首页|罗格列酮对环孢素A所致肾毒性保护作用的机制

罗格列酮对环孢素A所致肾毒性保护作用的机制

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目的:观察罗格列酮(RGZ)对环孢素A(CsA)所致肾组织炎细胞浸润及肾间质纤维化的作用,探讨RGZ对CsA肾病(CCN)的保护作用.方法:将28只健康雄性SD大鼠随机分成:①对照组(n=6),LSD;②RGZ组(n=6),LSD+RGZ[5 mg/(kg·d)];③CsA组(n=8),LSD+CsA[15 mg/(kg·d)],④RGZ+CsA组(n=8),LSD+CsA[15 mg/(kg·d)]+RGZ(5 mg/(kg·d)).在实验开始后的2 wk及5 wk处死大鼠,分别用免疫组化方法检测CD68和ColⅣ,RT-PCR方法检测MMP-9和TIMP-1的表达量;HE,Masson染色观察肾脏病理改变.结果:与对照组相比,CsA组及RGZ+CsA组CD68,ColⅣ,MMP-9,TIMP-1的表达均增高,肾小管间质单个核细胞浸润数及肾间质纤维化程度显著增加,且CsA组显著高于RGZ+CsA组.RGZ组无明显变化.结论:RGZ可显著降低CsA对肾脏的毒性作用,其机制部分是通过降低CCN大鼠CD68,ColⅣ,MMP-9,TIMP-1的表达,从而改善肾间质纤维化.
Effects of rosiglitazone on cyclosporine A-related renal toxicity in rats
AIM: To investigate protective effect of rosiglitazone on cyclosporine A-related renal tissue renal interstitial fibrosis in rats. METHODS: Twenty-eight rats were randomly assigned to normal group (n=6,LSD),rosiglitazone [5 mg/( kg · d)] group (n=6,RGZ),cyclosporine A [15 mg/(kg · d)] group (n =8,CsA),and cyclosporine A [ 15 mg/( kg · d) ] and rosiglitazone [5 mg/(kg· d) ] group (n=8,RGZ + CsA). Immu-nohistochemistry and RT-PCR were used to investigate the pathological changes of the kidneys and the expression of CD68,Col Ⅳ,MMP-9 and TIMP-1 at the 2nd week and the 5th week in the rats in each group. RESULTS: In comparison with that in normal group,the expression of CD68,ColⅣ,MMP-9 and TIMP-1 in CsA group and CsA + RGZ group markedly increased ( P < 0.05). In comparison with that in CsA group,the expression of CD68,Col Ⅳ,MMP-9 and TIMP-1 significantly decreased in CsA + RGZ group (P<0.05). CONCLUSIOM: Rosiglitazone alleviates CsA-related renal interstitial fibrosis by decreasing the expression of CD68,ColⅣ,MMP-9 and TIMP-1.

cyclosporine ArosiglitazoneCD68ColⅣgelati-nase Btissue inhibitor of metalloproteinase-1renal interstitial fibrosis

董吉、唐琳、刘章锁、程根阳、权松霞

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郑州大学第一附属医院肾内科,河南,郑州,450052

环孢菌素A 罗格列酮 CD68 ColⅣ 明胶酶B 金属蛋白酶1组织抑制剂 肾间质纤维化

河南省科技攻关项目河南省杰出青年科学基金

032441008474100510006

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(10)
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