Li Ping, Gong Yuewen, Zu Ning, Li Yajun, Wang Bin, Shimizu Fujio
Department of Pharmacology, Institute of Clinical Medical Sciences, China-Japan Friendship Hospital, Beijing, China.
Nephron Exp Nephrol. 2005;101(4):e111-8. doi: 10.1159/000087437. Epub 2005 Aug 11.
Mesangioproliferative glomerulonephritis is a common kidney disease and at present, there is no effective treatment. Our previous studies have demonstrated that Sairei-to can significantly prevent progression of experimental glomerulonephritis in rats. Although we have reported that the active component of Sairei-to in treatment of glomerulonephritis was Saikosaponin-d (Ssd), mechanism of Ssd in prevention of mesangioproliferative glomerulonephritis progression is still unknown. Therefore, current study examines the effects of Ssd on progression of mesangioproliferative glomerulonephritis induced by anti-Thy1 monoclonal antibody 1-22-3 (mAb 1-22-3) in uninephrectomized rats.
Eighteen female Wistar rats first received uninephrectomy and mAb 1-22-3 injection and were then divided into 3 groups: treated daily with phosphate-buffered saline (PBS), 0.6 or 1.8 mg/kg of Ssd. Urinary protein concentration and systolic blood pressure were evaluated and the kidneys were collected and subjected to histological and immunohistological evaluation. The mRNA and protein of the kidneys were extracted and subjected to reverse transcriptase polymerase chain reaction and Western blot analysis, respectively.
Ssd reduced the amount of urinary protein and systolic blood pressure. Ssd administration also decreased extracellular matrix expansion, crescentic formation as well as infiltration of macrophages and CD8+ T lymphocytes. Moreover, Ssd significantly reduced expression of transforming growth factor beta 1 (TGF-beta1) and type I collagen in the kidneys.
Ssd inhibits the progression of mesangioproliferative glomerulonephritis through reduction of the expression of TGF-beta1 and the infiltration of macrophages and CD8+ T lymphocytes.
系膜增生性肾小球肾炎是一种常见的肾脏疾病,目前尚无有效的治疗方法。我们之前的研究表明,柴苓汤能显著预防大鼠实验性肾小球肾炎的进展。尽管我们已经报道柴苓汤治疗肾小球肾炎的活性成分是柴胡皂苷d(Ssd),但Ssd预防系膜增生性肾小球肾炎进展的机制仍不清楚。因此,本研究探讨Ssd对单侧肾切除大鼠抗Thy1单克隆抗体1-22-3(mAb 1-22-3)诱导的系膜增生性肾小球肾炎进展的影响。
18只雌性Wistar大鼠首先接受单侧肾切除和mAb 1-22-3注射,然后分为3组:每天分别用磷酸盐缓冲盐水(PBS)、0.6或1.8 mg/kg的Ssd进行处理。评估尿蛋白浓度和收缩压,并收集肾脏进行组织学和免疫组织学评估。提取肾脏的mRNA和蛋白质,分别进行逆转录聚合酶链反应和蛋白质免疫印迹分析。
Ssd减少了尿蛋白量和收缩压。给予Ssd还减少了细胞外基质扩张、新月体形成以及巨噬细胞和CD8+ T淋巴细胞的浸润。此外,Ssd显著降低了肾脏中转化生长因子β1(TGF-β1)和I型胶原的表达。
Ssd通过降低TGF-β1的表达以及巨噬细胞和CD8+ T淋巴细胞的浸润来抑制系膜增生性肾小球肾炎的进展。