Li Jun-ling, Zheng Fa-lei, Tan Hui-bing, Li Yan
Department of Nephrology, PUMC Hospital, CAMS and PUMC, Beijing 100730, China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2004 Feb;26(1):56-61.
To examine the changes of expressions of orexin A, orexin receptor-1 (OX1R), prepro-orexin (Prepro-OX) mRNA, OX1R mRNA and ob-R of hypothalamus in rats with chronic renal failure (CRF).
Sixty-two male Wister rats weighing 200-250 g were divided into three groups, including group 1 (normal, n = 5), group 2 (sham-operated, n = 25) and group 3 (CRF, n = 32). Hypothalamus orexin A was assayed by radioimmunoassay. Serum leptin was assayed by enzyme linked immunosorbent assay. The expression of Prepro-OX mRNA and OX1R mRNA of hypothalamus were measured by reverse transcription polymerase chain reaction, and expression of orexin A, OX1R and ob-R by immunohistochemistry. Automatic biochemical analyzer was used to measure the serum creatinine.
Hypothalamus orexin A levels were negatively correlated (r = -0.63, P < 0.001) with serum leptin levels in the rats. The expression of hypothalamus Prepro-OX mRNA in CRF rats was significantly lower than that of sham-operation at week 12 (P < 0.01). Hypothalamus Prepro-OX mRNA levels were negatively correlated (r = -0.81, P < 0.001) with the levels of serum leptin and serum creatinine (r = -0.68, P < 0.05) in the rats at week 12. The expression of hypothalamus OX1R mRNA in CRF rats was lower than that of sham-operation at week 12 (P > 0.05). Specific immunoreactivity for orexin A was present in perikeryon of the hypothalamus neuron. Specific OX1R-like immunoreactivity was observed in some nerve fibres. Specific immunoreactivity for ob-R was present in membranes of the hypothalamus neuron. Hypothalamus neurons of orexin A-like specific immunoreactivity in CRF rats were significantly fewer than those in shamoperated rats at week 8. Hypothalamus neurons of OX1R-like specific immunoreactivity in CRF rats were similar to those in sham-operated rat at week 8. Hypothalamus neurons of ob-R-like specific immunoreactivity in CRF rats were significantly more than those in sham-operated rats at week 8.
The lower hypothalamus orexin A levels may be induced by high serum leptin level in CRF rats. The lower expression of hypothalamus Prepro-OX mRNA in CRF rats may be one of the main causes inducing lower hypothalamus orexin A. The expression of OX1R in hypothalamus neurons is somewhat reduced and the expression of ob-R in hypothalamus neurons is somewhat raised in CRF rats. These remain to be studied further.
研究慢性肾衰竭(CRF)大鼠下丘脑食欲素A、食欲素受体-1(OX1R)、前食欲素原(Prepro-OX)mRNA、OX1R mRNA及瘦素受体(ob-R)表达的变化。
将62只体重200-250 g的雄性Wistar大鼠分为3组,即正常组(n = 5)、假手术组(n = 25)和CRF组(n = 32)。采用放射免疫法检测下丘脑食欲素A。采用酶联免疫吸附法检测血清瘦素。采用逆转录聚合酶链反应检测下丘脑Prepro-OX mRNA和OX1R mRNA的表达,采用免疫组织化学法检测食欲素A、OX1R和ob-R的表达。用自动生化分析仪检测血清肌酐。
大鼠下丘脑食欲素A水平与血清瘦素水平呈负相关(r = -0.63,P < 0.001)。CRF大鼠在第12周时下丘脑Prepro-OX mRNA的表达显著低于假手术组(P < 0.01)。在第12周时,大鼠下丘脑Prepro-OX mRNA水平与血清瘦素水平呈负相关(r = -0.81,P < 0.001),与血清肌酐水平呈负相关(r = -0.68,P < 0.05)。CRF大鼠在第12周时下丘脑OX1R mRNA的表达低于假手术组(P > 0.去)。下丘脑神经元胞周可见食欲素A特异性免疫反应。在一些神经纤维中观察到特异性OX1R样免疫反应。下丘脑神经元膜可见ob-R特异性免疫反应。在第8周时,CRF大鼠下丘脑食欲素A样特异性免疫反应的神经元明显少于假手术组大鼠。在第8周时,CRF大鼠下丘脑OX1R样特异性免疫反应的神经元与假手术组大鼠相似。在第8周时,CRF大鼠下丘脑ob-R样特异性免疫反应的神经元明显多于假手术组大鼠。
CRF大鼠下丘脑食欲素A水平降低可能是高血清瘦素水平所致。CRF大鼠下丘脑Prepro-OX mRNA表达降低可能是下丘脑食欲素A降低的主要原因之一。CRF大鼠下丘脑神经元中OX1R的表达有所降低,ob-R的表达有所升高。这些仍有待进一步研究。