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左旋肉碱可改善甘油诱导的大鼠肌红蛋白尿性急性肾衰竭。

L-Carnitine ameliorates glycerol-induced myoglobinuric acute renal failure in rats.

作者信息

Ustundag Sedat, Sen Saniye, Yalcin Omer, Ciftci Senturk, Demirkan Bora, Ture Mevlut

机构信息

Trakya University Faculty of Medicine, Department of Nephrology, Edirne, Turkey.

出版信息

Ren Fail. 2009;31(2):124-33. doi: 10.1080/08860220802599130.

Abstract

There is increasing evidence indicating that oxidative stress plays an important role in the pathogenesis of rhabdomyolysis-induced myoglobinuric acute renal failure (ARF). During times of war and natural disasters, myoglobinuric ARF can assume epidemic proportions. Thus, early and effective renoprotective treatments are of utmost importance. It has been shown that L-carnitine, used as a safe and effective nutritional supplement for more than three decades, is effective in preventing renal injury in many renal injury models involving oxidative stress. The present study was performed to investigate the effects of L-carnitine in an experimental model of myoglobinuric ARF. Four groups of rats were employed in this study: group 1 served as a control; group 2 was given glycerol (10 mL/kg, i.m.); group 3 was given glycerol plus L-carnitine (100 mg/kg, i.p.), starting at the same time as the glycerol injection; group 4 was given glycerol plus L-carnitine (100 mg/kg, i.p.), starting 48h before the glycerol injection. After glycerol injections, the i.p. injections of L-carnitine were repeated every 24h for four days. Ninety-six hours after glycerol injections, blood samples and kidney tissues were taken from the anesthetized rats. Urea and creatinine levels in plasma, N-acetyl-beta-D-glucosaminidase activity in urine, and malondialdehyde levels and catalase enzyme activity in kidney tissue were determined. Histopathological changes and iron accumulation in the kidney tissue were evaluated. In this study, glycerol administration led to marked renal oxidative stress, as well as severe functional and morphological renal deterioration. L-carnitine, possibly via its antioxidant properties, ameliorates glycerol-induced myoglobinuric kidney injury.

摘要

越来越多的证据表明,氧化应激在横纹肌溶解诱导的肌红蛋白尿性急性肾衰竭(ARF)的发病机制中起重要作用。在战争和自然灾害期间,肌红蛋白尿性ARF可能会呈现流行态势。因此,早期有效的肾脏保护治疗至关重要。已有研究表明,作为一种安全有效的营养补充剂使用了三十多年的L-肉碱,在许多涉及氧化应激的肾损伤模型中对预防肾损伤有效。本研究旨在探讨L-肉碱在肌红蛋白尿性ARF实验模型中的作用。本研究使用了四组大鼠:第1组作为对照组;第2组给予甘油(10 mL/kg,腹腔注射);第3组在注射甘油的同时给予甘油加L-肉碱(100 mg/kg,腹腔注射);第4组在注射甘油前48小时给予甘油加L-肉碱(100 mg/kg,腹腔注射)。注射甘油后,每24小时腹腔注射一次L-肉碱,共注射四天。注射甘油96小时后,从麻醉的大鼠身上采集血样和肾组织。测定血浆中的尿素和肌酐水平、尿液中的N-乙酰-β-D-氨基葡萄糖苷酶活性以及肾组织中的丙二醛水平和过氧化氢酶活性。评估肾组织的组织病理学变化和铁蓄积情况。在本研究中,给予甘油导致明显的肾脏氧化应激以及严重的肾脏功能和形态学恶化。L-肉碱可能通过其抗氧化特性改善甘油诱导的肌红蛋白尿性肾损伤。

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