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作 者:吴旭[1] 林凡[1] 黄朝兴[1] 章慧娣[1] 尤小寒[1] 张周沧[1] 邵蓉蓉[1]
机构地区:[1]温州医学院附属第一医院肾内科,温州325000
出 处:《中国中西医结合肾病杂志》2013年第3期203-206,I0002,共5页Chinese Journal of Integrated Traditional and Western Nephrology
基 金:浙江省医药卫生科技计划项目(No.2010KYA135)
摘 要:目的:初步筛选参与腹膜透析相关腹膜纤维化的miRNA。方法:将SD雄性大鼠24只[体重(150±10)g]随机平均分为3组:正常对照组;生理盐水组,每日腹腔注射0.9%生理盐水20ml;高糖组,每日腹腔内注射4.25%含糖透析液20ml。4周后,进行腹膜平衡试验(PET)。取大鼠腹膜组织行光镜检查,基因芯片分析检测各组大鼠腹膜组织miRNA。选取芯片分析显著差异表达的miRNAs,进行real-timePCR验证。结果:高糖组大鼠的超滤量和透出液葡萄糖浓度/初始腹透液葡萄糖浓度(D2/D0)明显减少,透析液尿素浓度/血浆尿素浓度(D/Purea)明显增加,提示高糖组大鼠腹膜呈高转运、腹膜功能下降。高糖组腹膜间皮下基质增厚、血管增生及炎症细胞浸润明显增加。基因芯片分析提示:在高糖组中,miR-100、miR-152与miR-497表达呈明显下调。在高糖组与生理盐水组中,miR-192、miR-194表达均呈显著下调。real-timePCR结果提示miR-100、miR-152、miR-497、miR-192、miR-194在高糖组中均呈低表达,与芯片分析结果基本一致。结论:在高浓度腹膜透析液诱导的大鼠腹膜纤维化模型中,多条miRNAs呈一致性差异表达。提示miRNA可能参与大鼠腹膜纤维化。Objective:To preliminarily screen miRNA of peritoneal fibrosis associated with peritoneal dialysis. Methods: Twenty - four SD rats were randomly divided into three groups : ( 1 ) Control group ( n = 8 ) ; (2) Normal saline group ( n = 8 ) : daily intraperitoneal injection with 0.9% normal saline; ( 3 ) hypertonic dialysate group ( n = 8) : daily intraperitoneal injec/ion with 4.25% peritoneal dialysis solution. Rats were sacrificed after four weeks. A 2 - hour peritoneal equilibration test (PET) was performed. Peritoneal membrane histology was evaluated by light microscopy, and the expression of miRNAs were estimated by using microarray anal- ysis. miRNAs expression was proved by real -time PCR. Results :The ultrafihration (UF) and glucose reabsorption (D2/D0 ) were significantly lower and dialysate -to -plasma urea ratio(D/Pure) was significantly higher in the hypertonic dialysate group, which indicated peritoneal was high solute transport, and peritoneal function was decreased; The hypertonic dialysate group had more peritoneal vessels and inflammatory cells ,The results of microarray analysis showed that miR -100 ,miR- 152 and miR- 497 were downregulated in the hypertonic dialysate group, miR - 192 and miR - 194 were downregulated in the hypertanic dialysate group and the normal saline group, The results of real - time PCR showed that miR - 100.miR - 152,miR -497.miR - 192 and miR - 194 were downregulated in the hypertonic dialysate group, which is consistent with microarray analysis. Conclusion:Differences in several miRNAs were expressed consistently in the peritoneal fibrosis rat model induced by 4.25% peritoneal dialysis solution, which indicated that miRNA might be closely correlated with the peritoneal fibrosis.
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