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作 者:武蓉[1] 周巧玲[1] 林书典[2] 敖翔[1] 成小苗[1] 杨敬华[1]
机构地区:[1]中南大学湘雅医院肾内科,长沙410008 [2]海南省人民医院肾内科,海口517000
出 处:《中南大学学报(医学版)》2010年第2期152-158,共7页Journal of Central South University :Medical Science
基 金:江西济民可信集团项目~~
摘 要:目的:观察自发性高血压大鼠(SHR)肾组织中细胞间黏附分子-1(ICAM-1)和血管细胞黏附分子-1(VCAM-1)表达及冬虫夏草制剂对其影响。方法:清洁级雄性SHR22只、WKY大鼠6只(W组),SHR随机分为非干预组(S组)、冬虫夏草制剂组(C组)、福辛普利组(F组)、冬虫夏草制剂加福辛普利组(FC组),后3组以冬虫夏草制剂4g/(kg.d)和/或福辛普利10mg/(kg.d)灌胃,S组及W组以等量清水灌胃,测血压,8周末测尿蛋白、血肌酐,取肾组织做HE,Masson染色,免疫组织化学及RT-PCR方法检测ICAM-1,VCAM-1蛋白及mRNA表达情况。结果:与WKY大鼠比较,SHR尿蛋白排泄量增高,肾组织ICAM-1,VCAM-1蛋白及mRNA表达增强。与S组比较,福辛普利使大鼠血压下降,而冬虫夏草制剂无明显降压作用。但C,F,FC组均有尿蛋白排泄量、血肌酐水平下降;肾组织ICAM-1,VCAM-1蛋白及mRNA表达下调。结论:高血压造成肾脏损害时可出现肾组织ICAM-1和VCAM-1的异常表达,冬虫夏草制剂可有效改善二者的异常表达,具有良好的肾保护作用。Objective To observe the effect of Cordceps Sinensis ( CS ) on the expression of intercellular adhesion molecule-1 ( ICAM-1 ) and vascular cell adhesion molecule-1 ( VCAM-1 ) in the kidney of spontaneously hypertensive rats (SHR), and to investigate the mechanism of CS. Methods Male SHRs (23 week old ) were randomly divided into 4 groups: a group without any treatment ( Group S ), a group treated with Cordceps sinensis at 4 g/( kg · d ) ( Group C ) , a group treated with fosinopril at 10 mg/( kg · d ) (Group F ) , and a group received daily intragastric administration of CS at 4 g/(kg · d) and fosinopril at 10 mg/(kg · d) (Group CF). At the same time, 6 male WKY rats were used as normals controls. At the end of 8 weeks, all rats were sacririced. Serum creatinine (Scr), 24 h urinary protein count, and the expression of ICAM-1 and VCAM-1 were examined by immunohistochemical technique and RT-PCR. Results Compared with the WKY rats, blood pressure, 24 h urinary protein count, Scr, and the expression of ICAM-1 and- VCAM-1 in the kidney of SHR significantly increased ( P 〈 0.05 ). Compared with Group S, blood pressure decreased after treatment by fosinopril ( P 〈 0.05 ). Compared with Group S, the levels of Scr, 24 h urinary protein count, and glomerular lesion were significantly reduced in the CS and/or fosinopril treatment group. The expression of ICAM-1 and VCAM-1 was significantly decreased in these groups ( P 〈 0.05 ). Conclusion CS may play a role in the protection and anti-fibrosis in the process of renal injury in SHR through reducing the expression of ICAM-1 and VCAM-1.
关 键 词:高血压肾脏损害 细胞间黏附分子-1 血管细胞黏附分子-1 冬虫夏草
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