首页|真武汤、越婢汤对阿霉素肾病大鼠肾组织t-PA/PAI-1表达的影响

真武汤、越婢汤对阿霉素肾病大鼠肾组织t-PA/PAI-1表达的影响

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目的 观察仲景利水方剂真武汤、越婢汤对阿霉素肾病模型大鼠肾组织组织型纤溶酶原激活物(t-PA)、纤维酶原激活物抑制剂-1(PAI-1)表达的影响及差异。方法 48只雄性SD大鼠随机数字表法分为正常组12只,造模组36只,造模组2次尾静脉注射阿霉素(4mg·kg-1、2mg·kg-1)造模,造模成功后的大鼠随机分为模型组、真武汤组、越婢汤组各12只,分别予相应药物灌胃6周。检测大鼠24小时尿蛋白总量(24h-UTP)、血清白蛋白(ALB)、血肌酐(Scr)、尿素氮(BUN);光镜观察大鼠肾脏病理形态改变;免疫组化检测大鼠肾组织t-PA、PAI-1的表达。结果 与正常组相比,模型组大鼠肾脏病理损伤明显,出现肾小球肥大、小管扩张、细胞外基质增生,间质可见大量炎性细胞浸润;24h-UTP、血清Scr、BUN,肾组织PAI-1表达升高(P<0。05),ALB、肾组织t-PA表达降低(P<0。05);与模型组相比,真武汤组及越婢汤组大鼠肾脏病理损伤明显改善,24h-UTP、血清Scr、肾组织PAI-1表达均降低(P<0。05),血清ALB、肾组织t-PA表达升高(P<0。05)。结论 真武汤和越婢汤可通过影响肾组织t-PA/PAI-1的表达改善阿霉素肾病大鼠的肾脏损伤。
The effects of Zhenwu Tang and Yuemaitang on the expression of t-PA/PAI-1 in renal tis-sue of rats with doxorubicin induced nephropathy
Objective Observing the effects and differences of Zhongjingli Water Formula Zhenwu Tang and Yuenu Tang on the expres-sion of tissue type plasminogen activator(t-PA)and plasminogen activator inhibitor-1(PAI-1)in renal tissue of rats with doxorubi-cin nephropathy model.Methods 48 male SD rats were randomly divided into a normal group of 12,a modeling group of 36,and a modeling group of 2 tail vein injections of doxorubicin(4mg·kg-1,2mg·kg-1)for modeling.After successful modeling,the rats were randomly divided into a model group,a Zhenwu Tang group,and a Yuenu Tang group,with 12 rats in each group.The corresponding drugs were administered orally for 6 weeks.Detect 24-hour total urine protein(24h-UTP),serum albumin(ALB),serum creatinine(Scr),and urea nitrogen(BUN)in rats;Observation of pathological morphological changes in rat kidneys under light microscopy;Im-munohistochemical detection of t-PA and PAI-1 expression in rat kidney tissue.Results Compared with the normal group,the patho-logical damage to the kidneys of the model group rats was significant,with glomerular hypertrophy,tubular dilation,extracellular matrix proliferation,and a large number of inflammatory cell infiltration in the stroma;24h-UTP,serum Scr,BUN,renal tissue PAI-1 ex-pression increased(P<0.05),while ALB and renal tissue t-PA expression decreased(P<0.05);Compared with the model group,the renal pathological damage of rats in the Zhenwu Tang and Yuemaitang groups was significantly improved,with decreased expression of 24h-UTP,serum Scr and renal tissue PAI-1(P<0.05),and increased expression of ALB and t-PA in renal tissue(P<0.05).Conclusion Zhenwu Tang and Yuemaitang may improve renal injury in rats with doxorubicin nephropathy by affecting the expression of t-PA/PAI-1 in renal tissue.

Adriamycin nephropathyZhenwu DecoctionYuebi Decoctiont-PA/PAI-1renal fibrosis

陈晨晨、宋纯东、刘玉让、丁樱、赵文景、张守琳

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河南中医药大学第一附属医院儿科医院,河南郑州 450000

河南中医药大学儿科医学院,河南郑州 450046

原阳县人民医院,河南原阳 453500

首都医科大学附属北京中医医院,北京 100010

长春中医药大学附属医院,吉林长春 130021

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阿霉素肾病 真武汤 越婢汤 t-PA/PAI-1 肾纤维化

2024

时珍国医国药
时珍国医国药杂志社

时珍国医国药

北大核心
影响因子:0.887
ISSN:1008-0805
年,卷(期):2024.35(14)