Purpose. Despite the discovery of many important molecules in diabetic nephropathy, there has been very limited progress in the management of diabetic kidney diseases and the design of new drugs. To fill this gap, the present study explored the expression of SIRT2 in high-glucose murine kidney foot cells and its impact on cell biological functions. Methods. Expression levels of SIRT2 in the MPC-5 of murine kidney foot cells after high and normal glucose treatment or in cells targeted with siRNA were detected using qRT-PCR. Cellular proliferation and programmed cell death were analyzed via the CCK8 assay and flow cell technique, separately. Levels of autophagy markers were measured by western blotting, and chloroquine treatment was applied to the cells to observe the effect of SIRT2 on cell proliferation and apoptosis after treatment. Results. The expression level of SIRT2 was remarkably upregulated in the high-GLU group in contrast to the low-GLU group. The cell proliferation and autophagy levels were significantly reduced, and apoptosis was remarkably reinforced in the high-GLU group in contrast to the normal GLU group. However, knocking down the expression level of SIRT2 caused an increase in cell proliferation and cell autophagy levels and significantly weakened apoptosis. Chloroquine influenced cell proliferation and apoptosis in cells targeted with SIRT2 siRNA. Conclusion. SIRT2 expression was upregulated in hyperglycaemic murine kidney foot cells, and knocking down the expression level of SIRT2 affected the biological function of the cells. We found that SIRT2 may modulate cell proliferation and apoptosis by regulating cell autophagy.

This commentary reviews the cross-sectional study by Denche-Zamorano et al. examining the relationship between pain distribution, physical activity, grip strength, exercise issues, and frailty risk. The commentary acknowledges the study's in-depth analysis of the association between widespread pain and frailty, while proposing three key recommendations: First, replacing grip strength/body weight with grip strength/fat-free mass to more accurately assess muscle strength; second, utilizing longitudinal data in future research to explore the mediating role of exercise phobia between pain and frailty; Third, it advocates for more granular grading of physical activity to reveal dose-response relationships. These recommendations aim to enhance the precision and causal inference capabilities of future research, providing a stronger foundation for developing multimodal intervention strategies integrating exercise and cognitive behavioral therapy.