Tigulixostat Alleviates Hyperuricemic Nephropathy by Promoting M2 Macrophage Polarization

Lina Xue,1,2,* Qianru Tao,1,2,* Haining Chang,1,* Shu Yan,1 Lei Wang,3 Zefang Zhao,4 Chao Tu1 1Department of Internal Medicine, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, People’s Republic of China; 2Department of Nephrology, The Third Affiliated...

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Main Authors: Xue L, Tao Q, Chang H, Yan S, Wang L, Zhao Z, Tu C
Format: Article
Language:English
Published: Dove Medical Press 2025-01-01
Series:Journal of Inflammation Research
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Online Access:https://www.dovepress.com/tigulixostat-alleviates-hyperuricemic-nephropathy-by-promoting-m2-macr-peer-reviewed-fulltext-article-JIR
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author Xue L
Tao Q
Chang H
Yan S
Wang L
Zhao Z
Tu C
author_facet Xue L
Tao Q
Chang H
Yan S
Wang L
Zhao Z
Tu C
author_sort Xue L
collection DOAJ
description Lina Xue,1,2,* Qianru Tao,1,2,* Haining Chang,1,* Shu Yan,1 Lei Wang,3 Zefang Zhao,4 Chao Tu1 1Department of Internal Medicine, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, People’s Republic of China; 2Department of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, People’s Republic of China; 3Nanjing jinyu medical examination laboratory, Nanjing, Jiangsu, People’s Republic of China; 4Hongyi Honor College, Wuhan University, Wuhan, Hubei, People’s Republic of China*These authors contributed equally to this workCorrespondence: Chao Tu, Department of Internal Medicine, The Third Affiliated Hospital of Soochow University, 185 Juqian Road, Changzhou, Jiangsu, 213000, People’s Republic of China, Tel +86 15895073069, Email tcmedical21@czfph.comPurpose: Serum uric acid (SUA) is primarily produced through the hydrolysis of purines in the liver, with its excretion largely handled by the kidneys. Urate transporter 1 (URAT1) inhibitors are known to enhance uric acid elimination via the kidneys, but they also increase the risk of kidney stone formation. Currently, xanthine oxidase (XO) inhibitors are the predominant uric-lowering medications on the market.Methods: In this study, we utilized single-cell RNA sequencing, spatial metabolomics, plasma metabolomics, flow cytometry to explore the effects of Tigulixostat on uric acid level and hyperuricemic nephropathy (HN) in Uox-KO mouse model.Results: In this study, we discovered that Tigulixostat (LC350189) more effectively reduced SUA levels and resulted in better renal outcomes compared to allopurinol, without inducing liver injury in urate oxidase knockout (Uox-KO) mice. Mechanistically, we found that Tigulixostat improved HN by promoting M2 macrophage polarization.Conclusion: These findings suggest Tigulixostat as a promising therapeutic option for managing hyperuricemia and related kidney conditions. Keywords: hyperuricemic nephropathy, Uox-KO, tigulixostat, Single-cell RNA sequencing, macrophage
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publisher Dove Medical Press
record_format Article
series Journal of Inflammation Research
spelling doaj-art-436898910a1442a495baeb5c4f6d104a2025-01-05T16:36:04ZengDove Medical PressJournal of Inflammation Research1178-70312025-01-01Volume 18173098940Tigulixostat Alleviates Hyperuricemic Nephropathy by Promoting M2 Macrophage PolarizationXue LTao QChang HYan SWang LZhao ZTu CLina Xue,1,2,* Qianru Tao,1,2,* Haining Chang,1,* Shu Yan,1 Lei Wang,3 Zefang Zhao,4 Chao Tu1 1Department of Internal Medicine, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, People’s Republic of China; 2Department of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, People’s Republic of China; 3Nanjing jinyu medical examination laboratory, Nanjing, Jiangsu, People’s Republic of China; 4Hongyi Honor College, Wuhan University, Wuhan, Hubei, People’s Republic of China*These authors contributed equally to this workCorrespondence: Chao Tu, Department of Internal Medicine, The Third Affiliated Hospital of Soochow University, 185 Juqian Road, Changzhou, Jiangsu, 213000, People’s Republic of China, Tel +86 15895073069, Email tcmedical21@czfph.comPurpose: Serum uric acid (SUA) is primarily produced through the hydrolysis of purines in the liver, with its excretion largely handled by the kidneys. Urate transporter 1 (URAT1) inhibitors are known to enhance uric acid elimination via the kidneys, but they also increase the risk of kidney stone formation. Currently, xanthine oxidase (XO) inhibitors are the predominant uric-lowering medications on the market.Methods: In this study, we utilized single-cell RNA sequencing, spatial metabolomics, plasma metabolomics, flow cytometry to explore the effects of Tigulixostat on uric acid level and hyperuricemic nephropathy (HN) in Uox-KO mouse model.Results: In this study, we discovered that Tigulixostat (LC350189) more effectively reduced SUA levels and resulted in better renal outcomes compared to allopurinol, without inducing liver injury in urate oxidase knockout (Uox-KO) mice. Mechanistically, we found that Tigulixostat improved HN by promoting M2 macrophage polarization.Conclusion: These findings suggest Tigulixostat as a promising therapeutic option for managing hyperuricemia and related kidney conditions. Keywords: hyperuricemic nephropathy, Uox-KO, tigulixostat, Single-cell RNA sequencing, macrophagehttps://www.dovepress.com/tigulixostat-alleviates-hyperuricemic-nephropathy-by-promoting-m2-macr-peer-reviewed-fulltext-article-JIRhyperuricemic nephropathyuox-kotigulixostatsingle-cell rna sequencingmacrophage
spellingShingle Xue L
Tao Q
Chang H
Yan S
Wang L
Zhao Z
Tu C
Tigulixostat Alleviates Hyperuricemic Nephropathy by Promoting M2 Macrophage Polarization
Journal of Inflammation Research
hyperuricemic nephropathy
uox-ko
tigulixostat
single-cell rna sequencing
macrophage
title Tigulixostat Alleviates Hyperuricemic Nephropathy by Promoting M2 Macrophage Polarization
title_full Tigulixostat Alleviates Hyperuricemic Nephropathy by Promoting M2 Macrophage Polarization
title_fullStr Tigulixostat Alleviates Hyperuricemic Nephropathy by Promoting M2 Macrophage Polarization
title_full_unstemmed Tigulixostat Alleviates Hyperuricemic Nephropathy by Promoting M2 Macrophage Polarization
title_short Tigulixostat Alleviates Hyperuricemic Nephropathy by Promoting M2 Macrophage Polarization
title_sort tigulixostat alleviates hyperuricemic nephropathy by promoting m2 macrophage polarization
topic hyperuricemic nephropathy
uox-ko
tigulixostat
single-cell rna sequencing
macrophage
url https://www.dovepress.com/tigulixostat-alleviates-hyperuricemic-nephropathy-by-promoting-m2-macr-peer-reviewed-fulltext-article-JIR
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