1. 天津中医药大学第一附属医院肾病科
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[1]张文雷,王耀光.益气通络方改善单侧输尿管梗阻大鼠肾间质纤维化作用及其机制探讨[J].北京中医药,2020,39(09):916-921+1009.
ZHANG Wen-lei, WANG Yao-guang. Effect and mechanism study of Yiqi Tongluo Formula on renal interstitial fibrosis in rats with unilateral ureteral obstruction[J]. Beijing Journal of Traditional Chinese Medicine, 2020,39(9):916-921.
[1]张文雷,王耀光.益气通络方改善单侧输尿管梗阻大鼠肾间质纤维化作用及其机制探讨[J].北京中医药,2020,39(09):916-921+1009. DOI: 10.16025/j.1674-1307.2020.09.004.
ZHANG Wen-lei, WANG Yao-guang. Effect and mechanism study of Yiqi Tongluo Formula on renal interstitial fibrosis in rats with unilateral ureteral obstruction[J]. Beijing Journal of Traditional Chinese Medicine, 2020,39(9):916-921. DOI: 10.16025/j.1674-1307.2020.09.004.
目的观察益气通络方对单侧输尿管梗阻(UUO)大鼠肾间质纤维化的改善作用及其对肾组织Wnt4、β-catenin及TGF-β1蛋白表达的影响。方法健康成年SD大鼠96只,随机分为假手术组,模型组,益气通络方低、中、高剂量组及氯沙坦组,每组16只。除假手术组外,各组大鼠均以结扎左侧输尿管制备单侧输尿管梗阻肾纤维化模型。假手术组和模型组予生理盐水灌胃,中药低、中、高剂量组和氯沙坦组灌胃相应浓度药物。各组分别于造模第7、14 d处死8只大鼠,采血检测血清肌酐(SCr)和血尿素氮(BUN)水平;取手术侧肾脏组织进行HE染色和Masson染色观察肾组织的病理改变,并应用Western blot检测大鼠肾组织Wnt4、β-catenin及TGF-β1蛋白的表达情况。结果假手术组大鼠肾组织结构正常,与相同时间点的假手术组比较,模型组大鼠出现肾间质纤维化,SCr和BUN水平均升高,肾组织中Wnt4、β-catenin及TGF-β1蛋白表达均显著增高,差异有统计学意义(P<0.05),且随着输尿管梗阻时间延长,肾间质纤维化程度加重,肾功能下降更明显,肾组织内Wnt4、β-catenin及TGF-β1蛋白的表达增加更为明显;与相同时间点的模型组相比较,益气通络方低、中、高剂量组和氯沙坦组肾间质纤维化程度有所减轻,肾组织中Wnt4、β-catenin及TGF-β1蛋白的表达均有所降低,差异有统计学意义(P<0.05)。结论 UUO大鼠肾组织Wnt/β-catenin信号通路活化,并可能介导了TGF-β1的转录,益气通络方可能通过阻断Wnt/β-catenin信号通路的活化,下调TGF-β1的表达,发挥抗肾间质纤维化作用。
Objective To observe the effect of Yiqi Tongluo Formula on the protein expression of Wnt4, β-catenin, and Transforming Growth Factor-β1(TGF-β1) in rats’ kidney with unilateral ureteral obstruction(UUO).Methods Ninety six healthy adult SD rats were randomly divided into sham operation group, model group, low, medium and high dose Yiqi Tongluo Formula groups and losartan group respectively, with 16 rats in each group.Except the sham operation group, unilateral ureteral obstruction renal fibrosis model was established by ligating the left ureter.The sham operation group and model group were given normal saline by gavage, and the low, medium and high dose groups of traditional Chinese medicine and losartan group were given the medicines by gavage according to the corresponding drug concentration; 8 rats in each group were killed at random on the 7 th and 14 th day after modeling, and the blood samples were collected to detect the levels of serum creatinine(SCr) and blood urea nitrogen(BUN).The pathological changes of renal tissue were observed by HE staining and Masson staining, and the expression of Wnt4, β-catenin and TGF-β1 protein in renal tissues were detected by Western blot.Results The kidney tissue of the sham operation group was normal.Compared with the sham operation group at the same time point, renal interstitial fibrosis was found in the model group, SCr and BUN levels were increased, Wnt4, β-Catenin and TGF-β1 protein expression in renal tissues were significantly increased and the differences were statistically significant(P<0.05), and with the longer ureteral obstruction, the renal interstitial fibrosis got worse, the renal function reduced more, Wnt4, β-Catenin and TGF-β1 protein expression in renal tissues significantly increased.Compared with the model group at the same time point, the degree of renal interstitial fibrosis was alleviated, Wnt4, β-Catenin and TGF-β1 protein expression in renal tissues significantly decreased, and the differences were statistically significant(P<0.05) in low, medium an high-dose Yiqi Tongluo Decoction group and the Losartan group.Conclusion Wnt/β-catenin signaling pathway is activated in the renal tissues of UUO rats, which may mediate the transcription of TGF-β1.Yiqi Tongluo Formula may inhibit the activation of Wnt/β-catenin signaling pathway and down-regulate the expression of TGF-β1, thus playing an anti-renal fibrosis role.
益气通络方输尿管梗阻肾间质纤维化Wnt/β-catenin通路TGF-β1大鼠
Yiqi Tongluo FormulaUUO ratsrenal interstitial fibrosisWnt/β-catenin pathwayTGF-β1rat
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