论著

间苯三酚对大鼠肾缺血再灌注损伤的保护作用

  • 李刚 ,
  • 张洪宪 ,
  • 王云鹏 ,
  • 张径 ,
  • 洪锴 ,
  • 田晓军 ,
  • 马潞林
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  • (1. 北京大学第三医院泌尿外科,北京100191; 2. 海军总医院特需医疗部,北京100048)

网络出版日期: 2015-10-18

Protective effect of phloroglucinol on renal ischemia and reperfusion injury

  • LI Gang ,
  • ZHANG Hong-xian ,
  • WANG Yun-peng ,
  • ZHANG Jing ,
  • HONG Kai ,
  • TIAN Xiao-jun ,
  • MA Lu-lin
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  • (1. Department of Urology, Peking University Third Hospital, Beijing 100191, China; 2. Special Medical Department, General Navy Hospital, Beijing 100048, China)

Online published: 2015-10-18

摘要

目的:研究间苯三酚对大鼠肾缺血再灌注损伤(ischemia reperfusion injury, IRI)的保护作用及机制。方法:将雄性Wistar大鼠48只平均分为3组(n=16):假手术组(Sham组)切除大鼠右肾后,左肾动脉进行同等分离,但不予夹闭;对照组即肾缺血再灌注组(ischemia reperfusion, I/R组),腹腔注射等量的生理盐水,15 min后切除大鼠右肾,无创动脉夹夹闭左肾动脉45 min;实验组即缺血再灌注间苯三酚预处理组(phloroglucinol,PG组),腹腔注射间苯三酚注射液(30 mg/kg),15 min后切除大鼠右肾,无创动脉夹夹闭左肾动脉45 min。每组动物再均分为两个亚组(n′=8),分别于再灌注后6和24 h将大鼠处死。处死前经下腔静脉取血,检测血清肌酐(secrum creatinine, SCr)、尿素氮(blood urine nitrogen, BUN);将肾于冠状位切成两半,一半组织制作成组织匀浆,取组织上清液检测丙二醛(malondialdehyde, MDA)、过氧化氢酶(catalase, CAT)、超氧化物歧化酶(superoxide dismutase, SOD)及谷胱甘肽过氧化物酶(glutathione peroxidase, GSH-Px);另一半组织行石蜡包埋,切片进行病理组织学观察,再灌注后24 h的大鼠肾组织行核转录因子-kapa B(nuclear factor-kapa B, NF-κB)及Caspase3免疫组织化学检测。结果:再灌注后 6 h,I/R组大鼠血清SCr和BUN分别为(103.9±10.4) μmol/L和(15.2±1.0) mmol/L,PG预处理的SCr及BUN分别为(81.8±13.4) μmol/L和(11.5±1.2) mmol/L;再灌注后24 h,I/R组大鼠血清SCr和BUN分别为(154.9±12.1) μmol/L和(28.1±1.4) mmol/L,PG预处理的SCr及BUN分别为(103.8±5.9) μmol/L和(16.0±1.0) mmol/L;PG预处理组较I/R组明显改善肾功能(P<0.05);苏木素-伊红染色病理图片可见肾小管损伤较I/R组明显减轻(P<0.05);经PG处理后大鼠肾组织内MDA含量较I/R组低(P<0.05),SOD及CAT含量较I/R组高(P<0.05),GSH-Px含量较I/R组高(P<0.05)。再灌注后24 h,经间苯三酚处理的肾组织内核因子-kapa B在细胞核内表达的水平明显降低,活化的Caspase-3亦较I/R组有所减少。结论:间苯三酚通过减轻氧化应激和炎性损伤,抑制细胞凋亡,有效改善了大鼠肾IRI。

本文引用格式

李刚 , 张洪宪 , 王云鹏 , 张径 , 洪锴 , 田晓军 , 马潞林 . 间苯三酚对大鼠肾缺血再灌注损伤的保护作用[J]. 北京大学学报(医学版), 2015 , 47(5) : 743 -748 . DOI: 10.3969/j.issn.1671-167X.2015.05.003

Abstract

Objective:To investigate the effect and mechanisms of Phloroglucinol (PG) on renal ischemia and reperfusion injury (IRI). Methods: Forty-eight male Wistar rats were divided into 3 groups (16 rats per group): sham operated, saline-treated I/R (I/R), and PG-treated I/R (PG). I/R model: After removing the right kidney, renal I/R injury was induced by clamping the left renal artery for 45 min followed by reperfusion. The rats were administered with PG (30 mg/kg, intraperitoneally) or saline 15 min before renal ischemia. The blood and kidneys were harvested 6 and 24 h after reperfusion. Renal function and histologic changes of serum creatinine (SCr) and blood urea nitrogen(BUN)were assessed. Malondialdehyde (MDA),catalase (CAT),superoxide dismutase (SOD), and glutathione peroxidase (GSH-Px)were measured. Nuclear factor-kapa B (NF-κB) and caspase-3 in the kidneys were also measured. Results: SCr and BUN were (103.9±10.4) μmol/L and (15.2±1.0) mmol/L in I/R group, and (81.8±13.4) μmol/L and (11.5±1.2) mmol/L in PG group 6 h after reperfusion. SCr and BUN were (154.9±12.1) μmol/L and (28.1±1.4) mmol/L in I/R group, and (103.8±5.9) μmol/L和(16.0±1.0) mmol/L in PG group 24 h after reperfusion.PG treatment significantly attenuated renal dysfunction and histologic damage caused by I/R injury(P<0.05).The I/Rinduced elevation in kidney MDA level decreased, where as reduced kidney SOD,CAT and GSH-Px were increased. What is more, the apoptotic tubular cells, the levels of active caspase-3,and active nuclear factor kappa B dramatically decreased after PG treatment. Conclusion: PG protects murine kidney I/R injury by suppres-sing oxidative stress, inflammation, and cell apoptosis.

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