首页|抗微小核糖核酸-21治疗对糖尿病肾病模型小鼠肾脏损伤作用的实验研究

抗微小核糖核酸-21治疗对糖尿病肾病模型小鼠肾脏损伤作用的实验研究

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目的 探讨抗微小核糖核酸-21(microRNA-21,miR-21)治疗对糖尿病肾病(diabetic nephropathy,DN)模型小鼠肾脏损伤的作用。方法 8 周龄C57BL/6 小鼠随机分为对照组、DN组、DN+miR-21 反义寡核苷酸(antisense oligonucleotides,ASO)组(DN+miR-21-ASO组)、DN+miR-21反义寡核苷酸错配碱基对(MM-ASO)组(DN+miR-21-MM-ASO组)。通过腹腔注射链脲佐菌素构建DN小鼠模型。全自动生化分析仪检测小鼠 24h尿蛋白(urine protein,Upro)、血清肌酐(serum creatinine,Scr)和血尿素氮(blood urea nitrogen,BUN)含量。PAS染色观察小鼠肾脏糖原沉积,苏木素-伊红(HE)染色观察小鼠肾脏病理学变化,TUNEL染色观察小鼠肾脏组织细胞凋亡情况。实时定量PCR检测小鼠肾脏组织miR-21的相对表达水平。蛋白质印迹(Western blot)检测B淋巴细胞瘤-2 基因(Bcl-2)、Bcl-2 相关X蛋白(Bax)和活化型半胱氨酸天冬氨酸蛋白酶-3(cleaved cas-pase-3)蛋白的表达水平。结果 与对照组比较,DN组小鼠肾脏组织miR-21 表达显著上调[(3。23±0。24)比(1。00±0。11),P<0。01],24 h Upro、Scr和BUN[(53。87±5。87)mg比(13。83±1。80)mg、(89。35±3。34)μmol/L比(28。27±2。91)μmol/L、(25。79±2。15)mmol/L比(7。36±0。50)mmol/L,P<0。01]水平均显著增高;与DN+miR-21-MM-ASO组比较,DN+miR-21-ASO组小鼠肾脏组织miR-21的表达受到抑制[(0。77±0。11)比(3。52±0。27),P<0。01],小鼠 24 h Upro、Scr和BUN[(29。92±6。06)mg比(50。69±6。93)mg、(68。39±3。75)μmol/L比(87。84±6。63)μmol/L、(17。66±1。04)mmol/L比(23。80±3。16)mmol/L,P<0。01]水平明显降低。PAS染色显示,与对照组比较,DN组小鼠肾脏组织系膜和基底膜区PAS染色阳性物质增多,颜色深;与DN+miR-21-MM-ASO比较,DN+miR-21-ASO组小鼠肾脏组织系膜和基底膜区PAS染色阳性物质明显减少且红染区域较少。HE染色表明,与对照组比较,DN组小鼠出现肾小球体积增大和肾小管刷状缘脱离等肾脏损伤表现;与DN+miR-21-MM-ASO组比较,DN+miR-21-ASO组小鼠肾脏损伤显著改善。TUNEL染色表明,与对照组比较,DN组小鼠肾脏组织细胞凋亡显著增加;与DN+miR-21-MM-ASO组比较,DN+miR-21-ASO组小鼠肾脏组织细胞凋亡显著降低。Western blot检测显示,与对照组比较,DN组Bax和cleaved caspase-3 表达上调[(3。24±0。26)比(1。00±0。10)、(2。82±0。16)比(1。00±0。13),P<0。01],Bcl-2 表达下调[(1。06±0。12)比(4。16±0。41),P<0。01];与DN+miR-21-MM-ASO组比较,DN-miR-21-ASO组Bax和cleaved caspase-3 表达下调[(2。04±0。19)比(3。20±0。07)、(1。54±0。11)比(3。10±0。13),P<0。01],Bcl-2 表达上调[(2。05±0。14)比(1。02±0。09),P<0。01]。结论 抗miR-21治疗可以明显改善DN模型小鼠的肾脏损伤。
Experimental study on the effect of anti-microRNA-21 treatment on renal injury in a diabetic nephropathy mouse model
Objective To investigate the effect of anti-microRNA-21(miR-21)treatment on renal injury in a diabetic nephropathy(DN)mouse model.Methods Eight-week-old C57BL/6 mice were randomly divided into the control group,DN group,DN+miR-21 antisense oligonucleotides(ASO)group(DN+miR-21-ASO group),and DN+miR-21 antisense oligonucleotides mismatch base pair(miR-21-mismatched-ASO)group(DN+miR-21-MM-ASO group).DN mouse model was established by intraperitoneal injection of streptozotocin.The 24 h urinary protein(Upro),serum creatinine(Scr),and blood urea nitrogen(BUN)levels in mice were detected using a fully automatic biochemical analyzer.Periodic acid-Schiff(PAS)staining was used to observe glycogen deposition in renal tissues of mice,hematoxylin-eosin(HE)staining was used to observe pathological changes in renal tissues of mice,and TUNEL staining was used to observe apoptosis in renal tissue cells of mice.The relative expression of miR-21 in renal tissue of mice was quantified using real-time quantitative PCR.The protein expression levels of B-cell lym-phoma-2(Bcl-2),Bcl-2 associated X protein(Bax),and cleaved caspase-3 were detected using Western blotting.Results Compared with the control group,the DN group showed significantly upregulated expression of miR-21 in renal tissue[(3.23±0.24)vs.(1.00±0.11),P<0.01],increased 24 h Upro[(53.87±5.87)mg vs.(13.83±1.80)mg,P<0.01],Scr[(89.35±3.34)μmol/L vs.(28.27±2.91)μmol/L,P<0.01],and BUN levels[(25.79±2.15)mmol/L vs.(7.36±0.50)mmol/L,P<0.01].Compared with DN+miR-21-MM-ASO group,the DN+miR-21-ASO group showed inhibited expression of miR-21 in kidney tissue[(0.77±0.11)vs.(3.52±0.27),P<0.01],and significantly decreased 24 h Upro[(29.92±6.06)mg vs.(50.69±6.93)mg,P<0.01],Scr[(68.39±3.75)μmol/L vs.(87.84±6.63)μmol/L,P<0.01]and BUN levels[(17.66±1.04)mmol/L vs.(23.80±3.16)mmol/L,P<0.01].Compared with the control group,PAS staining showed that the DN group mice had increased PAS-positive substances in the mesangial and basement membrane regions of renal tissue,with a darker coloration.Compared with the DN+miR-21-MM-ASO group,the DN+miR-21-ASO group exhibited a significant reduction in PAS-positive substances in the mesangial and basement mem-brane regions of renal tissue,with fewer red-stained areas.Compared with the control group,HE staining showed that the DN group showed renal injury including enlarged glomerular volume and brush border detachment of renal tubules.Compared with the DN+miR-21-MM-ASO group,the DN+miR-21-ASO group showed significant improve-ment in renal injury.In addition,compared with the control group,TUNEL staining showed that the DN group had a significant increase in cell apoptosis in renal tissue cells.Compared with DN+miR-21-MM-ASO group,the DN+miR-21-ASO group showed a significant decrease in renal cell apoptosis.Compared with the control group,West-ern blotting showed that the DN group had upregulated expression of Bax[(3.24±0.26)vs.(1.00±0.10),P<0.01]and cleaved caspase-3[(2.82±0.16)vs.(1.00±0.13),P<0.01],and downregulated expression of Bcl-2[(1.06±0.12)vs.(4.16±0.41),P<0.01].Compared with the DN+miR-21-MM-ASO group,the DN+miR-21-ASO group showed down-regulated expression of Bax[(2.04±0.19)vs.(3.20±0.07),P<0.01]and cleaved caspase-3[(1.54±0.11)vs.(3.10±0.13),P<0.01],and upregulated expression of Bcl-2[(2.05±0.14)vs.(1.02±0.09),P<0.01].Conclusion Anti-miR-21 treatment can significantly alleviate renal injury in diabetic nephropathy mouse model.

MouseDiabetic nephropathyRenal injurymicroRNA-21Apoptosis

孙佳、沈军

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杭州市临平区第一人民医院肾内科(杭州 311100)

小鼠 糖尿病肾病 肾脏损伤 微小核糖核酸-21 细胞凋亡

2025

浙江中西医结合杂志
浙江省中西医结合学会 浙江省中西医结合医院

浙江中西医结合杂志

影响因子:0.658
ISSN:1005-4561
年,卷(期):2025.35(1)