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人参皂苷Rg1对肾间质纤维化大鼠肾组织肝细胞生长因子及转化生长因子-β_1的影响
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  • 英文篇名:Effects of ginsenoside Rg1 on hepatocyte growth factor and transforming growth factor-β_1 in the kidney of rats with renal interstitial fibrosis
  • 作者:吴胜斌 ; 王应灯
  • 英文作者:WU Shengbin;WANG Yingdeng;Department of Nephrology, the Ninth People's Hospital of Shanghai Jiaotong University School of Medicine;
  • 关键词:肾间质纤维化 ; 人参皂苷Rg1 ; 肝细胞生长因子 ; 转化生长因子-β_1
  • 英文关键词:renal interstitial fibrosis;;ginsenoside Rg1;;hepatocyte growth factor;;transforming growth factor-β_1
  • 中文刊名:HNZD
  • 英文刊名:Journal of Chinese Practical Diagnosis and Therapy
  • 机构:上海交通大学医学院附属第九人民医院肾脏内科;
  • 出版日期:2019-05-16 18:16
  • 出版单位:中华实用诊断与治疗杂志
  • 年:2019
  • 期:v.33
  • 基金:上海市自然科学基金(09ZR417400)
  • 语种:中文;
  • 页:HNZD201905002
  • 页数:4
  • CN:05
  • ISSN:41-1400/R
  • 分类号:12-15
摘要
目的探讨人参皂苷Rg1对肾间质纤维化(renal interstitial fibrosis, RIF)大鼠肾组织肝细胞生长因子(hepatocyte growth factor, HGF)、转化生长因子-β_1(transforming growth factor-β_1, TGF-β_1)的调节作用。方法 60只SD大鼠随机分为观察组、对照组各30只。2组大鼠均应用腺嘌呤混悬液150 mg/(kg·d)灌胃,连续17周,制备RIF模型。造模成功后观察组腹腔注射人参皂苷Rg1 20 mL/(kg·d),连续17周;对照组腹腔注射等量生理盐水。分别于造模成功、干预17周时留取24 h尿量;采集腹主动脉血测定血肌酐水平;各组均处死15只大鼠取肾组织行病理检查,评估肾小管、肾间质损伤程度,免疫组织化学法检测肾间质Ⅰ、Ⅲ、Ⅳ型胶原及纤维连接蛋白(fibronectin, FN)、HGF、TGF-β_1表达。结果 2组造模成功时血肌酐、24 h尿量比较差异无统计学意义(P>0.05);干预17周2组血肌酐均较造模成功时降低(P<0.05)、24 h尿量较造模成功时减少(P<0.05),且观察组变化较对照组明显(P<0.05);观察组和对照组造模成功时肾间质Ⅰ型胶原(20.32±3.35、20.83±5.73)、Ⅲ型胶原(10.36±3.37、11.25±2.62)、Ⅳ型胶原(12.40±5.13、13.86±2.23)、FN(9.39±1.35、9.95±2.25)、HGF(6.58±2.37、6.25±1.15)、TGF-β_1(28.83±3.36、28.15±5.29)蛋白积分吸光度(optical density, OD)值比较差异无统计学意义(P>0.05),干预17周Ⅰ型胶原(8.83±1.54、13.22±1.67)、Ⅲ型胶原(3.63±0.62、6.58±1.49)、Ⅳ型胶原(5.50±1.24、10.65±0.94)、FN(4.72±0.63、7.05±0.41)、TGF-β_1(13.93±0.62、23.58±0.49)蛋白积分OD值均较造模成功时降低(P<0.05),HGF蛋白积分OD值(17.83±0.94、8.90±0.87)较造模成功时增高(P<0.05),且观察组变化较对照组明显(P<0.05);对照组和观察组造模成功时肾小管损伤评分[(2.89±0.58)、(2.80±0.26)分]、肾间质损伤评分[(2.95±0.36)、(2.98±0.31)分]比较差异无统计学意义(P>0.05),干预17周肾小管损伤评分[(2.33±0.16)、(0.83±0.27)分]、肾间质损伤评分[(2.56±0.33)、(0.73±0.15)分]均较造模成功时降低(P<0.05),且观察组变化较对照组明显(P<0.05)。结论人参皂苷Rg1可通过上调肾间质HGF水平,抑制TGF-β_1表达来延缓RIF进展,发挥肾组织保护作用。
        Objective To investigate the role of ginsenoside Rg1 in regulating hepatocyte growth factor(HGF) and transforming growth factor-β_1(TGF-β_1) in the kidney of rats with renal interstitial fibrosis(RIF). Methods Sixty SD rats were randomly divided into observation group and control group, with 30 rats in each group. Both groups received lavage with adenine suspension 150 mg/(kg·d) for 17 weeks to prepare RIF models. After modeling, observation group was intraperitoneally injected with ginsenoside Rg1 20 mL/(kg·d) for 17 weeks, and control group was intraperitoneally injected with the same volume of normal saline. The 24 h urine volumes and the serum creatinine levels in the abdominal aorta were measured in both groups after modeling and 17-week intervention, respectively. Fifteen rats were sacrificed for pathological examination to evaluate the degree of renal tubular and renal interstitial damage. Immunohistochemistry was used to detect the expressions of typeⅠ,Ⅲ and Ⅳ collagen,fibronectin(FN),HGF and TGF-β1 in renal interstitial cells.Results There were no significant differences in serum creatinine and 24 hurine volume after modeling between two groups(P>0.05).The serum creatinine was significantly lower and 24 hurine volume was significantly less after17-week intervention than that after modeling(P<0.05),which was more obvious in observation group(P<0.05).There were no significant differences in the optical density(OD)values of renal interstitial typeⅠcollagen(20.32±3.35 vs.20.83±5.73),typeⅢ collagen(10.36±3.37 vs.11.25±2.62),type Ⅳ collagen(12.40±5.13 vs.13.86±2.23),FN(9.39±1.35 vs.9.95±2.25),HGF(6.58±2.37 vs.6.25±1.15)and TGF-β1(28.83±3.36 vs.28.15±5.29)after modeling between observation group and control group(P>0.05).The OD values of type Ⅰ collagen(8.83±1.54,13.22±1.67),typeⅢcollagen(3.63±0.62,6.58±1.49),typeⅣ collagen(5.50±1.24,10.65±0.94),FN(4.72±0.63,7.05±0.41),and TGF-β1(13.93±0.62,23.58±0.49)protein after 17-week intervention were significantly lower than those after modeling in both groups(P<0.05),and the OD values of HGF protein(17.83±0.94,8.90±0.87)were significantly higher than those after modeling(P<0.05),which was more obvious in observation group(P<0.05).There were no significant differences in renal tubular injury scores(2.89±0.58 vs.2.80±0.26)and renal interstitial injury scores(2.95±0.36 vs.2.98±0.31)after modeling between control group and observation group(P>0.05).The renal tubular injury scores(2.33±0.16,0.83±0.27)and renal interstitial injury scores(2.56±0.33,0.73±0.15)after 17-week intervention were significantly lower than those after modeling in control group and observation group(P<0.05),which was more obvious in observation group(P<0.05).Conclusion Ginsenoside Rg1 can slow the progression of RIF to protect the renal tissue by up-regulating renal interstitial HGF levels and inhibiting TGF-β1 expression.
引文
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