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作 者:韩利梅[1] 方敬爱[1] 孙艳艳[1] 张晓东[1] 刘文媛[1]
机构地区:[1]山西医科大学第一医院肾内科,太原030001
出 处:《中国中西医结合肾病杂志》2014年第9期767-769,I0003,I0004,共5页Chinese Journal of Integrated Traditional and Western Nephrology
基 金:国际科技合作项目(No.2011081066)
摘 要:目的:探讨芡实对糖尿病肾病(diebetic nephrothy,DN)大鼠肾组织中细胞因子信号抑制因子-3(suppressor of cytokine signaling-3,SOCS-3)及胰岛素样生长因子-1(insulin like growth factor-1,IGF-1)表达的影响及可能机制。方法:采用单剂量腹腔注射链脲佐菌素(STZ,45 mg/kg)建立大鼠DN模型,将DN模型大鼠随机分为5组:DN组(DN组)、小剂量芡实组(EL,1.5 g·kg-1·d-1)、中剂量芡实组(EM,3.0 g·kg·-1d-1)、大剂量芡实组(EH,6.0 g·kg-1·d-1)及氯沙坦钾组(LP,30 mg·kg-1·d-1);另设正常对照组(NC组),每组10只。分别治疗12周后测定各组大鼠生化指标;HE、Masson、PAS染色及电镜观察肾组织病理变化;免疫组化、Western blot法检测肾组织中SOCS-3与IGF-1表达情况。结果:12周末,与NC组相比,DN组大鼠24 h尿蛋白定量(24 h Upr)、尿素氮(BUN)及血肌酐(Scr)均明显升高(P<0.05),肾小球体积增大、系膜细胞增生、基质增多,肾小管扩张,肾组织中SOCS-3表达增加、IGF-1表达明显增加(P<0.05);与DN组相比,LP组与EM组大鼠24 h Upr、BUN及Scr明显降低(P<0.05),病理改变减轻,肾组织SOCS-3表达明显增加、IGF-1表达明显下降(P<0.05);LP组与EM组间降尿蛋白作用差异无统计学意义。结论:芡实可能通过上调SOCS-3表达,抑制IGF-1过表达进而减少蛋白尿,发挥肾脏保护作用。Objective:To investigate the effect and mechanism of euryale ferox on the expression of SOCS-3 and IGF-1 in renal tissues of diabetic nephropathy( DN) rats. Methods:The rat models of DN established by a single injection of streptozotocin were randomly divided into 5 groups, namely diabetic nephropathic model group ( group DN) , low-dose Euryale ferox group ( EL, 1.5 g·kg-1·d-1), medium -dose Euryale ferox group (EM, 3. 0 g·kg-1·d-1), high -dose Euryale ferox group (EH, 6. 0 g·kg-1·d-1) and losartan potassium group (LP, 30 mg·kg-1·d-1). With normal rats as the contro1, each group of 10. All the rats received daily gavage for 12 weeks, 24 h urinary protein (24 hUpr), blood urea nitrogen (BUN) and blood serum creati-nine ( Scr) were measured after the research. The renal pathological changes were observed by histochemistry staining and electron microscope. The expression of SOCS-3 and IGF-1 was detected by immunohistochemistry and western blot. Results:Compared with group NC, there were the glomerular hypertrophy, proliferation of mesangial cells, the accumulation of mesangial matrix and renal tu-bular expansion in group DN. 24 h Upr, BUN and Scr also increased significantly (P〈0. 05). Meanwhile the expression of SOCS-3 and IGF-1 in renal tissues increased significantly (P〈0. 05). Compared with group DN, the pathology changes were relieved, 24 h Upr, BUN, Scr, as well as the expression of IGF-1 decreased and SOCS-3 increased discinctly in group EM and group LP (P〈0. 05). In addition, there was no significant difference in effect of reducing urinary protein in group EM and LP. Conclusion:Euryale ferox may reduce proteinuria and protect renal function by up-regulating the expression of SOCS-3, inhibiting the overex-pression of IGF-1.
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