihama,Atsuro Takeshita,Valeria Fridman D’Alessandro,Tomohito Okano,Yuko Okano,Atsushi Tomaru,Tomoko Anoh,Chisa Inoue,Manal A. B. Alhawsawi,Ahmed M. Abdel-Hamid,Kyle Leistikow,Michael R. King,Ryoichi Ono,Tetsuya Nosaka,Hidetoshi Yamazaki,Christopher J. Fields,Roderick I. Mackie,Xuenan Mi,Diwakar Shukla,… Esteban C. Gabazza
Nature Communications  Published:25 August 2025
DOI:https://doi.org/10.1038/s41467-025-61847-2

Abstract

The increasing global prevalence of diabetic nephropathy poses substantial health and economic burdens. Currently, effective anti-fibrotic therapies for managing kidney fibrosis associated with chronic kidney disease are lacking. This study reveals corisin, a microbiota-derived peptide, as a central driver in the progression of diabetic kidney fibrosis. Corisin levels were found to be markedly elevated in the serum of diabetic chronic kidney disease patients relative to healthy controls, with strong correlations to advanced disease stages and declining renal function. In a murine model of kidney fibrosis, corisin levels were similarly heightened, directly contributing to increased inflammation and worsening fibrosis and renal impairment. Notably, the use of a monoclonal anti-corisin antibody significantly reduced nephropathy severity in diabetic mice. Through molecular dynamics simulations and experimental validation, we demonstrated that corisin interacts with human serum albumin, potentially enhancing its renal accumulation and pathological impact. The pathogenic mechanism of corisin involves the acceleration of cellular senescence and the induction of epithelial-mesenchymal transition and apoptosis in kidney cells. These findings underscore the critical role of corisin in progressive diabetic nephropathy and suggest a promising new target for therapeutic intervention.

医療・健康
ad
ad
Follow
ad
タイトルとURLをコピーしました