伊贝沙坦对糖尿病大鼠肾小球毛细血管基底膜改变的影响  

Influence of irbesartan on the glomerular basement membrane of streptozotocin induced diabetic rats

作　　者：罗冬冬[1] 刘必成[1] 张东升[2] 蒋静娟[1] 弓玉祥[1] 

机构地区：[1]东南大学附属中大医院,江苏南京210009 [2]东南大学基础医学院,江苏南京210009

出　　处：《东南大学学报（医学版）》2002年第1期89-92,共4页Journal of Southeast University(Medical Science Edition)

基　　金：江苏省科技发展项目(BS98036) ;江苏省卫生厅重点医学人才基金项目资助。

摘　　要：目的 :探讨血管紧张素Ⅱ受体拮抗剂伊贝沙坦 (Irb)对链脲佐菌素 (STZ)诱导的糖尿病大鼠肾小球毛细血管基底膜 (GBM)改变的影响。方法 :将SD大鼠随机分成正常对照 (N)组、糖尿病肾病 (DN)组和DN加Irb治疗 (DNI)组 3组。大鼠单侧肾切除后 ,腹腔注射STZ诱导糖尿病模型 ,观察治疗后第 4、8、12周的血糖、体重、尿白蛋白排泄、肌酐清除率变化 ,同时观察 12周时肾重、肾脏肥大指数、肾组织总蛋白含量、GBM厚度的改变。结果 :DN组尿白蛋白排泄量较N组明显增加 (P <0 .0 1) ,肾重、肾脏肥大指数、肾组织总蛋白含量均较N组显著增加 (P <0 .0 5或 <0 .0 1)。DNI组较DN组尿白蛋白排泄量减少 (P <0 .0 1) ,肌酐清除率水平下降 (P <0 .0 1) ,肾重、肾脏肥大指数、肾组织总蛋白含量均减少 (P <0 .0 1) ,糖尿病组GBM较正常对照组明显增厚 (P <0 .0 1) ,Irb可显著抑制GBM的增厚 (P <0 .0 1)。结论 :早期应用Irb对糖尿病大鼠有肾保护作用 ,并可能与抑制GBM增厚有关。Objective To investigate the influence of angiotensin Ⅱ receptor antagonist irbesartan (Irb) on the glomerular basement membrane (GBM) in streptozotocin(STZ) induced diabetic rats.Methods SD rats were randomly divided into three groups:normal control rats (group N), diabetic rats (group DN) and diabetic rats treated with irbesartan (group DNI).Diabetes was induced by injection of STZ intraperitoneally after rats had received uninephrectomy.Blood glucose,body weight, urinary albumin excretion (Ualb),creatinine clearance (Ccr) were observed in the rats in 4,8,12 weeks after the treatment respectively.The kidney weight,profile of kidney hypertrophy,renal tissue protein contents,width of GBM were determined in 12 weeks, when the rats were sacrificed.Results Urinary albumin excretion in DN group was significantly increased compared with that in N group( P <0.01).Kidney weight,profile of kidney hypertrophy,renal tissue protein contents were markedly increased in DN group compared with that in N group( P <0.05, P <0.01,respectively).Ualb and Ccr were lower after diabetic rats received Irb( P <0.01).There was a reduction in kidney weight,profile of kidney hypertrophy,renal tissue protein contents in group DNI as compared to that in DN group ( P <0.01 respectively).GBM in DN group was thicker than that in N group ( P < 0.01 ),and Irb significantly restrained the thickening of GBM ( P <0.01).Conclusion Irb exerted renal protective effect on diabetic rats and inhibited the thickening of GBM.

关 键 词：伊贝沙坦 糖尿病 肾小球基底膜 大鼠 病理 

分 类 号：R587.202[医药卫生—内分泌]