首页|加味芪黄饮对膜性肾病大鼠肾组织细胞凋亡的影响

加味芪黄饮对膜性肾病大鼠肾组织细胞凋亡的影响

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目的:探究加味芪黄饮对膜性肾病(MN)大鼠肾功能和肾组织细胞凋亡的影响.方法:通过改良Border制备MN大鼠模型,随机分为5组并连续给药4周:空白组(20只)和模型组(15只)灌胃给予生理盐水5 mL;贝那普利组(18只)灌胃给予盐酸贝那普利10 mg/kg;加味芪黄饮低、高剂量组(各18只)分别灌胃给予加味芪黄饮4 mg/kg、8 mg/kg.各组均分别于造模后第2到6周末检测大鼠24 h尿蛋白.造模后第6周末,采用苏木精-伊红(HE)染色观察肾脏病理改变;采用免疫组织化学法检测肾组织B细胞淋巴瘤2相关X蛋白(Bax)、B细胞淋巴瘤2(Bcl-2)及肾母细胞瘤抑制基因1(WT-1)的表达水平,腹主动脉取血检测血尿素氮(BUN)、血肌酐(Scr)、人血白蛋白(Alb)、三酰甘油(TG)、总胆固醇(TC).结果:模型组较空白组24 h尿蛋白、BUN、Scr、TG、TC、Bax蛋白表达水平升高,Bcl-2、WT-1蛋白表达水平、Alb降低(P<0.01);各给药组较模型组24 h尿蛋白、BUN、Scr、TG、TC以及Bax蛋白表达水平均降低,Bcl-2、WT-1蛋白表达水平以及Alb均升高(P<0.05,P<0.01);且加味芪黄饮高剂量组较低剂量组变化更显著.结论:加味芪黄饮可能通过降低Bax蛋白表达水平,提高Bcl-2、WT-1蛋白表达水平,影响细胞凋亡,保护肾脏足细胞,从而延缓膜性肾病大鼠的肾功能损伤.
Effect of Modified Qihuang Decoction on Apoptosis of Renal Tissue in Rats with Membranous Nephropathy
Objective:To explore the effect of modified Qihuang Decoction on renal function and renal tissue cell apoptosis in rats with membranous nephropathy(MN).Methods:The MN rat model was established by an improved Border method,and rats were randomly divided into five groups and treated for 4 consecutive weeks.The blank group(20 rats)and the model group(15 rats)were administered 5 mL of physiological saline by gavage.The Benazepril group(18 rats)was administered benazepril hydrochlo-ride at 10 mg/kg by gavage.The low-dose and high-dose modified Qihuang Decoction groups(18 rats each)were administered modified Qihuang Decoction at 4 mg/kg and 8 mg/kg by gavage,respectively.Urine protein levels were measured at the end of weeks 2 to 6.At the end of week 6,renal pathological changes were observed by hematoxylin-eosin(HE)staining.The expression levels of Bcl-2-associated X protein(Bax),B-cell lymphoma 2(Bcl-2),and Wilms'tumor suppressor gene 1(WT-1)in renal tissue were detected by immunohistochemistry.Blood samples were collected from the abdominal aorta to measure blood urea nitrogen(BUN),serum creatinine(Scr),human serum albumin(Alb),triglycerides(TG),and total cholesterol(TC).Results:In the model group,24-hour urine protein,BUN,Scr,TG,TC,and Bax protein expression levels were significantly higher,while Bcl-2,WT-1,and Alb expression levels were significantly lower compared with the blank group(P<0.01).In each treatment group,24-hour urine protein,BUN,Scr,TG,TC,and Bax protein expression levels were significantly lower,while Bcl-2,WT-1,and Alb expression levels were significantly higher compared with the model group(P<0.05,P<0.01).Furthermore,the high-dose modified Qihuang De-coction group showed more significant changes than the low-dose group.Conclusion:Modified Qihuang Decoction may protect podocytes in MN rats by reducing Bax protein expression,increasing Bcl-2 and WT-1 protein expression,and influencing cell apop-tosis,thereby delaying renal function impairment in MN.

Modified Qihuang DecoctionMembranous nephropathyPodocyteRenal functionApoptosisBcl-2BaxWT-1

林炜凯、黎芷鑫、李季、吴立友、周艳利、毛凯凤

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广州医科大学中西医临床学院,广州,510182

广州医科大学附属中医医院肾病科,广州,510405

加味芪黄饮 膜性肾病 足细胞 肾功能 细胞凋亡 B细胞淋巴瘤-2 Bcl-2相关X蛋白 肾母细胞瘤基因1

2024

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
年,卷(期):2024.19(19)