青藤碱对梗阻性黄疸大鼠急性肾损伤的保护作用
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尚喜雨, Email: shangxiyu163@163.com

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河南省南阳市科技攻关计划资助项目(2012GG062)。


Protective effect of sinomenine against renal damage caused by obstructive jaundice in rats
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    摘要:

    目的:探讨青藤碱对梗阻性黄疸(OJ)大鼠急性肾损伤的保护作用及机制。 方法:将24只大鼠随机分均为假手术组、模型组与青藤碱干预组,后两组大鼠行胆总管结扎切断制作OJ模型。青藤碱干预组大鼠于术后第1天起给予青藤碱(80 mg/kg)灌胃,每天1次,而假手术组与模型组大鼠以同样方式给予等量生理盐水代替。术后第8天处死各组大鼠,取血检测血清尿素氮(SUN)、血清肌酐(Scr)含量,取肾组织行病理学检查,检测肾组织丙二醛(MDA)、髓过氧化物酶(MPO)水平和总抗氧化能力(T-AOC)以及转化生长因子(TGF-β1)蛋白与mRNA的表达。 结果:除假手术组外,其余两组大鼠术后均出现OJ表现以及明显的肾损伤病理学改变,但青藤碱干预组的肾损伤轻于模型组。与假手术组比较,其余两组大鼠SUN、Scr水平均明显升高;肾组织MDA、MPO含量、TGF-β1蛋白和mRNA表达明显升高,T-AOC明显降低(均P<0.05),但青藤碱干预组以上指标的改变程度均明显低于模型组(均P<0.05)。 结论:青藤碱对OJ大鼠急性肾损伤具有保护作用,其机制可能与其抗氧化作用以及抑制TGF-β1的表达有关。

    Abstract:

    Objective: To investigate the protective effect of sinomenine against renal damage caused by obstructive jaundice (OJ) in rats and the mechanism. Methods: Twenty-four rats were equally randomized into sham operation group, model group and sinomenine treatment group, and rats in the latter two groups underwent ligation and division of the common bile duct to create OJ model. From the first day after operation, rats in sinomenine treatment group were given sinomenine (80 mg/kg) by daily gavage, while those rats in sham operation group and model group received normal saline of the same volume administered in the same manner instead. On the 8th day after operation, all rats in each group were sacrificed to obtain the blood samples for measurement of the serum urea nitrogen (SUN) and serum creatinine (Scr) levels, and to harvest the renal tissues for pathological examination, and determination of renal malondialdehyde (MDA) and myeloperoxidase (MPO) concentration, and total antioxidant capacity (T-AOC) as well as the protein and mRNA expression of transforming growth factor-β1 (TGF-β1). Results: Except for the sham operation group, all rats in the other two groups exhibited the OJ manifestations and evident pathological changes of renal injury which in sinomenine treatment group were milder than those in model group. Compared with sham operation group, in the other two groups, the SUN and Scr levels were significantly increased, the renal MDA and MPO levels and TGF-β1 protein and mRNA expression levels were significantly increased, while the T-AOC was significantly decreased (all P<0.05), whereas the changing amplitudes in all above parameters in sinomenine treatment group were significantly less than those in model group (all P<0.05). Conclusion: Sinomenine has protective effect against renal injury in OJ rats, and the mechanism may be associated with its antioxidation effects and inhibition of TGF-β1 expression.

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尚喜雨,吴刚,孙少珍,门翔,柯涛,吴建勇,刘庆春,张冬.青藤碱对梗阻性黄疸大鼠急性肾损伤的保护作用[J].中国普通外科杂志,2014,23(8):1077-1081.
DOI:10.7659/j. issn.1005-6947.2014.08.013

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  • 收稿日期:2014-04-04
  • 最后修改日期:2014-07-15
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  • 在线发布日期: 2014-08-15