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作 者:包艳[1] 贾汝汉[2] 李竞[1] 袁军[2] 孙永林[1] 王颖[1]
机构地区:[1]武汉大学人民医院内分泌科,430060 [2]武汉大学人民医院肾内科,430060
出 处:《中华肾脏病杂志》2009年第1期48-52,共5页Chinese Journal of Nephrology
摘 要:目的观察罗格列酮对高糖培养基中大鼠系膜细胞活性氧(ROS)及单核细胞化学吸引蛋白质1(MCP-1)mRNA、蛋白表达的抑制作用,并探讨相关机制。方法将培养的大鼠系膜细胞分为以下6组:对照组(C组,普通MEM培养基,含5.6mmol/L葡萄糖)、甘露醇组(M组,24.2mmol/L甘露醇+C组)、高糖组(H组,30mmol/L高糖MEM培养基)、小剂量罗格列酮干预组(R1组,H组+10μmol/L罗格列酮)、大剂量罗格列酮干预组(R2组,H组+20μmol/L罗格列酮)、N-乙酰半胱氨酸(NAC)干预组(N组,H组+5mmol/LNAC)。采用激光共聚焦法检测ROS水平,分别采用RT,PCR和ELISA法检测MCP-1 mRNA及蛋白含量。结果C组和M组间ROS、MCP-1的表达差异无统计学意义,H组ROS水平较C组增高4.1倍(P〈0.01),分别采用罗格列酮(20μmol/L)和NAC干预后,ROS水平显著降低(P〈0.01);罗格列酮(20μmol/L)和NAC均可显著抑制高糖环境中MCP-1 mRNA的高表达(P〈0.01)。H组中MCP-1蛋白水平[(940.9±20.3)ng/L]显著高于C组[(403.0±8.1)ng/L1(P〈0.01),而R2组和N组的MCP-1蛋白水平[(562.5±15.3)ng/L,(539.8±8.3)ng/L]显著低于H组(P〈0.01)。结论罗格列酮可通过减少ROS而降低高糖所诱导的MCP-1表达,而这可能是罗格列酮发挥直接肾脏保护作用的机制之一。Objective To investigate the inhibitory effects of rosiglitazone on the synthesis of reactive oxygen species (ROS) and the expression of monocyte chemoattractant protein 1 (MCP-1) induced by high glucose in rat mesangial cells. Methods The mesangial cells were divided into six groups: control group ( C, 5.6 mmol/L glucose), mannitol group (M, 24.2 mmol/L mannitol+group C), high glucose group( H, 30 mmol/L glucose), R1 group(R1, group H+10 μmol/ L rosiglitazone), R2 group (R2, group H+20 μmol/L rosiglitazone), N-acetylcysteine (NAC) group (N, group H+5 mmol/L NAC, NAC was added 1 h before the stimulation of high glucose). The level of ROS was measured by confocal laser scanning microscopy. The mRNA and the protein expression of MCP-1 were semi-quantitatively determined with reverse transcription-polymerase chain reaction and ELISA respectively. Results No significant differences of ROS and MCP-1 were found between control group and mannitol group. The intracellular ROS induced by high glucose increased by 4.1-fold compared to control group (P〈0.01), which was prevented by rosiglitazone (20 μmol/L) and NAC respeetively. The MCP-1 mRNA expression in group R2 and group N was significantly lower than that in group H (P〈0.01). The MCP-1 protein level in group H [(940.9±20.3) ng/L] was higher than that in group C [(403.0±8.1) ng/L] (P〈0.01), and the expression of MCP-1 protein in group R2 [(562.5±15.3) ng/L] and group N [(539.8±8.3) ng/L] was lower than that in group H (P〈0.01). Conclusion Rosiglitazone may suppress high glucose-induced MCP-I expression by reducing the level of ROS, which may be one of the mechanisms that rosiglitazone plays a direct role in the proteetion of kidney.
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