首页|硫氢化钠左肾动脉注入对大鼠肾缺血再灌注损伤的改善作用及其机制

硫氢化钠左肾动脉注入对大鼠肾缺血再灌注损伤的改善作用及其机制

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目的 观察硫氢化钠(NaHS)对大鼠肾缺血再灌注损伤的改善作用,探讨其作用机制与Klotho蛋白的关系。方法 取18只雄性SD大鼠,随机分为假手术组、模型组、NaHS干预组,每组各6只。模型组摘除右肾后,用无创动脉夹夹闭左肾蒂模拟急性肾缺血状态,夹闭45 min后解除动脉夹,模拟肾再灌注状态;NaHS干预组建立急性肾缺血模型后,向左肾动脉注入NaHS,随后进行再灌注;假手术组不予夹闭。再灌注24 h后,留取各组血液标本,采用比色法检测血清肾功能指标尿素氮(BUN)和肌酐(Scr)。取各组肾组织标本,HE染色法观察肾组织病理学改变,比色法检测肾组织超氧化物歧化酶(SOD)、丙二醛(MDA)含量,Western blotting法检测肾组织Klotho、Nrf2蛋白。结果 与假手术组比较,模型组血清Scr、BUN升高,肾小管损伤加重,肾组织SOD活性下降、MDA含量升高,肾组织Klotho蛋白表达降低、Nrf2蛋白表达升高(P<0。05或<0。01);与模型组比较,NaHS干预组血清Scr、BUN下降,肾小管损伤减轻,肾组织SOD活性升高、MDA含量降低,Klotho、Nrf2蛋白表达均升高(P<0。05或<0。01)。结论 NaHS能够减轻急性肾缺血大鼠肾缺血再灌注损伤,其机制可能与上调Klotho蛋白表达、减轻氧化应激有关。
Effect of injecting NaHS into left renal artery on renal ischemia-reperfusion injury in rats and its mechanism
Objective To investigate the effect of sodium hydrosulfide(NaHS)on renal ischemia-reperfusion(I/R)injury in rats,and the relationship between its mechanism and Klotho protein.Methods We selected 18 male SD rats and randomly divided them into the sham group,I/R group,and NaHS intervention group(I/R+NaHS group),with 6 rats in each group.In the I/R group,we removed the right kidney,and then used non-invasive arterial clips to clamp the left renal pedicle to simulate the state of acute renal ischemia,and released the arterial clip after 45 minutes of clamping to simulate the state of renal reperfusion.After the acute renal ischemia model was established in the NaHS intervention group,NaHS was injected into the left renal artery,followed by reperfusion.The sham operation group was not clamped.After 24 h of reperfusion,blood samples were collected from each group,and serum renal function indexes such as urea ni-trogen(BUN)and creatinine(Scr)were detected by colorimetry.Renal tissue samples were taken from each group,and the histopathological changes of kidney were observed by HE staining,the content of SOD and MDA in renal tissues were detected by colorimetry,and the expression levels of Klotho and Nrf2 protein in renal tissues were detected by Western blotting.Results Compared with the sham group,serum creatinine and urea nitrogen increased,renal tubular injury was aggravated,SOD activity decreased,MDA content increased,the expression of Klotho protein in the renal tissues de-creased,and the expression of Nrf2 proteion increased in the I/R group(P<0.05 or P<0.01).Compared with the I/R group,the serum levels of creainine and urea nitrogen decreased,renal tubular injury was alleviated,SOD activity in-creased,MDA content decreased,the Klotho protein expression increased,and the Nrf2 protein expression decreased in the I/R+NaHS group(P<0.05 or P<0.01).Conclusion NaHS can alleviate renal I/R injury in rats with acute renal ischemia,and its mechanism may be related to up-regulating Klotho protein expression and reducing oxidative stress.

NaHSrenal ischemia-reperfusion injuryacute kidney injuryKlotho proteinoxidative stress

张紫怡、高丽梅、覃志成

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山西医科大学第五临床医学院肾内科,太原 030012

山西省肾脏病重点实验室

硫氢化钠 肾缺血再灌注损伤 急性肾损伤 Klotho蛋白 氧化应激

山西省卫生健康委科研项目

2022004

2024

山东医药
山东卫生报刊社

山东医药

CSTPCD
影响因子:1.225
ISSN:1002-266X
年,卷(期):2024.64(14)
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