首页|活性氧簇/p38丝裂原活化蛋白激酶级联反应对大鼠肾结石形成的影响及机制

活性氧簇/p38丝裂原活化蛋白激酶级联反应对大鼠肾结石形成的影响及机制

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目的 探讨活性氧簇(ROS)/p38 MAPK级联反应对大鼠肾结石(KS)形成的影响及机制。方法 50只SD大鼠随机分为对照组(正常喂养)、N-乙酰半胱氨酸(NAC)组(腹腔注射200 mg/kg NAC)、KS组(构建草酸钙KS模型)、KS+NAC组(构建草酸钙KS模型后腹腔注射200 mg/kg NAC)、KS+NAC+衣霉素(TM)组(构建草酸钙KS模型后腹腔注射200 mg/kg NAC与1 mg/kg TM),每组10只。给药结束4周后,测量大鼠24 h尿量与尿草酸(Ox),全自动生化仪检测血清肌酐(Cr)、尿素氮(BUN)、尿酸(UA)水平,HE染色和Von Kossa染色观察肾组织病理学变化及晶体沉积情况,TUNEL染色检测肾组织细胞凋亡,试剂盒测定肾组织超氧化物歧化酶(SOD)活性与丙二醛(MDA)含量,二氢乙锭(DHE)荧光探针检测肾组织ROS水平,免疫组织化学染色检测肾组织微管相关蛋白1轻链3B(LC3B)与葡萄糖调节蛋白78(GRP78)的表达,Western blotting测定肾组织p-p38 MAPK/p38 MAPK与LC3 Ⅱ/LC3 Ⅰ、Beclin1、GRP78和CCAAT/增强子结合蛋白同源蛋白(CHOP)水平。结果 与KS组比较,KS+NAC组Ox、血清BUN、Cr、UA水平降低(P<0。05),肾小管扩张程度减轻,草酸钙结晶减少,TUNEL阳性细胞率减少(P<0。05),SOD活性升高,MDA含量减少(P<0。05),ROS水平降低(P<0。05),LC3B与GRP78阳性染色水平降低(P<0。05),p-p38 MAPK/p38 MAPK、LC3 Ⅱ/LC3 Ⅰ、Beclin1、GRP78 及 CHOP 蛋白相对表达量均下调(P<0。05);与 KS+NAC组比较,KS+NAC+TM组Ox、血清BUN、Cr、UA水平升高(P<0。05),肾小管扩张明显、草酸钙结晶增多,TUNEL阳性细胞率增加(P<0。05),SOD活性降低而MDA含量增加(P<0。05),ROS水平升高(P<0。05),LC3B与GRP78阳性染色水平升高(P<0。05),同时,p-p38 MAPK/p38 MAPK、LC3 Ⅱ/LC3 Ⅰ、Beclin1、GRP78、CHOP 蛋白相对表达量均上调(P<0。05)。结论 ROS/p38 MAPK级联反应参与大鼠KS形成,其作用与其激活内质网应激介导的自噬途径有关。
Effect and mechanism of reactive oxygen species/p38 mitogen-activated protein kinase cascade on renal stone formation in rats
Objective To study the effect of reactive oxygen species(ROS)/p38 MAPK cascade reaction on the formation of kidney stones(KS)in rats and explore the mechanism.Methods Fifty SD rats were randomly divided into control group(normal feeding),N-acetylcysteine(NAC)group(intraperitoneally injected 200 mg/kg NAC),KS group(constructed calcium oxalate KS model),KS+NAC group(constructed calcium oxalate KS model,intraperitoneally injected 200 mg/kg NAC),KS+NAC+tunicamycin(TM)group(constructed calcium oxalate KS model,intraperitoneally injected 200 mg/kg NAC and 1 mg/kg TM),with 10 rats in each group.After 4 weeks of administration,24 hours urine volume and oxalic acid(Ox)of each group were measured,serum creatinine(Cr),urea nitrogen(BUN)and uric acid(UA)levels were detected by automatic biochemical analyzer.HE staining and Von Kossa staining were used to observe the histopathological changes and crystal deposition of the kidney.TUN EL staining was used to detect apoptosis of renal tissue cells.The activity of superoxide dismutase(SOD)and the content of malondialdehyde(MDA)in renal tissue were measured by the kit.DHE fluorescent probes detected the levels of reactive oxygen species(ROS)in kidney tissue.Immunohistochemical staining was used to detect the expressions of microtubule-associated protein 1 light chain 3 B(LC3B)and glucose regulatory protein 78(GRP78)in renal tissue,and the protein expression of LC3 Ⅱ/LC3 Ⅰ,Beclin1,GRP78,CCAAT/enhancer binding protein homologous protein(CHOP)in renal tissue was determined by Western blotting.Results Compared with the KS group,Ox in KS+NAC group decreased(P<0.05),BUN,Cr and UA levels decreased(P<0.05),renal tubule dilatation and calcium oxalate crystallization decreased,TUNEL positive cell rate decreased(P<0.05),SOD activity increased and MDA content decreased(P<0.05),ROS levels decreased(P<0.05),LC3B and GRP78 positive staining levels decreased(P<0.05),the relative protein expressions of p-p38 MAPK/p38 MAPK,LC3 Ⅱ/LC3 Ⅰ,Beclin1,GRP78 and CHOP were down-regulated(P<0.05).Compared with the KS+NAC group,Ox in KS+NAC+TM group increased(P<0.05),BUN,Cr and UA levels also increased(P<0.05),renal tubule dilated significantly,calcium oxalate crystals increased,TUNEL positive cell rate increased(P<0.05),SOD activity decreased and MDA content increased(P<0.05),ROS levels increased(P<0.05),LC3B and GRP78 positive staining levels increased(P<0.05),the relative protein expressions of p-p38 MAPK/p38 MAPK,LC3 Ⅱ/LC3 Ⅰ,Beclin1,GRP78 and CHOP were also up-regulated(P<0.05).Conclusion ROS/p38 MAPK cascade is involved in promoting KS formation in rats,which is related to the activation of endoplasmic reticulum stress-mediated autophagy pathway.

Kidney stoneReactive oxygen speciep38 mitogen activated protein kinaseEndoplasmic reticulum stressAutophagyWestern blottingRat

谢亚彬、王飞、王康扬、林师帅

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文昌市人民医院泌尿外科,海南文昌 571000

肾结石 活性氧簇 p38丝裂原活化蛋白激酶 内质网应激 自噬 免疫印迹法 大鼠

海南省卫生健康行业科研项目

22A200166

2024

解剖学报
中国解剖学会

解剖学报

CSTPCD
影响因子:0.462
ISSN:0529-1356
年,卷(期):2024.55(5)