首页|基于TLR4/NF-κB信号通路探讨金雀异黄酮对膜性肾病大鼠肾损伤的影响

基于TLR4/NF-κB信号通路探讨金雀异黄酮对膜性肾病大鼠肾损伤的影响

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目的 探讨金雀异黄酮对膜性肾病大鼠肾损伤及Toll样受体4(TLR4)/核因子-κB(NF-κB)信号通路的影响.方法 从45 只SD大鼠中随机取8 只作为正常组,剩余大鼠采用尾静脉注射阳离子化牛血清白蛋白(C-BSA)的方法构建膜性肾病模型.将 32 只成模大鼠随机分为模型组、金雀异黄酮组、瑞沙托维组和金雀异黄酮+瑞沙托维组,每组8 只.金雀异黄酮组给予金雀异黄酮30 mg/kg腹腔注射,瑞沙托维组给予瑞沙托维10 mg/kg腹腔注射,金雀异黄酮+瑞沙托维组分别给予金雀异黄酮30 mg/kg和瑞沙托维10 mg/kg腹腔注射,均1 次/d,干预4 周.检测肾功能指标[24 h尿蛋白、血尿素氮(BUN)、血肌酐(SCr)、血浆白蛋白];HE染色、Masson染色和透射电子显微镜观察肾组织病理学形态、胶原沉积情况及细胞超微结构;免疫荧光染色法观察肾组织中免疫球蛋白G(IgG)沉积情况;ELISA法检测肾组织中白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平;RT-PCR法检测肾组织中TLR4、NF-κB p65、转化生长因子-β1(TGF-β1)mRNA表达情况,Western blot法检测肾组织中TLR4/NF-κB信号通路相关蛋白表达情况.结果 与正常组比较,模型组大鼠24h 尿蛋白、BUN、SCr水平均明显升高(P均<0.05),血浆白蛋白水平明显降低(P均<0.05);肾小球体积增大,肾小管细胞空泡样变,间质区炎性细胞浸润,间质区和肾小球大量胶原沉积,胶原容积分数明显升高(P<0.05);肾小球细胞肿胀,足突融合或消失,基底膜不规则增厚,上皮细胞下可见大量电子致密物沉积,IgG大量沉积;肾组织中IL-1β、IL-6、TNF-α水平及TLR4、NF-κB p65、TGF-β1 mRNA相对表达量和TLR4、NF-κB p65、TGF-β1、Ⅰ型胶原(Col-Ⅰ)、Ⅲ型胶原(Col-Ⅲ)、p-Smad2/3 蛋白相对表达量均明显升高(P均<0.05),肾组织中Smad7 蛋白相对表达量明显降低(P<0.05).与模型组比较,各药物组大鼠24h 尿蛋白、BUN、SCr水平均明显降低(P 均<0.05),血浆白蛋白水平均明显升高(P 均<0.05);肾组织病理学改变、细胞超微结构改变均明显减轻,胶原容积分数明显降低(P均<0.05),IgG沉积量明显减少;肾组织中IL-1β、IL-6、TNF-α水平及TLR4、NF-κB p65、TGF-β1 mRNA相对表达量和TLR4、NF-κB p65、TGF-β1、Col-Ⅰ、Col-Ⅲ、p-Smad2/3 蛋白相对表达量均明显降低(P均<0.05),Smad7 蛋白相对表达量均明显升高(P均<0.05).与金雀异黄酮组和瑞沙托维组比较,金雀异黄酮+瑞沙托维组肾损伤更轻,各检测指标改善情况更明显(P均<0.05).结论 金雀异黄酮可明显改善膜性肾病大鼠肾功能,减轻肾损伤,其机制可能与抑制TLR4/NF-κB信号通路,减轻炎症反应和肾纤维化有关.
Genistein alleviates renal injury in rats with membranous nephropathy by inhibiting TLR4/NF-κB signaling pathway
Objective It is to investigate the effect of genistein on renal injury in membranous nephropathy(MN)rats and toll-like receptor 4(TLR4)/nuclear factor-κB(NF-κB)signaling pathway.Methods Eight of forty-five SD rats were randomly selected as normal group,and the other 37 rats were injected with cationized bovine serum albumin(C-BSA)by tail vein to establish MN models.32 successfully modeled rats were randomly divided into model group,genistein group,Resatorvid group and genistein +Resatorvid group,with8 rats in each group.The genistein group was given genistein30 mg/kg intraperitoneally,the Resatorvid group was given Resatorvid 10 mg/kg intraperitoneally,and genistein + Resatorvid group was given genistein 30 mg/kg and Resatorvid 10 mg/kg intraperitoneally,all once daily,and intervened for 4 weeks.The rats in each group was given intraperitoneal injection once a day for 4 weeks.The renal function indexes[24 h urinary protein(24 h UTP),blood urea nitrogen(BUN),serum creatinine(SCr),albumin(ALB)]were detected;the pathologic mor-phology,collagen deposition and cellular ultrastructure of renal tissues were observed by HE staining,Masson staining and transmission electron microscopy;immunoglobulin G(IgG)deposition in renal tissues was observed by immunofluorescence staining;the levels of interleukin-1β(IL-1β),interleukin-6(IL-6),and tumor necrosis factor-α(TNF-α)in renal tissues were detected by ELISA;the expressions of TLR4,NF-κB p65,and transforming growth factor-β1(TGF-β1)mRNA were detected by RT-PCR,and the expressions of proteins related to TLR4/NF-κB signaling pathway in renal tissues were detec-ted by Western blot.Results Compared with the normal group,the levels of 24 h UTP,BUN,SCr of rats were significantly higher,while the levels of ALB was significantly lower in the model group(all P<0.05);there were pathological changes such as glomerular volume increase,tubular cell vacuolation,interstitial inflammatory cell infiltration,mass collagen depo-sition in interstitial region and glomerular,and the collagen volume fraction(CVF)was significantly increased(P<0.05);there were ultrastructural changes such as glomerular cells swollen,foot process fused or disappeared,basement membrane irregularly thickened,mass electron dense deposition under the epithelial cells,mass IgG deposition;the levels of IL-1β,IL-6,and TNF-α,and the relative expressions of TLR4,NF-κB p65,and TGF-β1 mRNA and the relative ex-pressions of TLR4,NF-κB p65,TGF-β1,collagen type Ⅰ(Col-Ⅰ),type Ⅲ collagen(Col-Ⅲ),and p-Smad2/3 pro-teins in renal tissues were significantly increased(all P<0.05),and the relative expression of Smad7 protein in renal tis-sue was significantly decreased(P<0.05).Compared with the model group,the level of 24 h UTP,BUN,SCr were sig-nificantly decreased,while the levels of ALB were significantly increased in genistein group,Resatorvid group and genistein+ Resatorvid group(all P<0.05);the pathological changes in renal tissue and ultrastructural changes in cells were signifi-cantly improved,CVF and IgG deposition were significantly decreased(all P<0.05);the levels of IL-1β,IL-6,TNF-α and the relative expressions of TLR4,NF-κB p65,TGF-β1 mRNA and the relative expressions of TLR4,NF-κB p65,TGF-β1,Col-Ⅰ,Col-Ⅲ,and p-Smad2/3 proteins in renal tissues were all significantly reduced(all P<0.05),and the relative expressions of Smad7 protein were all significantly increased(all P<0.05).Compared with the genistein group and Resatorvid group,the renal injury was milder and the improvements of every indexes were more significant in the genistein +Resatorvid group(all P<0.05).Conclusion Genistein can obviously improve improve renal function and alle-viate kidney injury in membranous nephropathy rats,its mechanism may be related to inhibiting TLR4/NF-κB signaling pathway,alleviating inflammatory response and renal fibrosis.

membranous nephropathygenisteinTLR4/NF-κB signaling pathwayinflammationfibrosis

杨林燕、陈洁、侯世杰、何琦、苗盈盈、孙楠

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邯郸市中心医院,河北 邯郸 056000

膜性肾病 金雀异黄酮 Toll样受体4 核因子-κB 炎症反应 纤维化

河北省医学科学研究课题

20220526

2024

现代中西医结合杂志
中国中西医结合学会河北分会,中华中医药学会

现代中西医结合杂志

CSTPCD
影响因子:1.775
ISSN:1008-8849
年,卷(期):2024.33(2)
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