Li Xiang, He Da-lin, Cheng Xing-fa, Zhang Lin-lin, Yu Lin-hua, Li Jian-jun
Institute of Urology, Key Laboratory of Environment and Genes Related to Diseases, Ministry of Education, Xi ' an Jiaotong University, Xi ' an 710061, China.
Zhongguo Zhong Yao Za Zhi. 2005 Oct;30(20):1606-9.
To investigate the effective components of Astragalus mongholicus and their mechanisms in alleviating extracorporeal shock wave lithotripsy (ESWL) induced kidney injury.
69 male rabbits were randomly assigned into control group, sham treatment group, Total Saponins of Astragalus (TSA) group, Total Flavonoids of Astragalus (TFA) group, and Total Polysaccharide of Astragalus group (TPA). The shock wave treated kidneys were observed for the expression of p-selectin and the change of cells ultrastructure pre and post ESWL. The concentration of Maleic Dialdehyde (MDA) as well as activity of superoxide dismutase (SOD) in the kidney tissues was also analyzed.
After application of shock wave treatment, p-selectin was expressed extensively in renal glomerulus, renal tubules and renal interstitium of the treated kidneys. It showed a significant increase of MDA levels and decrease of SOD activity in control group (P < 0.05) after ESWL. The comparison between controls and TSA group demonstrated that TSA could significantly reduce the positive rate of p-selectin P < 0.05) and alleviate the injuries of cells ultrastructure. The results also showed a significant decrease of MDA levels and increase of SOD activity in TSA group compared to controls (P < 0.05). The protective effects of TFA and TPA in alleviating kidney injury induced by shock wave were lower than those of TSA; they had no effects of the expression of P-selectin.
TSA is the main components of A. mongholicus in alleviating shock wave induced kidney injury not only by scavenging oxygen free radicals but also inhibiting the expression of p-selectin.
探讨黄芪有效成分及其减轻体外冲击波碎石术(ESWL)所致肾损伤的机制。
将69只雄性家兔随机分为对照组、假治疗组、黄芪总皂苷(TSA)组、黄芪总黄酮(TFA)组和黄芪总多糖组(TPA)。观察冲击波处理后肾脏中p-选择素的表达以及ESWL前后细胞超微结构的变化。同时分析肾组织中丙二醛(MDA)浓度和超氧化物歧化酶(SOD)活性。
冲击波处理后,p-选择素在处理后肾脏的肾小球、肾小管和肾间质中广泛表达。ESWL后对照组MDA水平显著升高,SOD活性降低(P<0.05)。对照组与TSA组比较显示,TSA可显著降低p-选择素阳性率(P<0.05),减轻细胞超微结构损伤。结果还显示,与对照组相比,TSA组MDA水平显著降低,SOD活性升高(P<0.05)。TFA和TPA减轻冲击波所致肾损伤的保护作用低于TSA;它们对P-选择素的表达无影响。
TSA是黄芪减轻冲击波所致肾损伤的主要成分,其不仅通过清除氧自由基,还通过抑制p-选择素的表达发挥作用。