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肾宁胶囊对2型糖尿病大鼠肾脏的保护作用

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目的:探讨肾宁胶囊对2型糖尿病大鼠肾脏的保护作用及其机制.方法:以高糖高脂饮食联合低剂量链脲佐菌素(STZ)注射方法制作2型糖尿病动物模型.将sD大鼠分为对照组、模型组和治疗组,治疗组将肾宁胶囊给大鼠灌胃;对照组及模型组给予同等剂量的纯化水.6 mo后进行肾脏形态学和生化指标的检测,用放免法检测血清血管紧张素Ⅱ(Ang-Ⅱ)、血清和肾组织内皮素(ET)的水平;用免疫组织化学方法测量肾组织局部转化生长因子β1(TGF-β1)的表达.结果:与模型组比较,治疗组大鼠的血糖、24 h尿蛋白、血尿素氮、血肌酐明显改善(P<0.05);肾脏肥大指数(右肾质量/体质量)下降,肾小球直径缩短,系膜增生及基底膜增厚减轻,肾小管空泡及间质细胞浸润减少(P<0.05);血清Ans-Ⅱ降低(P<0.01)、血清和肾组织ET水平降低(P<0.05);肾组织局部TGF-β1的表达减少(P<0.05).结论:肾宁胶囊对2型糖尿病大鼠的肾脏有保护作用,其机制可能与降低血清Ang-Ⅱ,ET,肾组织ET和TGF-Ⅱ1水平有关.
Protective effect of Shen Ning Capsules on kidney of type 2 diabetic rats
AIM: To study the protective effect of Shen Ning Capsules on rat kidney of type 2 diabetes mellitus and its mechanism. METHODS: SD rats were randomized into the control, model and treatment groups. Rat models of type 2 diabetes mellitus were established by high carbohydrate and fat food and small dose of streptozotocin (STZ) injection. Shen Ning Capsules were given to the treatment group and purified water to the control and the model groups. After 6 months, serum and urinary biochemical and kidney morphological examination were conducted. The levels of Ang- Ⅱ and endothelin ( ET) in serum were determined by ra-dioimmunoassay and the transforming growth factorβ1 (TGF-β1) in renalcortex was detected by immunohistochemistry. RESULTS : Compared with those in the model group, the blood sugar, 24 h urine protein, BUN and serum creatinine obviously improved in the treatment group (P < 0. 05 ). In the treatment group, the renal hypertrophy index (the right kidney weight /body weight) descended, the renal glomerulus diameter was shortened, mesenterium hyperplasia and the basilar membrane thickening were alleviated and kidney tubules cavity and stromal cells infiltration gradually decreased (P < 0.05). Ang- Ⅱ and ET levels in serum and renal cortex reduced (P < 0.01, P < 0. 05) and the expression of TGF-β1 decreased (P < 0. 05). CONCLUSION: Shen Ning Capsules exert some protective effect on kidney of diabetic rats, which may be related to the inhibition of the over ex- pression of ET and TGF-β1.

Shen Ning capsulediabetic nephrupathyAng-Ⅱendothelintransforming growth factor-β1

李晓苗、李源、曹雪滨、黄河玲、谢永宏、李德强、刘向阳、陈建宗

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第四军医大学,西京医院内分泌科,陕西,西安,710033

第四军医大学,口腔医院麻醉科,陕西,西安,710033

解放军第252医院,河北,保定,071000

第四军医大学,唐都医院呼吸科,陕西,西安,710033

第四军医大学,西京医院中医药研究所,陕西,西安,710033

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肾宁胶囊 2型糖尿病 血管紧张素Ⅱ 内皮素 转化生长因子β1

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(3)
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