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• 研究论文 • 上一篇    

苦参碱对腺嘌呤诱导大鼠慢性肾小管-间质纤维化的作用

卢远航*, 常明向, 邓安国   

  1. 1.华中科技大学同济医学院附属协和医院肾内科, 湖北 武汉 430022;
    2.湖北中医学院附属医院临床药理研究所, 湖北 武汉 430061
  • 收稿日期:2005-07-28 修回日期:2006-02-10 出版日期:2006-03-15 发布日期:2006-03-15
  • 通讯作者: 卢远航*

Effects of Matrine on Adenine-Induced Chronic Tubulointerstitial Fibrosis in Rats

LU Yuan-hang*, CHANG Ming-xiang, DENG An-guo   

  1. 1.Department of Nephrology, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China;
    2.Clinical Pharmaceutical Research Institute, Affiliated Hospital of Hubei Traditional Chinese Medical College, Wuhan 430061, China
  • Received:2005-07-28 Revised:2006-02-10 Online:2006-03-15 Published:2006-03-15
  • Contact: LU Yuan-hang*

摘要: 目的 为探讨苦参碱对腺嘌呤诱导大鼠肾小管-间质纤维化的防治作用及其机制。方法 60只雄性Wistar大鼠被随机分为3正常对照组(NCG)8; ②腺嘌呤处理组(ATG)28; ③苦参碱治疗组(MTG)24只。按250 mg·kg-1·d-1体重给ATGMTG的大鼠灌服腺嘌呤, 连续21, 而灌服腺嘌呤1周后, MTG的大鼠每天还按20 mg·kg-1·d-1的剂量用苦参碱腹腔注射, 分别观察苦参碱治疗的大鼠在14天、21天和28天的血清尿素氮、肌酐、IL-6和肾组织病理改变等指标的变化, 用放射免疫法检测血清IL-6的水平, 免疫组化法检测肾组织TGF-β1蛋白的表达, 并对免疫组化染色阳性信号进行半定量分析, HE染色对各组肾小管-间质损伤进行半定量分析。结果 在相同时间点上, MTG大鼠的血清肌酐、尿素氮与ATG大鼠比较, 有明显的改善(P<0.05); MTG大鼠的血清IL-6水平、肾小管间质的TGF-β1蛋白表达显著低于ATG大鼠(P<0.05), 但均高于NCG大鼠(P<0.01), MTG的大鼠肾小管间质损伤指数低于ATG大鼠(P<0.05)结论 在腺嘌呤诱导的大鼠肾间质纤维化过程中, 苦参碱能降低其血清BUNScrIL-6水平和TGF-β1蛋白在肾小管间质中的表达, 阻抑肾间质纤维化的进展。

关键词: 苦参碱, 苦参碱, 苦参碱, 腺嘌呤, 腺嘌呤, 腺嘌呤, 肾间质纤维化, 肾间质纤维化, 肾间质纤维化, 转化生长因子β1, 转化生长因子β1, 转化生长因子β1, TGF-β1, TGF-β1, TGF-β1, 白介素-6, 白介素-6, 白介素-6, IL-6, IL-6, IL-6

Abstract: Aim To study the mechanism relative to therapeutic effects of matrine on adenine-induced renal interstitial fibrosis in rats. Methods Sixty male Wistar rats were selected and randomly divided into 3 groups: normal control group (NCG) consisted of 8 rats, adenine treated group (ATG) 28 rats, and matrine treated group (MTG) 24 rats. Each rat in ATG and MTG was gavaged with adenine (250 mg·kg-1·d-1) for 21 d. After gavage with adenine for one week, each rat in MTG was administered intraperitoneally matrine(20 mg·kg-1·d-1)in vehicle (1 mL of 0.9% sodium chloride) daily. On days 14, 21, and 28, the serum levels of urea nitrogen, creatinine, and IL-6 were determined and the rat kidneys of ATG, MTG and NCG were examined pathologically. Radioimmunoassay for serum IL-6 immunohistochemical staining for TGF-β1 expression in the kidney and semiquantitative analysis were performed. HE staining for semiquantitative analysis of tubulointerstitial injury. Results The serum levels of urea nitrogen and creatinine in MTG were lower as compare to ATG (P<0.05) whereas serum IL-6 and renal TGF-β1 expression levels were significantly lower than those in ATG (P<0.05), but all these indexes were higher than those in NCG (P<0.01). In MTG, the index of tubulointerstitial lesion was lower than that in ATG (P<0.05). Conclusion Matrine inhibits the renal tubulointerstial fibrosis in the adenine-induced rat model by suppressing serum level of IL-6 and expression of TGF-β1 in the tubulointerstitium.

Key words: matrine, matrine, adenine, adenine, tubulointerstitial fibrosis, tubulointerstitial fibrosis, transforming growth factor β1, transforming growth factor β1, interleukin-6, interleukin-6

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Supporting: Foundation item: Key Science and Technology of Hubei Province, China (No. 20000414).
*Corresponding author. Tel.: 13545071796