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作 者:马东蔚[1] 王秋月[1] 陈启光[2] 吴丹[3] 王娇[1] 侯鲁鲁[1]
机构地区:[1]中国医科大学附属第一医院内分泌科,沈阳110001 [2]中国医科大学附属第一医院泌尿外科 [3]沈阳市二四二医院干诊科
出 处:《中华医学杂志》2011年第20期1417-1421,共5页National Medical Journal of China
基 金:辽宁省教育厅2008年度高等学校科研项目(2008800);辽宁省医学高峰建设工程重点科研项目(200938)
摘 要:目的 观察小G蛋白(RhoA)小干扰RNA(Stealth RNA^TM siRNA)对高糖刺激下的人肾小球系膜细胞(HMC)炎症反应及纤维化的影响,探讨RhoA/ROCK信号通路在糖尿病肾病发生发展中的作用.方法 传代培养的HMC同步化后分组,LipofectaminerTM2000脂质体转染抑制RhoA表达的Stealth RNA或无关的siRNA,用荧光倒置显微镜观察各组转染效率,利用实时定量RT-PCR、ELISA技术检测RhoA、ROCK-I、纤维连接蛋白(FN)、结缔组织生长因子(CTGF)、肿瘤坏死因子-α(TNF-α)的表达情况.结果 (1)RhoA-siRNA转染可抑制高糖刺激的HMC中P&oA、ROCK-I、CTGF mRNA的表达水平,各mRNA的表达较高糖组少26%-60%(均P〈0.05).(2)RhoA-siRNA转染HMC后继续培养48 h,FN、CTGF和TNF-α仪的蛋白表达水平较高糖组明显少[FN:(1.99±0.04)mg/L比(4.31±0.13)ms/L,CTGF:(4.98-1-0.17)mg/L比(6.06±0.09)ms/L;TNF-α:(61.17±2.59)ns/L比(91.76±2.27)ng/L;均P〈0.05],几乎使FN和CTGF下降到正常糖培养HMC的水平.结论 通过RNA干扰技术抑制RhoA的表达,可减少高糖刺激下HMC中FN、CTGF、TNF-α的积聚,降低细胞外基质的蓄积,减少肾小球的纤维化和炎症反应,为糖尿病肾病的防治提供新的干预靶点.Objective To observe the effect of small interference RNA(Steahh RNAiTM siRNA)of RhoA on the inflammatory response and fibrosis in human mesangial cell(HMC)and explore the role of RhoA/ROCK signaling pathway in the process of diabetic nepropathy.Methods Synchronized HMC were divided into several groups.LipofectamineTM2000 was employed to transfect RhoA-siRNA and RhoA-negative siRNA into the above cells.RhoA-siRNA could inhibit the expression of RhoA.The expressions of RhoA,ROCK-I,fibronectin(FN),connective tissue growth factor(CTGF)and tumor necrosis factor-alpha(TNF-α)were detected by real-time reverse transeription-polymerase chain reaction(RT.PCR)and ELISA(enzyme-linked immunosorbent assay).Resuits (1)The expressions of RhoA,ROCK-I and CTGF mRNA were inhibited by RhoA siRNA transfection in high glucose-induced HMC.The expression of each mRNA was reduced 26%-60%as compared with the high glucose-induced group(P〈0.05).(2)After RhoA siRNA transfection and culturing with high glucose for 48 h.FN, the secretions of CTGF and TNF-αsignificantly declined[FN:(1.99±0.04)mg/L vs(4.31±0.13)mg/L,CTGF:(4.98±0.17)ms/L vs(6.06±0.09)mg/L;TNF-α[:(61.17±2.59)ng/L vs(91.76±2.27)ng/L,all P〈0.05].The levels of FN and CTGF almost decreased to those of normal glucose-induced HMC.Conclusions The levels of FN,CTGF and TNF-αin higsh glucose-induced HMC may be lowered by inhibiting RhoA through RNA interference and reducing the accumulation of extracellular matrix, glomerular fibrosis and inflammation.Thus it provides a new intervention target for the prevention of diabetic nephropathy.
关 键 词:ρA GTP结合蛋白质 RNA干扰 肾小球系膜细胞 RhoA/ROCK信号通路
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