Comparative Effects of Nigella sativa and Thymoquinone on Glucose Metabolism in a High Glucose-induced Renal Cell Line

A
A. Usta1,*
S
S. Çetin2
V
V. Yüksek3
S
S. Dede4
1Van Yuzuncu Yil University, Faculty of Science, Department of Chemistry, Van, Türkiye.
2Ankara Yildirim Beyazit University, Vocational School of Health Services, Department of Veterinary Medicine, Ankara, Türkiye.
3Van Yuzuncu Yil University, Ozalp Regional High School, Van, Türkiye.
4Van Yuzuncu Yil University, Faculty of Veterinary Medicine, Biochemistry Department, Van, Türkiye.

Background: A significant side effect of type 2 diabetes mellitus is diabetic nephropathy (DN), which is typified by poor glucose homeostasis and insulin resistance in renal tissues. Thymoquinone (TQ), the active ingredient in Nigella sativa (NS), has been shown to have antioxidant and antidiabetic properties. However, nothing is known about their relative effects on renal glucose metabolism in hyperglycemic situations. The objective of this work was to examine and contrast the regulatory effects of NS and TQ on insulin signaling pathways and glucose transporter expression in NRK-52E renal epithelial cells grown in high-glucose environments.

Methods: TQ (10 µM) or NS extract (0.5 µg/ml) were applied to NRK-52E cells after they were subjected to high glucose (246 mM). RT-qPCR was used to measure the mRNA expression levels of insulin signaling components (Ir, Irs1, Pi3k, Ampk, Gsk3β) and glucose transporters (Glut1, Glut2, Glut3, Glut5, Sglt2). Western blot was used to measure the protein levels of Glut2, Glut3, Sglt2 and Irs1. The Duncan test (p<0.05) and one-way ANOVA were used to determine statistical significance.

Result: Ir, Irs1, Pi3k and Ampk levels were downregulated and Glut1, Glut2, Glut3 and Sglt2 expression was markedly elevated by high glucose exposure. These changes were reversed by TQ and NS therapy, with TQ having a stronger effect. TQ increased the levels of Irs1 and Pi3k while more successfully suppressing the expression of Sglt2 and Glut2. The transcriptional alterations were confirmed by Western blot results. TQ and NS improved insulin signaling pathways and modulated glucose transporter expression to protect renal cells. These results confirm that TQ and NS are safe to use as possible therapeutic agents to treat diabetic nephropathy.

Diabetic nephropathy is an important side effect of diabetes that can lead to chronic kidney failure and significantly reduce a patient’s quality of life. Vascular injury in intraglomerular arterioles is the main way that persistent hyperglycemia causes renal failure. It is thought to affect about 15% of patients with type 2 diabetes and 35% of those with type 1 diabetes (Eraslan Farisoğlu et al., 2026; Ozcan and Kaya, 2025; Raj and Rani, 2024).
       
Diabetes raises the risk of organ failure and persistent tissue damage due to impaired glucose regulation (Keembiyehetty et al., 2006). Cellular function depends on the movement of glucose across cell membranes, which is accomplished by either active or assisted diffusion. Tissue-specific expression of sodium-glucose cotransporters (Sglts) and glucose transporters (Gluts) occurs in the kidney. Sglt2, which is found on the apical membrane of proximal tubular cells, is principally in charge of sodium-dependent glucose reabsorption, which uses basolateral Glut transporters to move glucose into the bloodstream (Norton et al., 2017; Bailey et al., 2010).
       
Gluts comprise 14 isoforms that are categorized into three classes and are widely expressed in mammalian cells (Augustin, 2010; Mueckler et al., 2013). Hormonal, metabolic and oxidative stress-related factors impact their expression, which varies according to tissue type and pathological situations such diabetes, ischemia and cancer (Rizzo et al., 2013; Medina and Owen, 2002).
       
Insulin primarily uses the Pi3k/Akt and MAPK signaling pathways to control glucose homeostasis by activating the insulin receptor (Ir) and insulin receptor substrate (Irs) (Cardoso, 2009). Irs1 phosphorylation is essential for Pi3k activation, which increases glucose absorption through Glut translocation, especially Glut4 (Lee et al., 2012). Additionally, Ampk is a key target for treatment in type 2 diabetes and plays a crucial role in glucose metabolism (Bijland et al., 2013; Manna et al., 2017; Park et al., 2018).
       
Glut2-mediated glucose absorption in pancreatic β-cells raises intracellular ATP levels, which in turn cause membrane depolarization and calcium influx, which in turn stimulate insulin production (Champe and Harvey 2007). Furthermore, a crucial regulator of glycogen metabolism, glycogen synthase kinase 3 beta (Gsk3β), is still active in diabetes, which inhibits glycogen synthesis and lowers cellular glucose absorption.
       
In diabetic patients, Nigella sativa (NS) has been shown to enhance inflammatory indicators, oxidative stress, insulin resistance, lipid profiles and glycemic management. Additionally, it improves antioxidant capacity and β-cell activity (Shan et al., 2011; O’Neill, 2013; Hamdan et al., 2019; Kaatabi et al., 2015; Chatterjee et al., 2025; Heshmati et al., 2015). The primary bioactive component of NS, thymoquinone (TQ), has shown protective properties in diabetic mice by lowering inflammation, apoptosis and oxidative stress, in part by modifying the Pi3k/Akt pathway (Liu et al., 2016; He et al., 2023; Usta and Dede, 2017).
       
Despite these results, the effects of NS and TQ on renal glucose metabolism are still unknown and changes in glucose transporters under metabolic diseases are not completely understood. Therefore, by examining the mRNA and protein expression levels of important genes involved in glucose metabolism, such as Glut1, Glut2, Glut3, Glut5, Sglt2, Ir, Irs1, Pi3k, Ampk and Gsk3β, this study sought to determine how NS and TQ affected renal proximal tubular cells (NRK-52E) cultured under high-glucose conditions.
Reagents and chemicals
 
Thymoquinone (TQ) and D-glucose were acquired from Sigma-Aldrich (USA). Western blot kits and antibodies were purchased from Affinity Biosciences (USA). The ABT 2x SYBR Green Master Mix (Türkiye) was used for RT-qPCR studies.
 
Cell culture
 
NRK-52E (ATCC® CRL-1571TM), a rat kidney epithelial cell line, was grown in RPMI-1640 media supplemented with 1% L-glutamine, 1% penicillin/streptomycin and 10% fetal bovine serum (Capricorn, Germany). The cells were kept in a humidified environment with 5% CO2 at 37oC (Esco CelCulture CO2, Singapore). The Van Yuzuncu Yil University Scientific Research Projects Coordination Unit project TYD-2020-8582 provided funding for all of the experiments, which were carried out in 2022 at the Cell Culture and Molecular  Biology Laboratory in the Biochemistry Department of the Faculty of Veterinary Medicine at Van Yuzuncu Yil University.
 
Preparation of solutions
 
In order to make Nigella sativa (NS) extract, 70% of the powdered seeds were extracted using methanol, filtered, the solvent was evaporated, the mixture was lyophilized and it was then stored at -20°C (Meziti et al., 2012). TQ and NS stock solutions were made in DMSO (Panreac Applichem, Spain) (<0.05%) and then diluted in culture medium. As previously stated, amounts of glucose (0-400 mM), NS (0-200 µg/ml) and TQ (0-100 µM) were prepared (Gümüş et al., 2018; Celik, 2013; Usta et al., 2024a).

MTT assay
 
Following the seeding of 1×104 cells per well in 96-well plates, the cells were incubated overnight. The MTT assay was used to evaluate cell viability following treatment. The formazan crystals made by metabolically active cells were dissolved and the absorbance at 570 nm was determined (Biochrom, Anthos Zenyth 200). The viable cell percentage was contrasted with the control (Usta et al., 2024b; Meerloo et al., 2011).
 
Experimental design
 
Treatment groups were established based on different concentrations of glucose, TQ and NS, as indicated in Table 1.

Table 1: Study groups based on the administration of glucose, TQ and NS to NRK-52E cells.


 
RNA isolation and cDNA synthesis
 
Each group received a 24-hour treatment after being planted with about 8×105 cells. Total RNA was isolated using Trizol reagent (GeneAll, Korea) and its purity was assessed by spectrophotometric analysis (Chomczynski and Mackey, 1995). The manufacturer’s instructions were followed for cDNA synthesis using a commercial kit (ABT High Capacity, Türkiye).
 
RT-qPCR analysis
 
The findings of RT-qPCR investigation of Sglt2, Glut1, Glut2, Glut3, Glut5, Ir, Irs1, Gsk3β, Pi3k and Ampk gene expression levels are displayed in Table 2 (Qiagen, Germany).

Table 2: Target gene primers’ base sequence.


       
Using β-actin as the internal reference, relative expression levels were determined using the 2- ΔΔCt approach (Livak and Schmittgen, 2001) (Table 3).

Table 3: RT-qPCR reaction conditions.


 
Western blot analysis
 
After the proteins were extracted (GeneAll, Korea) and quantified using the Bradford procedure (ABT Biosciences, Türkiye), they were separated using SDS-PAGE. After being moved to nitrocellulose membranes, samples were incubated with primary and secondary antibodies. Protein bands were seen using a chemiluminescent substrate and analysis was done using ImageJ software.
 
Statistical analysis
 
SPSS 22.0 was used for statistical analysis (IBM, USA). The Duncan test was used after one-way ANOVA and Kruskal-Wallis to assess group differences. Mean±standard deviation was used to express the data and p<0.05 was regarded as statistically significant.
Effects of TQ, NS and glucose on cell viability
 
TQ, NS and glucose concentrations that were cytotoxic and proliferative in NRK-52E cells were measured using the MTT test (Fig 1). The best proliferative doses were determined to be TQ (10 μM) and NS (0.5 μg/ml), which both markedly improved cell viability (p<0.05). In the experiments that followed, the cytotoxic concentration of glucose was established to be 246 mM based on its IC50 value.

Fig 1: After administering different TQ, NS and glucose concentrations to the NRK-52E cell line for 24 hours.


 
Effects on glucose transporter gene expression
 
High glucose considerably increased the expression of Glut1, Glut2, Glut3 and Sglt2 in comparison to the control, according to RT-qPCR study (Fig 2). These increases were reversed by TQ and NS treatment, bringing expression levels back to nearly control levels. Nonetheless, the treated groups’ Glut2 expression was still lower than the control. All experimental groups had lower levels of Glut5 expression than the control.

Fig 2: (a-e) Glut1, Glut2, Glut3, Glut5 and Sglt2 mRNA transcription levels in NRK-52E cells after 24 hours.


 
Effects on Ir and Irs1 expression
 
Ir and Irs1 were downregulated in comparison to the control in high glucose circumstances (Fig 3). Both genes’ expression was elevated by TQ and NS treatments in comparison to the glucose group. Irs1 levels were brought back to almost control levels in treatment groups, but Ir expression remained below control.

Fig 3: (a-b) Irs1 and Ir mRNA transcription levels in NRK-52E cells after 24 hours.



Effects on Pi3k, Gsk3β and Ampk expression
 
Under high glucose circumstances, Pi3k and Ampk expression levels decreased; however, after TQ and NS treatment, they either increased or were recovered (Fig 4). While there was no discernible difference between the treatment groups and the control, Gsk3β expression was increased in the glucose group. On the other hand, Gsk3β expression was decreased by TQ and NS alone.

Fig 4: (a-c) Pi3k, Gsk3â and Ampk mRNA transcription levels at 24 hours in NRK-52E cells.


 
Protein expression analysis
 
The glucose-treated group had higher amounts of Glut2 protein than the control group, according to Western blot analysis and these levels dropped after TQ and NS treatment (Fig 5). In general, all groups had lower levels of other target proteins than the control. These results most likely represent early transcriptional responses at 24 hours, since longer exposure times may be necessary for protein-level alterations (48-72 h).

Fig 5: (a-d) Glut2, Glut3, Sglt2 and Irs1 protein translation levels in the NRK-52E cell line after 24 hours.


       
In this investigation, NRK-52E cells subjected to rising glucose concentrations for a full day demonstrated a dose-dependent decline in viability, with an IC50 of 246 mM, simulating advanced hyperglycemic stress in line with other findings. (Liu et al., 2016; Gholamnezhad et al., 2016). This method allowed for the assessment of renal tubular cells’ impaired insulin signaling and glucose-induced cytotoxicity.
       
Thymoquinone (TQ) is one of the main bioactives found in Nigella sativa (NS) extract. Both have been shown to have anti-inflammatory, anti-apoptotic, antioxidant and antidiabetic properties (Sangi et al., 2015; Ali and Blunden, 2003).
       
Sglt2 reabsorbs approximately 90% of filtered glucose in proximal tubules, while Glut1/Glut2 facilitates translocation to the circulation. Sglt and Glut transporters control glucose uptake (Bell et al., 1990; Iancu et al., 2022; Watson and Pessin, 2001; Umino et al., 2018; Girard, 2017; Marks et al., 2003; Mather and Pollock, 2011). Hyperglycemia enhances transporter expression and renal glucose reabsorption, which exacerbates glucose toxicity (Abdul-Ghani et al., 2011; Holman, 2020; Vestri et al., 2001; Rahmoune et al., 2005; Defronzo, 2009; Liu et al., 2012). High glucose increased Glut1, Glut2, Glut3 and Sglt2 in our investigation, which is consistent with the literature. However, TQ and NS therapy brought these levels down to almost control levels. All groups showed low levels of Glut5, which is consistent with its restricted role in the kidneys (Adeshara et al., 2017; Gnudi et al., 2007;  Brosius and Heilig, 2005; Vallon et al., 2011; Sugawara-Yokoo et al., 1999; Rand et al., 1993; Inukai et al., 1993).
       
Insulin signaling via the downstream Pi3k/Akt pathway and Ir/Irs1 is essential for maintaining glucose homeostasis. Elevated glucose inhibited the production of Ir and Irs1, which hindered insulin signaling and decreased the absorption of glucose. The expression of Pi3k/Akt and Irs1 was restored by TQ and NS, indicating improved glycogen production and insulin signaling (Tiwari et al., 2013; Peng and He, 2018; Mokashi et al., 2017; Linnemann et al., 2014; Gatica et al., 2013; Lay et al., 2024; Mima et al., 2011; Mima et al., 2023; Lay and Coward, 2018; Chen et al., 2022).
       
Under high glucose, AMPK, a crucial regulator of energy balance, was inhibited, which increased oxidative stress and insulin resistance (Coughlan et al., 2014; Soetikno et al., 2013; Han et al., 2021; Welsh et al., 2010). TQ and NS improved glucose utilization and reversed insulin resistance via restoring AMPK expression. In a similar vein, Gsk3β, which rises in diabetes and prevents the synthesis of glycogen, was increased in high glucose but repressed by TQ and NS, promoting better glycogen metabolism and decreased oxidative stress (Liang et al., 2020; Rayasam et al., 2009; Paeng et al., 2014).
       
Together, our results show that TQ and NS influence several pathways related to glucose metabolism, such as glucose transporters, Ir/Irs1, Pi3k/Akt, AMPK and Gsk3β (Fig 6). Their promise as treatment agents for diabetic nephropathy is highlighted by these effects, which improve insulin sensitivity and reduce hyperglycemia. To validate these protective effects, further extensive in vivo and clinical research is necessary.

Fig 6: Impact of TQ and NS supplementation on the downstream pathways of glucose metabolism in high-glucose environments.

In NRK-52E renal proximal tubular cells, high glucose exposure reduces cell survival, interferes with insulin signaling, and modifies glucose transporter expression. By lowering the expression of Glut1, Glut2, Glut3, and Sglt2, increasing Ir/Irs1, Pi3k/Akt, and AMPK signaling, and suppressing Gsk3β activity, treatment with Nigella sativa (NS) extract and thymoquinone (TQ) reduced these effects and promoted glycogen synthesis and glucose utilization.
       
TQ’s potential as a therapeutic agent for avoiding or lessening diabetic nephropathy was highlighted by its better effectiveness than NS in repairing impaired glucose transporter expression and metabolic signaling. These results shed light on the mechanisms behind NS and TQ’s renoprotective and antidiabetic actions. To confirm and expand these protective benefits, more in vivo and clinical research is necessary.
We would like to thank Van Yuzuncu Yil University Scientific Research Projects Coordination Unit (TYD-2020-8582) for their contributions.
The authors declares no conflicts of interest to report regarding the present study.

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Comparative Effects of Nigella sativa and Thymoquinone on Glucose Metabolism in a High Glucose-induced Renal Cell Line

A
A. Usta1,*
S
S. Çetin2
V
V. Yüksek3
S
S. Dede4
1Van Yuzuncu Yil University, Faculty of Science, Department of Chemistry, Van, Türkiye.
2Ankara Yildirim Beyazit University, Vocational School of Health Services, Department of Veterinary Medicine, Ankara, Türkiye.
3Van Yuzuncu Yil University, Ozalp Regional High School, Van, Türkiye.
4Van Yuzuncu Yil University, Faculty of Veterinary Medicine, Biochemistry Department, Van, Türkiye.

Background: A significant side effect of type 2 diabetes mellitus is diabetic nephropathy (DN), which is typified by poor glucose homeostasis and insulin resistance in renal tissues. Thymoquinone (TQ), the active ingredient in Nigella sativa (NS), has been shown to have antioxidant and antidiabetic properties. However, nothing is known about their relative effects on renal glucose metabolism in hyperglycemic situations. The objective of this work was to examine and contrast the regulatory effects of NS and TQ on insulin signaling pathways and glucose transporter expression in NRK-52E renal epithelial cells grown in high-glucose environments.

Methods: TQ (10 µM) or NS extract (0.5 µg/ml) were applied to NRK-52E cells after they were subjected to high glucose (246 mM). RT-qPCR was used to measure the mRNA expression levels of insulin signaling components (Ir, Irs1, Pi3k, Ampk, Gsk3β) and glucose transporters (Glut1, Glut2, Glut3, Glut5, Sglt2). Western blot was used to measure the protein levels of Glut2, Glut3, Sglt2 and Irs1. The Duncan test (p<0.05) and one-way ANOVA were used to determine statistical significance.

Result: Ir, Irs1, Pi3k and Ampk levels were downregulated and Glut1, Glut2, Glut3 and Sglt2 expression was markedly elevated by high glucose exposure. These changes were reversed by TQ and NS therapy, with TQ having a stronger effect. TQ increased the levels of Irs1 and Pi3k while more successfully suppressing the expression of Sglt2 and Glut2. The transcriptional alterations were confirmed by Western blot results. TQ and NS improved insulin signaling pathways and modulated glucose transporter expression to protect renal cells. These results confirm that TQ and NS are safe to use as possible therapeutic agents to treat diabetic nephropathy.

Diabetic nephropathy is an important side effect of diabetes that can lead to chronic kidney failure and significantly reduce a patient’s quality of life. Vascular injury in intraglomerular arterioles is the main way that persistent hyperglycemia causes renal failure. It is thought to affect about 15% of patients with type 2 diabetes and 35% of those with type 1 diabetes (Eraslan Farisoğlu et al., 2026; Ozcan and Kaya, 2025; Raj and Rani, 2024).
       
Diabetes raises the risk of organ failure and persistent tissue damage due to impaired glucose regulation (Keembiyehetty et al., 2006). Cellular function depends on the movement of glucose across cell membranes, which is accomplished by either active or assisted diffusion. Tissue-specific expression of sodium-glucose cotransporters (Sglts) and glucose transporters (Gluts) occurs in the kidney. Sglt2, which is found on the apical membrane of proximal tubular cells, is principally in charge of sodium-dependent glucose reabsorption, which uses basolateral Glut transporters to move glucose into the bloodstream (Norton et al., 2017; Bailey et al., 2010).
       
Gluts comprise 14 isoforms that are categorized into three classes and are widely expressed in mammalian cells (Augustin, 2010; Mueckler et al., 2013). Hormonal, metabolic and oxidative stress-related factors impact their expression, which varies according to tissue type and pathological situations such diabetes, ischemia and cancer (Rizzo et al., 2013; Medina and Owen, 2002).
       
Insulin primarily uses the Pi3k/Akt and MAPK signaling pathways to control glucose homeostasis by activating the insulin receptor (Ir) and insulin receptor substrate (Irs) (Cardoso, 2009). Irs1 phosphorylation is essential for Pi3k activation, which increases glucose absorption through Glut translocation, especially Glut4 (Lee et al., 2012). Additionally, Ampk is a key target for treatment in type 2 diabetes and plays a crucial role in glucose metabolism (Bijland et al., 2013; Manna et al., 2017; Park et al., 2018).
       
Glut2-mediated glucose absorption in pancreatic β-cells raises intracellular ATP levels, which in turn cause membrane depolarization and calcium influx, which in turn stimulate insulin production (Champe and Harvey 2007). Furthermore, a crucial regulator of glycogen metabolism, glycogen synthase kinase 3 beta (Gsk3β), is still active in diabetes, which inhibits glycogen synthesis and lowers cellular glucose absorption.
       
In diabetic patients, Nigella sativa (NS) has been shown to enhance inflammatory indicators, oxidative stress, insulin resistance, lipid profiles and glycemic management. Additionally, it improves antioxidant capacity and β-cell activity (Shan et al., 2011; O’Neill, 2013; Hamdan et al., 2019; Kaatabi et al., 2015; Chatterjee et al., 2025; Heshmati et al., 2015). The primary bioactive component of NS, thymoquinone (TQ), has shown protective properties in diabetic mice by lowering inflammation, apoptosis and oxidative stress, in part by modifying the Pi3k/Akt pathway (Liu et al., 2016; He et al., 2023; Usta and Dede, 2017).
       
Despite these results, the effects of NS and TQ on renal glucose metabolism are still unknown and changes in glucose transporters under metabolic diseases are not completely understood. Therefore, by examining the mRNA and protein expression levels of important genes involved in glucose metabolism, such as Glut1, Glut2, Glut3, Glut5, Sglt2, Ir, Irs1, Pi3k, Ampk and Gsk3β, this study sought to determine how NS and TQ affected renal proximal tubular cells (NRK-52E) cultured under high-glucose conditions.
Reagents and chemicals
 
Thymoquinone (TQ) and D-glucose were acquired from Sigma-Aldrich (USA). Western blot kits and antibodies were purchased from Affinity Biosciences (USA). The ABT 2x SYBR Green Master Mix (Türkiye) was used for RT-qPCR studies.
 
Cell culture
 
NRK-52E (ATCC® CRL-1571TM), a rat kidney epithelial cell line, was grown in RPMI-1640 media supplemented with 1% L-glutamine, 1% penicillin/streptomycin and 10% fetal bovine serum (Capricorn, Germany). The cells were kept in a humidified environment with 5% CO2 at 37oC (Esco CelCulture CO2, Singapore). The Van Yuzuncu Yil University Scientific Research Projects Coordination Unit project TYD-2020-8582 provided funding for all of the experiments, which were carried out in 2022 at the Cell Culture and Molecular  Biology Laboratory in the Biochemistry Department of the Faculty of Veterinary Medicine at Van Yuzuncu Yil University.
 
Preparation of solutions
 
In order to make Nigella sativa (NS) extract, 70% of the powdered seeds were extracted using methanol, filtered, the solvent was evaporated, the mixture was lyophilized and it was then stored at -20°C (Meziti et al., 2012). TQ and NS stock solutions were made in DMSO (Panreac Applichem, Spain) (<0.05%) and then diluted in culture medium. As previously stated, amounts of glucose (0-400 mM), NS (0-200 µg/ml) and TQ (0-100 µM) were prepared (Gümüş et al., 2018; Celik, 2013; Usta et al., 2024a).

MTT assay
 
Following the seeding of 1×104 cells per well in 96-well plates, the cells were incubated overnight. The MTT assay was used to evaluate cell viability following treatment. The formazan crystals made by metabolically active cells were dissolved and the absorbance at 570 nm was determined (Biochrom, Anthos Zenyth 200). The viable cell percentage was contrasted with the control (Usta et al., 2024b; Meerloo et al., 2011).
 
Experimental design
 
Treatment groups were established based on different concentrations of glucose, TQ and NS, as indicated in Table 1.

Table 1: Study groups based on the administration of glucose, TQ and NS to NRK-52E cells.


 
RNA isolation and cDNA synthesis
 
Each group received a 24-hour treatment after being planted with about 8×105 cells. Total RNA was isolated using Trizol reagent (GeneAll, Korea) and its purity was assessed by spectrophotometric analysis (Chomczynski and Mackey, 1995). The manufacturer’s instructions were followed for cDNA synthesis using a commercial kit (ABT High Capacity, Türkiye).
 
RT-qPCR analysis
 
The findings of RT-qPCR investigation of Sglt2, Glut1, Glut2, Glut3, Glut5, Ir, Irs1, Gsk3β, Pi3k and Ampk gene expression levels are displayed in Table 2 (Qiagen, Germany).

Table 2: Target gene primers’ base sequence.


       
Using β-actin as the internal reference, relative expression levels were determined using the 2- ΔΔCt approach (Livak and Schmittgen, 2001) (Table 3).

Table 3: RT-qPCR reaction conditions.


 
Western blot analysis
 
After the proteins were extracted (GeneAll, Korea) and quantified using the Bradford procedure (ABT Biosciences, Türkiye), they were separated using SDS-PAGE. After being moved to nitrocellulose membranes, samples were incubated with primary and secondary antibodies. Protein bands were seen using a chemiluminescent substrate and analysis was done using ImageJ software.
 
Statistical analysis
 
SPSS 22.0 was used for statistical analysis (IBM, USA). The Duncan test was used after one-way ANOVA and Kruskal-Wallis to assess group differences. Mean±standard deviation was used to express the data and p<0.05 was regarded as statistically significant.
Effects of TQ, NS and glucose on cell viability
 
TQ, NS and glucose concentrations that were cytotoxic and proliferative in NRK-52E cells were measured using the MTT test (Fig 1). The best proliferative doses were determined to be TQ (10 μM) and NS (0.5 μg/ml), which both markedly improved cell viability (p<0.05). In the experiments that followed, the cytotoxic concentration of glucose was established to be 246 mM based on its IC50 value.

Fig 1: After administering different TQ, NS and glucose concentrations to the NRK-52E cell line for 24 hours.


 
Effects on glucose transporter gene expression
 
High glucose considerably increased the expression of Glut1, Glut2, Glut3 and Sglt2 in comparison to the control, according to RT-qPCR study (Fig 2). These increases were reversed by TQ and NS treatment, bringing expression levels back to nearly control levels. Nonetheless, the treated groups’ Glut2 expression was still lower than the control. All experimental groups had lower levels of Glut5 expression than the control.

Fig 2: (a-e) Glut1, Glut2, Glut3, Glut5 and Sglt2 mRNA transcription levels in NRK-52E cells after 24 hours.


 
Effects on Ir and Irs1 expression
 
Ir and Irs1 were downregulated in comparison to the control in high glucose circumstances (Fig 3). Both genes’ expression was elevated by TQ and NS treatments in comparison to the glucose group. Irs1 levels were brought back to almost control levels in treatment groups, but Ir expression remained below control.

Fig 3: (a-b) Irs1 and Ir mRNA transcription levels in NRK-52E cells after 24 hours.



Effects on Pi3k, Gsk3β and Ampk expression
 
Under high glucose circumstances, Pi3k and Ampk expression levels decreased; however, after TQ and NS treatment, they either increased or were recovered (Fig 4). While there was no discernible difference between the treatment groups and the control, Gsk3β expression was increased in the glucose group. On the other hand, Gsk3β expression was decreased by TQ and NS alone.

Fig 4: (a-c) Pi3k, Gsk3â and Ampk mRNA transcription levels at 24 hours in NRK-52E cells.


 
Protein expression analysis
 
The glucose-treated group had higher amounts of Glut2 protein than the control group, according to Western blot analysis and these levels dropped after TQ and NS treatment (Fig 5). In general, all groups had lower levels of other target proteins than the control. These results most likely represent early transcriptional responses at 24 hours, since longer exposure times may be necessary for protein-level alterations (48-72 h).

Fig 5: (a-d) Glut2, Glut3, Sglt2 and Irs1 protein translation levels in the NRK-52E cell line after 24 hours.


       
In this investigation, NRK-52E cells subjected to rising glucose concentrations for a full day demonstrated a dose-dependent decline in viability, with an IC50 of 246 mM, simulating advanced hyperglycemic stress in line with other findings. (Liu et al., 2016; Gholamnezhad et al., 2016). This method allowed for the assessment of renal tubular cells’ impaired insulin signaling and glucose-induced cytotoxicity.
       
Thymoquinone (TQ) is one of the main bioactives found in Nigella sativa (NS) extract. Both have been shown to have anti-inflammatory, anti-apoptotic, antioxidant and antidiabetic properties (Sangi et al., 2015; Ali and Blunden, 2003).
       
Sglt2 reabsorbs approximately 90% of filtered glucose in proximal tubules, while Glut1/Glut2 facilitates translocation to the circulation. Sglt and Glut transporters control glucose uptake (Bell et al., 1990; Iancu et al., 2022; Watson and Pessin, 2001; Umino et al., 2018; Girard, 2017; Marks et al., 2003; Mather and Pollock, 2011). Hyperglycemia enhances transporter expression and renal glucose reabsorption, which exacerbates glucose toxicity (Abdul-Ghani et al., 2011; Holman, 2020; Vestri et al., 2001; Rahmoune et al., 2005; Defronzo, 2009; Liu et al., 2012). High glucose increased Glut1, Glut2, Glut3 and Sglt2 in our investigation, which is consistent with the literature. However, TQ and NS therapy brought these levels down to almost control levels. All groups showed low levels of Glut5, which is consistent with its restricted role in the kidneys (Adeshara et al., 2017; Gnudi et al., 2007;  Brosius and Heilig, 2005; Vallon et al., 2011; Sugawara-Yokoo et al., 1999; Rand et al., 1993; Inukai et al., 1993).
       
Insulin signaling via the downstream Pi3k/Akt pathway and Ir/Irs1 is essential for maintaining glucose homeostasis. Elevated glucose inhibited the production of Ir and Irs1, which hindered insulin signaling and decreased the absorption of glucose. The expression of Pi3k/Akt and Irs1 was restored by TQ and NS, indicating improved glycogen production and insulin signaling (Tiwari et al., 2013; Peng and He, 2018; Mokashi et al., 2017; Linnemann et al., 2014; Gatica et al., 2013; Lay et al., 2024; Mima et al., 2011; Mima et al., 2023; Lay and Coward, 2018; Chen et al., 2022).
       
Under high glucose, AMPK, a crucial regulator of energy balance, was inhibited, which increased oxidative stress and insulin resistance (Coughlan et al., 2014; Soetikno et al., 2013; Han et al., 2021; Welsh et al., 2010). TQ and NS improved glucose utilization and reversed insulin resistance via restoring AMPK expression. In a similar vein, Gsk3β, which rises in diabetes and prevents the synthesis of glycogen, was increased in high glucose but repressed by TQ and NS, promoting better glycogen metabolism and decreased oxidative stress (Liang et al., 2020; Rayasam et al., 2009; Paeng et al., 2014).
       
Together, our results show that TQ and NS influence several pathways related to glucose metabolism, such as glucose transporters, Ir/Irs1, Pi3k/Akt, AMPK and Gsk3β (Fig 6). Their promise as treatment agents for diabetic nephropathy is highlighted by these effects, which improve insulin sensitivity and reduce hyperglycemia. To validate these protective effects, further extensive in vivo and clinical research is necessary.

Fig 6: Impact of TQ and NS supplementation on the downstream pathways of glucose metabolism in high-glucose environments.

In NRK-52E renal proximal tubular cells, high glucose exposure reduces cell survival, interferes with insulin signaling, and modifies glucose transporter expression. By lowering the expression of Glut1, Glut2, Glut3, and Sglt2, increasing Ir/Irs1, Pi3k/Akt, and AMPK signaling, and suppressing Gsk3β activity, treatment with Nigella sativa (NS) extract and thymoquinone (TQ) reduced these effects and promoted glycogen synthesis and glucose utilization.
       
TQ’s potential as a therapeutic agent for avoiding or lessening diabetic nephropathy was highlighted by its better effectiveness than NS in repairing impaired glucose transporter expression and metabolic signaling. These results shed light on the mechanisms behind NS and TQ’s renoprotective and antidiabetic actions. To confirm and expand these protective benefits, more in vivo and clinical research is necessary.
We would like to thank Van Yuzuncu Yil University Scientific Research Projects Coordination Unit (TYD-2020-8582) for their contributions.
The authors declares no conflicts of interest to report regarding the present study.

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