血必净对大鼠肢体缺血再灌注后肾脏NF-κB的表达及影响
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蔡建辉 E-mail:jianhuicai2001@163.com

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Effect of xuebijing injection on NF-κB expression of kidney after ischemia-reperfusion of limbs in rats
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    摘要:

    目的:探讨大鼠后肢缺血再灌注(I/R)后肾组织核因子-κB(NF-κB)的变化及血必净对骨骼肌I/R后肾损伤的保护作用。
    方法:雄性SD大鼠制作I/R模型,随机分为3组:A组为对照组,仅进行常规麻醉,不阻断后肢血流; B组为缺血组,即缺血4 h无再灌注组;C组为I/R组,即缺血4 h后再灌注6 h; D组为I/R+血必净低剂量组,即缺血4 h再灌注6 h,并于缺血前10 min及再灌注开始时即刻分别尾静脉注射血必净8 mL/kg;E组为I/R+血必净高剂量组,即缺血4 h再灌注6 h并于缺血前10 min及再灌注开始时即刻分别尾静脉注射血必净16 mL/kg。检测血清中肌酸激酶(CK)含量,肾组织中MDA含量, NF-κB基因在肾组织中的表达。
    结果:肾组织中NF-κB表达A组不明显;在B,C组呈上升趋势; D,E组表达下调;其余4组与A组比较,差异均有统计学意义(P<0.01);D,E两组与C组比较,差异有统计学意义(P<0.01);而D,E两组差异无统计学意义(P>0.05)。CK和MDA含量:B,C组逐渐升高,C组较B组升高明显(P<0.01);药物治疗后的D,E组相应下降,与C组比较,差异均有统计学意义(P<0.01)。
    结论:在I/R后肾组织中NF-κB的表达明显上调,血必净可抑制NF-κB表达上调,对I/R肾损伤有明显保护作用,此作用与本实验设计的剂量无关。

    Abstract:

    Objective:To study the changes of NF-κB expression in kidney tissues and the protective effect of xuebijing injection on ischemic-reperfusion (I/R) of hind leg of rats. 
    Methods:The I/R models were prepared on thirty Wistar male rats, and were divided into  five groups: A,control group;B, ischemia only group; C, ischemia- reperfusion group; D, I/R with low dosage xuebijing injection group;E, I/R with high dosage xuebijing injection group. Serum level of CK and content of MDA in kidney tissues of each group were examined.At the same time,the expression of NF-κB in kidney tissue was detected with real-time polymerase chain reaction and immunohistochemical technique,respectively.
    Results:Compared with control group, the expression level of NF-κB increased in ischemia group and significantly increased in I/R group(P<0.01); in two xuebijing treated groups, the expression level of  NF-κB decreased,but there was no difference between groups D and E(P>0.05). Compared with control group,  serum level of CK and kidney tissues content of MDA were increased in ischemia group and I/R group(P<0.01). Compared with I/R group,serum level of CK and kidney tissues content of MDA were decreased in xuebijing treated group(P<0.01).
    Conclusions:The expression of NF-κB in kidney tissue is significantly upregulated in limbs of I/R model rats. The xuebijing injection has protective effect on kidney injury against skeletal musle ischemia-reperfusion injury and the protective effect is not dosage related.

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张彦荣|吴文新|张峰|蔡建辉.血必净对大鼠肢体缺血再灌注后肾脏NF-κB的表达及影响[J].中国普通外科杂志,2010,19(12):1306-1310.
DOI:10.7659/j. issn.1005-6947.2010.12.014

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  • 收稿日期:2010-09-15
  • 最后修改日期:2010-11-07
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  • 在线发布日期: 2010-12-15