Parry Sarah N, Ellis Natasha, Li Zhe, Maitz Peter, Witting Paul K
Vascular Biology Group, ANZAC Research Institute, Concord, NSW, Australia.
Kidney Blood Press Res. 2008;31(1):16-28. doi: 10.1159/000112921. Epub 2008 Jan 8.
Muscle degradation caused by severe burn releases myoglobin (Mb), which accumulates in the kidney (termed myoglobinuria). Mb is a pro-oxidant.
To demonstrate that Mb promotes oxidative stress and dysfunction in cultured Madin-Darby canine kidney type II (MDCK II) cells.
The glutathione redox ratio was used to monitor oxidative stress. Regulation of antioxidant response genes was determined with RT-PCR. Propidium iodide and annexin V staining were markers of necrosis and apoptosis, respectively. Mitochondrial function was assessed by monitoring mitochondrial depolarisation. Endocytosis was determined with immune fluorescence microscopy, and monolayer permeability was monitored with labelled inulin.
Kidney epithelial cells exposed to (0-100 muM) Mb showed a dose-dependent decrease in the glutathione redox ratio indicative of enhanced oxidative stress. In parallel, the expression of antioxidant genes for superoxide dismutase (SOD)-1/2, inducible haemoxygenase (HO-1) and catalase (CAT) increased in MDCK II cells, coupled with increases in corresponding activity. Notably, apoptosis and necrosis remained unaffected. However, transferrin endocytosis and monolayer permeability decreased significantly, while clathrin distribution and mitochondrial function were unaffected.
Low concentrations of Mb promote oxidative stress in kidney epithelial cells that manifest as subtle changes to function without decreasing viability. Whether this impairs kidney function in burns patients is not clear.
严重烧伤引起的肌肉降解会释放肌红蛋白(Mb),其在肾脏中蓄积(称为肌红蛋白尿)。Mb是一种促氧化剂。
证明Mb可促进犬肾II型(MDCK II)细胞培养中的氧化应激和功能障碍。
使用谷胱甘肽氧化还原比监测氧化应激。通过逆转录聚合酶链反应(RT-PCR)确定抗氧化反应基因的调控。碘化丙啶和膜联蛋白V染色分别是坏死和凋亡的标志物。通过监测线粒体去极化评估线粒体功能。用免疫荧光显微镜测定内吞作用,并用标记的菊粉监测单层通透性。
暴露于(0 - 100 μM)Mb的肾上皮细胞显示谷胱甘肽氧化还原比呈剂量依赖性降低,表明氧化应激增强。同时,MDCK II细胞中超氧化物歧化酶(SOD)-1/2、诱导型血红素加氧酶(HO-1)和过氧化氢酶(CAT)的抗氧化基因表达增加,相应活性也增加。值得注意的是,凋亡和坏死未受影响。然而,转铁蛋白内吞作用和单层通透性显著降低,而网格蛋白分布和线粒体功能未受影响。
低浓度的Mb可促进肾上皮细胞中的氧化应激,表现为功能的细微变化但不降低活力。这是否会损害烧伤患者的肾功能尚不清楚。