出 处:《中华危重病急救医学》2018年第12期1184-1189,共6页Chinese Critical Care Medicine
基 金:国家自然科学基金项目(81601644,81671864).
摘 要:目的探讨5-羟基-1-甲基海因(HMH)对百草枯(PQ)中毒所致肾损伤的防护作用及机制。方法采用随机数字表法将15只SPF级健康昆明小鼠分为生理盐水(NS)对照组、PQ中毒模型组和HMH干预组,每组5只。采用一次性灌胃30mg/kgPQ溶液制备PQ中毒模型;NS组灌胃等量NS;HMH组于制模后立即给予100mg/kg的HMH继续灌胃。于HMH灌胃后1d处死各组小鼠并留取心脏血和肾脏组织备检。采用苏木素-伊红(HE)染色,光镜下观察肾组织形态学改变;按照试剂盒说明书步骤检测肾组织丙二醛(MDA)含量及超氧化物歧化酶(SOD)活性;采用蛋白质免疫印迹试验(WesternBlot)检测肾组织血红素氧合酶-1(HO-1)、白细胞介素-1β(IL-1β)蛋白表达;采用气相色谱质谱联用法(GC-TOF-MS)检测血清代谢产物,用主成分分析法(PCA)观察各组样本之间的整体分布状况,用多维分析法正交偏最小二乘法-判别分析(OPLS-DA)评价模型的准确性,以重要性投影(VIP)值>1来筛选有差异的代谢物。结果光镜观察显示:NS组肾小球结构清晰,肾间质及血管周围无充血、无炎性细胞浸润;PQ组部分肾小球萎缩坏死,肾小球内毛细血管充血,周围炎性细胞浸润,肾小管上皮细胞肿胀,管腔轻度狭窄,偶尔出现上皮细胞坏死脱落;HMH组肾损伤程度较PQ组明显减轻。与NS组比较,PQ组肾组织MDA含量显著增加(nmol/g:6.70±0.84比2.70±0.43,P<0.01),SOD活性显著降低(kU/L:33.30±4.66比50.20±3.23,P<0.05),肾组织HO-1、IL-1β蛋白表达水平显著增加(HO-1/β-actin:1.11±0.12比0.61±0.13,IL-1β/β-actin:0.93±0.13比0.32±0.06,均P<0.05)。与PQ组比较,HMH组MDA含量显著下降(nmol/g:5.10±0.93比6.70±0.84,P<0.05),SOD活性显著增加(kU/L:61.00±9.02比33.30±4.66,P<0.05),HO-1蛋白表达水平显著下降(HO-1/β-actin:0.77±0.07比1.11±0.12,P<0.05),而IL-1β蛋白表达水平差异无统计学意义(IL-1β/β-actin:0.87±0.13比0.93±0.13,P>0.05)。代谢产物检测结果显示:与NS组比较,Objective To investigate the effects of 5-hydroxy-1-methylhydantoin(HMH)on kidney injury induced by paraquat(PQ).Methods Fifteen SPF healthy Kunming mice were randomly divided into normal saline(NS)control group,PQ poisoning model group and HMH intervention group,with 5 mice in each group.PQ poisoning model was challenged by one-time gavage of 30 mg/kg PQ solution.The NS group received the same amount of NS by gavage.The HMH group was given 100 mg/kg of HMH immediately after the model was made and continued to be gavaged.Mice in each group were sacrificed 1 day after HMH gavage and heart blood and renal tissue were harvested for examination.The morphological changes of renal tissue were observed under light microscope by hematoxylin-eosin(HE)staining.The content of malondialdehyde(MDA)and the activity of superoxide dismutase(SOD)in renal tissue were detected according to the instructions of the kit.The expression of heme oxygenase-1(HO-1)and interleukin-1β(IL-1β)in renal tissues were detected by Western Blot.The serum metabolites were detected by gas chromatography time-of-flight mass spectrometry(GC-TOF-MS),the overall distribution of each sample was observed by principal component analysis(PCA),the accuracy of the model was evaluated by multidimensional analysis orthogonal partial least squares-discriminant analysis(OPLS-DA),and the difference metabolites were screened by variable importance in the projection(VIP)value>1.Results Light microscopic observation showed that:glomerular structure in NS group was clear,there was no hyperemia and inflammatory cell infiltration in renal interstitium and blood vessels.In PQ group,some glomeruli atrophy and necrosis,capillary congestion in glomeruli,infiltration of inflammatory cells around glomeruli,swelling of renal tubular epithelial cells,slight stenosis of lumen,and occasional necrosis and exfoliation of epithelial cells occurred.The degree of kidney injury in HMH group was significantly less than that in PQ group.Compared with the NS group,the content of MDA in th
关 键 词:百草枯 中毒 5-羟基-1-甲基海因 代谢组学 肾损伤
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