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作 者:肖云[1] 陶立坚[2] DamuTang 金鸥[4] 孙剑[2] 吴峻[1]
机构地区:[1]广州医学院第一附属医院肾内科,广东广州510120 [2]中南大学湘雅医院肾内科,湖南长沙410078 [3]McMaster大学医学部 [4]中南大学湘雅医学院病理学教研室,湖南长沙410008
出 处:《广州医学院学报》2009年第2期17-20,共4页Academic Journal of Guangzhou Medical College
摘 要:目的:探讨p21及TGF-β在肾间质纤维化中的作用及其可能的调控机制。方法:将SD大鼠随机分为假手术组(SOR组)和单侧输尿管结扎组(UUO组)。HE染色观察2组大鼠术后第7,14和21天肾小管间质的形态学改变;用RT-PCR法检测肾皮质p21 mRNA和TGF-βmRNA的变化。结果:在UUO大鼠模型早期,肾皮质p21 mRNA和TGF-βmRNA的表达即有明显增高,与SOR组大鼠比较,差异有显著性(分别P<0.01及P<0.05),随着梗阻时间的延长,p21和TGF-β的表达逐渐增强(P<0.05),并且UUO组大鼠各时间点p21和TGF-β的表达呈正相关(各时间点分别为r=0.745、0.700、0.662,P<0.05)。结论:p21可能参与了单侧输尿管梗阻大鼠肾小管间质纤维化的发病过程,TGF-β可能参与介导了p21在肾皮质表达的调控。Objective:To observe the expression of p21 and TGF-βin renal interstitial fibrosis rats,investigate the effect of p21 expression and the regulation mechanisms of it. Methods: Sprague-Dawley rats were randomly divided into shame operation rats group and unilateral urethral obstruction. Histological change were observed by HE stain in different times(7,14,21 after UUO, sham-surgery or enalapril treatment); The expression of p21 mRNA and TGF-βmRNA was detected by RT-PCR. Results: Seven days surgery, significant differences were found in p21 and TGF-β expression between UUO and SOR renal tubular cells. With degree of interstitial fibrosis aggravating, the expression of p21 and TGF-β increasing. Expression of p21 was positive correlation with TGF-β level( r =0. 745,0. 700,0. 662 ,P 〈 0.05). Conclusion: p21 may participate in the pathogenesis of renal tubule-interstitial fibrosis. TGF-β expression increasing in renal tubular epithelial cell play a role in the progression of renal interstitial. Key words p21 ;TGF-β;renal; fibrosis
分 类 号:R334.1[医药卫生—人体生理学]
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