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六味地黄丸改善大鼠缺血/再灌注诱导的肾损伤。

Yukmijihwang-tang ameliorates ischemia/reperfusion-induced renal injury in rats.

作者信息

Kang Dae Gill, Sohn Eun Jin, Moon Mi Kyoung, Mun Yeun Ja, Woo Won Hong, Kim Myung Kyu, Lee Ho Sub

机构信息

Professional Graduate School of Oriental Medicine, Wonkwang University, Iksan, Jeonbuk 570-749, Republic of Korea.

出版信息

J Ethnopharmacol. 2006 Mar 8;104(1-2):47-53. doi: 10.1016/j.jep.2005.08.044. Epub 2005 Sep 23.

Abstract

The present study was designed to examine whether Yukmijihwang-tang (YJT), which is a Korean decoction for the treatment of renal disease, has an effect on renal functional parameters in association with the expression of aquaporin 2 (AQP 2), Na,K-ATPase, heme oxygenase-1 (HO-1) in rats with ischemia/reperfusion-induced acute renal failure (ARF). Polyuria caused by down-regulation of renal AQP 2 in the ischemia/reperfusion-induced ARF rats was markedly restored by administration of YJT (100 or 200 mg/kg, p.o.) with restoring expression of AQP 2 in the kidney. The expressions of Na,K-ATPase alpha1 and beta1 subunits in the renal medulla and cortex of the ARF rats were also restored in them by the administration of YJT. Administration of YJT lowered the expression of renal HO-1, which was up-regulated in rats with ischemia/reperfusion-induced ARF. The renal functional parameters including creatinine clearance, urinary sodium excretion, urinary osmolality, and solute-free reabsorption were also markedly restored in ischemia-ARF rats by administration of YJT. Histological study also showed that renal damages in the ARF rats were abrogated by administration of YJT. Taken together, these data indicate that YJT ameliorates renal defects in rats with ischemia/reperfusion-induced ARF.

摘要

本研究旨在探讨治疗肾脏疾病的韩国煎剂六味地黄丸(YJT)是否对缺血/再灌注诱导的急性肾衰竭(ARF)大鼠的肾功能参数有影响,以及其与水通道蛋白2(AQP 2)、钠钾ATP酶、血红素加氧酶-1(HO-1)表达的关系。在缺血/再灌注诱导的ARF大鼠中,通过给予YJT(100或200 mg/kg,口服),肾AQP 2下调引起的多尿明显恢复,同时肾脏中AQP 2的表达也得以恢复。给予YJT后,ARF大鼠肾髓质和皮质中钠钾ATP酶α1和β1亚基的表达也得以恢复。给予YJT可降低缺血/再灌注诱导的ARF大鼠中上调的肾HO-1的表达。给予YJT后,缺血性ARF大鼠的肾功能参数包括肌酐清除率、尿钠排泄、尿渗透压和无溶质重吸收也明显恢复。组织学研究还表明,给予YJT可消除ARF大鼠的肾损伤。综上所述,这些数据表明YJT可改善缺血/再灌注诱导的ARF大鼠的肾脏缺陷。

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