促红细胞生成素对慢性环孢素A肾毒性细胞凋亡的抑制作用  

Inhibitory effect of erythropoietin on apoptotic cell death in a rat model of chronic cyclosporine nephrotoxicity

作　　者：崔镇花[1] 朴尚国 金英顺[1] 邹洪斌[2] 苗里宁[3] 金华[1] 李灿[1] 

机构地区：[1]延边大学附属医院肾脏内科,吉林延吉133000 [2]吉林大学第一医院肾病科 [3]吉林大学第二医院肾病科

出　　处：《中国老年学杂志》2014年第10期2749-2751,共3页Chinese Journal of Gerontology

基　　金：国家自然科学基金资助项目(No.81160092)

摘　　要：目的探讨促红细胞生成素(EPO)对慢性环孢素A(CsA)肾毒性致细胞凋亡的抑制作用及机制。方法 SD大鼠分为四组:对照组:给予橄榄油(1 mg·kg-1·d-1皮下注射);对照组+EPO(100 U/kg,3次/w腹腔注射);CsA毒性组:给予CsA(15 mg·kg-1·d-1皮下注射);CsA+EPO。检测各组大鼠的体重、肾功能、收缩期血压、血色素水平;肾小管间质纤维化和细胞凋亡分别以三色染色和TUNEL染色观察;利用RNA原位杂交和免疫印迹法检测转化生长因子(TGF)β1诱导基因h3(βig-h3)、细胞凋亡相关基因的表达。结果与对照组相比,CsA毒性组体重下降、肾功能低下、贫血,伴有肾小管间质纤维化和大量TUNEL阳性细胞。在分子水平上,CsA肾毒性组βig-h3 mRNA和蛋白的表达增加;凋亡基因Fas和Bax表达上调,而Bcl-2蛋白表达减少。EPO治疗均使上述指标逆转(P<0.05)。直线相关分析显示,肾小管间质纤维化程度与βig-h3蛋白表达(r=0.835,P<0.001)和TUNEL阳性细胞数呈正向相关(r=0.698,P<0.001)。结论在慢性CsA肾毒性中,EPO抑制细胞凋亡具有抗纤维化的肾脏保护作用。Objective To examine the anti-apoptotic effect of erythropoietin ( EPO) in a rat model of chronic cyclosporine A ( CsA) nephrotoxicity.Methods Sprague-Dawley rats were divided into Vehicle (VH), VH+EPO, CsA, CsA+EPO groups.Renal function, sys-tolic blood pressure, and hematopoietic parameters were measured.In addition, renal histopathology(TIF), apoptotic cell death (TUNEL assay), and the expressions of transforming growth factor (TGF)β1 inducible gene-h3 (βig-h3) and apoptosis-related genes were evaluated by in situ hybridization and immunoblotting .Results Compared with the VH-treated rats, the CsA-treated rats showed loss of body weight , renal dysfunction, and anemia, with the development of tubulointerstitial fibrosis and increased TUNEL-positive cells.In a molecular level, CsA treatment induced a significant increase in the expressions of βig-h3, Fas, and Bax, whereas Bcl-2 expression was decreased significant-ly by CsA.Concomitant treatment of EPO reversed all of above parameters .Of note, the degree of the tubulointerstitial fibrosis correlated with expression of βig-h3 and the number of TUNEL-positive cells .Conclusions EPO effectively abrogates the tubulointerstitial fibrosis by inhibiting apoptotic cell death in a rat model of chronic CsA-induced nephrotoxicity .

关 键 词：促红细胞生成素 环孢素A 转化生长因子诱导基因h3 细胞凋亡 

分 类 号：R692.5[医药卫生—泌尿科学]