机构地区:[1]宁波市中医院,浙江宁波315010 [2]宁波市海曙区段塘街道社区卫生服务中心,浙江宁波315012
出 处:《新中医》2022年第5期9-13,共5页New Chinese Medicine
基 金:宁波市科技计划项目(2019A610363);宁波市科技计划项目(2017A610187)。
摘 要:目的:基于Sirt介导的NF-κB/NLRP3信号通路探讨黄芪甲苷及莪术醇对慢性肾功能衰竭(慢肾衰)大鼠的作用机制。方法:制备大鼠慢肾衰模型,检测干预前后各组(正常组、模型组、黄芪甲苷组、莪术醇组、阳性对照组、益气化瘀组)大鼠血肌酐(SCr)、24 h尿蛋白水平。测定各实验组核转录因子(NF-κB)、NOD样受体蛋白3(NLRP3)、白细胞介素-1β(IL-1β)水平。PCR法、Western印迹法检测肾组织内沉默信息调控因子1(SIRT1)的mRNA表达水平。结果:与正常组大鼠比较,模型组大鼠造模后出现食欲下降、活动减少、精神萎靡、体质量减轻、尿量增加等症状,且上述症状逐渐加重;而给药组上述表现较轻。造模4周后,各组大鼠体质量都低于正常组(P<0.05,P<0.01);给药后,与正常组比较,各组体质量均降低(P<0.05,P<0.01),与模型组比较,各给药组体质量增加(P<0.05,P<0.01)。干预前(造模4周后),各模型组大鼠的SCr、24 h尿蛋白水平高于正常组(P<0.05,P<0.01)。干预后(12周),黄芪甲苷组、莪术醇组、阳性对照组、益气化瘀组的SCr、24 h尿蛋白水平高于正常组(P<0.05,P<0.01),但与模型组比较,显著降低(P<0.05)。与正常组比较,模型组的NF-κB、NLRP3、IL-1β水平均升高(P<0.01);与模型组比较,黄芪甲苷组、莪术醇组、阳性对照组、益气化瘀组的血清NF-κB、NLRP3水平均显著降低(P<0.05,P<0.01),阳性对照组和益气化瘀组的血清IL-1β水平显著降低(P<0.05,P<0.01)。与正常组比较,各造模组大鼠肾脏中SIRT1的mRNA相对表达量均显著降低(P<0.05,P<0.01)。各给药组的SIRT1 mRNA表达均有上升,与模型组比较,益气化瘀组SIRT1的m RNA相对表达量显著上升(P<0.05)。SIRT1的阳性表达主要定位于细胞核和细胞浆,呈棕黄色颗粒状。与正常组比较,造模各组的SIRT1阳性表达率均显著降低(P<0.01);与模型组比较,给药各组的SIRT1阳性表达率均有所上升,其中阳性对照组和益气化�Objective:Based on Sirt mediated NF-κB/NLRP3 signaling pathway to explore the mechanism of astragalosideⅣand curcumol on rats with chronic renal failure(CRF).Methods:The rat model of chronic renal failure was prepared,and the levels of serum creatinine(SCr)and 24 h urinary protein in each group(normal group,model group,astragalosideⅣgroup,Curcumol group,positive control group and Yiqi Huayu group)were detected before and after intervention.Nuclear transcription factor(NF-κB)was measured in each experimental group,nod like receptor protein 3(NLRP3),interleukin-1β(IL-1β).The mRNA expression level of silent information regulatory factor 1(SIRT1)in renal tissue was detected by PCR and Western blot.Results:Compared with the normal group,the rats in the model group had symptoms such as decreased appetite,decreased activity,depressed spirit,reduced body mass and increased urine volume,and the above symptoms gradually aggravated;while the above symptoms were mild in the administration groups.After 4 weeks of modeling,the body mass of rats in each group was lower than that in the normal group(P<0.05,P<0.01).After administration,the body mass of rats in each group decreased compared with the normal group(P<0.01).Compared with the model group,the body mass of each administration group increased(P<0.05,P<0.01).Before the intervention(after 4 weeks of modeling),the SCr and 24 h urinary protein level of each model group was higher than that of the normal group(P<0.01).After the intervention(12 weeks later),the SCr and 24 h urinary protein level of astragalosideⅣgroup,Curcumol group,positive control group and Yiqi Huayu group was higher than that of the normal group(P<0.01),but significantly lower than that of the model group(P<0.01).Compared with the normal group,NF-κB、NLRP3、IL-1βin the model group was significantly higher(P<0.01).The levels of serum NF-κB、NLRP3 in astragalosideⅣgroup,Curcumol group,positive control group and Yiqi Huayu group were significantly lower than those in model group(P<0.05,P<0.01
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