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作 者:余玲[1] 董瑞鸿[1] 宋秋艳[1] 甄月巧[1] 赵明明 桑艳红[1] 郭珏涵 Yu Ling;Dong Ruihong;Song Qiuyan(The Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 45005)
机构地区:[1]郑州大学第五附属医院内分泌科,河南郑州450052
出 处:《中国现代医药杂志》2018年第9期1-5,共5页Modern Medicine Journal of China
基 金:河南省医学科技攻关计划项目(编号:201102007)
摘 要:目的观察高糖及高糖联合缺氧对小鼠肾小球内皮细胞(glomerular endothelial cells)中的缺氧诱导因子-1α(hypoxia inducible factor-1α,HIF-1α)、血管内皮生长因子(vascular endothelial growth factor,VEGF)表达的影响。方法体外培养肾小球内皮细胞,将细胞随机分为四组:正常对照组、高糖非缺氧组(不同血糖浓度)、缺氧对照组以及高糖缺氧组(不同血糖浓度),将细胞培养72h后采用酶联免疫吸附试验(enzyme-linked immunosorbent assay,ELISA)及逆转录聚合酶链式反应(reverse transcription polymerase chain reaction,RT-PCR)检测这四组肾小球内皮细胞中HIF-1α、VEGF的浓度及m RNA表达水平的变化。结果高糖非缺氧组肾小球内皮细胞中HIF-1α,VEGF的浓度及m RNA的表达水平与正常组比较有统计学差异(P<0.05);缺氧对照组肾小球内皮细胞中HIF-1α,VEGF的浓度及m RNA的表达水平显著高于正常组与高糖非缺氧组(P<0.05);高糖缺氧组肾小球内皮细胞中HIF-1α,VEGF的浓度及m RNA的表达水平显著高于其它三组(P<0.05),HIF-1α,VEGF浓度及m RNA的表达水平随着血糖浓度的升高而逐渐升高。结论 HIF-1α及VEGF与糖尿病肾病的发展密切相关,在糖尿病肾病治疗的早期,通过血糖的控制能够抑制HIF-1α及VEGF水平的增加,有效地保护内皮细胞,稳定肾脏功能,减缓糖尿病肾病的进展。Objective To observe the effect of high glucose and high glucose combined with hypoxia on HIF-1α and VEGF in mouse glomerular endothelial cells. Methods Mouse glomerular endothelial cells were randomly divided into four groups: normal control group, high glucose group, hypoxia control group and hypoxia combined with high glucose group. After 72 hours, the expression of HIF-1α, VEGF and mRNA levels were detected by reverse transtription polymerase chain reaction (RT-PCR) and ELISA. Results There were significant differences on the concentration and mRNA expression of HIF-1α, VEGF and mRNA between normal group and high glucose group(P〈0.05). The concentration and mRNA expression of HIF-1α, VEGF and mRNA of hypoxia control group was significantly higher than normal control group and high glucose group(P〈0.05); The concentration and mRNA expression of HIF-1α, VEGF and mRNA of hypoxia combined with high glucose group was significantly higher than other three groups(P〈0.05), the concentration and mRNA expression of HIF-1α and VEGF was increased with the rising of blood glucose concentration. Conclusion HIF-1α and VEGF are closely related to the development of diabetic nephropathy. In the early stage of diabetic nephropathy, the control of blood glucose can inhibit the increase of HIF-1α and VEGF, protect endothelial cells effectively, stabilize renal function and slow down diabetic nephropathy progress.
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