Kelly F J, Anderson S, Thompson M M, Oyama T T, Kennefick T M, Corless C L, Roman R J, Kurtzberg L, Pratt B M, Ledbetter S R
Division of Nephrology and Hypertension, Oregon Health Sciences University, Portland, USA.
J Am Soc Nephrol. 1999 Jun;10(6):1264-73. doi: 10.1681/ASN.V1061264.
The expression of transforming growth factor-beta (TGF-beta) correlates with the incidence of renal glomerular and interstitial injury, however, nothing is known of the effect of these proteins on renal hemodynamics. This study examines the renal hemodynamic and morphologic effects of recombinant human TGF-beta2 in normal male Sprague Dawley rats. Acute infusion of TGF-beta (1.2 microg/kg per min) induced no hemodynamic changes, except for a modest though significant fall in mean arterial pressure. Administering TGF-beta2 at varying doses (20, 100, and 400 microg/kg) for 9 wk caused modest increases in systolic BP and proteinuria and minimal tubular interstitial fibrosis, however, renal hemodynamic end points were not significantly altered. TGF-beta2 (800 microg/kg) was also administered to volume-depleted rats for 7 consecutive days. In contrast to the findings in volume-replete animals, administration of TGF-beta2 to volume-depleted rats caused a marked reduction in GFR and medullary blood flow. Histologic fibrosis of the medullary vasa recta and cortical interstitium was seen, but glomeruli were unaffected. Thus, acute and short-term chronic TGF-beta2 administration did not induce major renal changes in the volume-replete state, however, TGF-beta2 combined with volume depletion caused medullary hypoperfusion and reduced GFR.
转化生长因子-β(TGF-β)的表达与肾小球和间质损伤的发生率相关,然而,这些蛋白质对肾血流动力学的影响尚不清楚。本研究检测了重组人TGF-β2对正常雄性Sprague Dawley大鼠的肾血流动力学和形态学影响。急性输注TGF-β(1.2微克/千克每分钟)除导致平均动脉压适度但显著下降外,未引起血流动力学变化。以不同剂量(20、100和400微克/千克)给予TGF-β2 9周,导致收缩压和蛋白尿适度增加,肾小管间质纤维化轻微,但肾血流动力学终点未发生显著改变。还对容量不足的大鼠连续7天给予TGF-β2(800微克/千克)。与容量充足动物的结果相反,对容量不足的大鼠给予TGF-β2导致肾小球滤过率和髓质血流量显著降低。可见髓质直小血管和皮质间质的组织学纤维化,但肾小球未受影响。因此,急性和短期慢性给予TGF-β2在容量充足状态下未引起主要的肾脏变化,然而,TGF-β2与容量不足相结合导致髓质灌注不足和肾小球滤过率降低。