Xiao Li-jia, Li Ya-jie, Yu Yue-ming, Pan Xing-hua, Cao Li-ying, Yang Yong-qin
Department of Nursing, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
Nan Fang Yi Ke Da Xue Xue Bao. 2006 May;26(5):561-3.
To observe the effect of autologous bone marrow stem cell (BMSC) transplantation via the renal artery on renal function recovery following renal ischemic-reperfusion (I/R) injury in rabbits.
BMSCs were collected and isolated from rabbits. Twenty-eight rabbits were subjected to renal pedicle clamping for 105 min and randomized subsequently into transplantation group and control group. BMSCs or saline were injected into the kidney via the renal artery, respectively. Before and 1, 3, 5, 7, 14, 21, and 28 days after I/R injury the venous blood was collected to measure the serum levels of SCr and BUN, and the renal tissue was sampled for pathological observation.
One and 3 days after I/R injury, serum Cr and BUN levels increased significantly to the highest level in both groups. On the 7th day serum Cr and BUN levels in the transplantation group were lower than those in control group and remained so till the end of the experiment. On the 28th day, the levels of serum Cr (90.1+/-11.1 micromol/L) and BUN (8.0+/-1.5 mmol/L) in the transplantation group were significantly lower than those in the control group (135.6+/-32.5 micromol/L and 10.9+/-2.5 mmol/L, respectively, P<0.05). Pathological observation of the renal tissue revealed renal tubular epithelial cell degeneration, necrosis and abscission.
BMSC transplantation can accelerate renal function repair after acute tubular necrosis resulting from I/R injury, and decrease serum Cr and BUN levels in early stage following the injury.
观察经肾动脉自体骨髓干细胞(BMSC)移植对兔肾缺血再灌注(I/R)损伤后肾功能恢复的影响。
从兔体内采集并分离BMSC。28只兔肾蒂钳夹105分钟,随后随机分为移植组和对照组。分别经肾动脉将BMSC或生理盐水注入肾脏。在I/R损伤前及损伤后1、3、5、7、14、21和28天采集静脉血,检测血清肌酐(SCr)和尿素氮(BUN)水平,并取肾组织进行病理观察。
I/R损伤后1天和3天,两组血清Cr和BUN水平均显著升高至最高水平。第7天,移植组血清Cr和BUN水平低于对照组,且直至实验结束一直保持较低水平。第28天,移植组血清Cr(90.1±11.1微摩尔/升)和BUN(8.0±1.5毫摩尔/升)水平显著低于对照组(分别为135.6±32.5微摩尔/升和10.9±2.5毫摩尔/升,P<0.05)。肾组织病理观察显示肾小管上皮细胞变性、坏死及脱落。
BMSC移植可加速I/R损伤所致急性肾小管坏死术后肾功能的修复,并降低损伤后早期血清Cr和BUN水平。