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在单侧输尿管梗阻的缺乏血管紧张素原基因的小鼠中,肾脏损伤受到抑制。

Renal damage inhibited in mice lacking angiotensinogen gene subjected to unilateral ureteral obstruction.

作者信息

Uchida Yasumitsu, Miyajima Akira, Kikuchi Eiji, Kozakai Norihide, Kosaka Takeo, Ieda Masaki, Fukuda Keiichi, Ohigashi Takashi, Oya Mototsugu

机构信息

Department of Urology, Keio University School of Medicine, Tokyo, Japan.

出版信息

Urology. 2009 Oct;74(4):938-43. doi: 10.1016/j.urology.2009.02.059. Epub 2009 May 9.

Abstract

OBJECTIVES

To determine how angiotensin II (Ang II) contributes to renal interstitial fibrosis, the inflammatory response, and tubular cell apoptosis and proliferation in unilateral ureteral obstruction using mice genetically deficient in angiotensinogen (Agt(-/-)).

METHODS

The left kidney of wild-type mice (WT; C57BL/6) and Agt(-/-) mice was obstructed for 2 weeks, and then both kidneys were harvested. The serum Ang II levels were determined by radioimmunoassay. The expression of transforming growth factor-beta in renal tissue was assessed using enzyme-linked immunosorbent assay. The renal tissue was stained with Masson's trichrome. Renal tubular proliferation and apoptosis was detected by immunostaining for proliferating cell nuclear antigen and single-stranded DNA, respectively. Interstitial leukocyte and macrophage infiltration was investigated by immunostaining for CD45 and F4/80, respectively.

RESULTS

The serum Ang II levels in the Agt(-/-) mice were significantly lower than those in the WT mice (P < .01), and tissue transforming growth factor-beta in the obstructed kidney of Agt(-/-) mice was significantly lower than that in WT mice (P < .05). Interstitial collagen deposition was significantly lower in the Agt(-/-) obstructed kidneys than in the WT obstructed kidneys (P < .01). Tubular proliferation was significantly greater and tubular apoptosis was significantly lower in the Agt(-/-) obstructed kidneys than in the WT obstructed kidneys (P < .01 and P < .01, respectively). Interstitial infiltration by leukocytes and macrophages was significantly lower in the Agt(-/-) obstructed kidneys than in the WT obstructed kidneys (P < .01 and P < .01, respectively).

CONCLUSIONS

The results of the present study support the targeting of Ang II as a reasonable approach by which to prevent renal tissue damage in unilateral ureteral obstruction.

摘要

目的

利用血管紧张素原基因缺陷(Agt(-/-))小鼠,确定血管紧张素II(Ang II)如何导致单侧输尿管梗阻时的肾间质纤维化、炎症反应以及肾小管细胞凋亡和增殖。

方法

将野生型小鼠(WT;C57BL/6)和Agt(-/-)小鼠的左肾梗阻2周,然后摘取双侧肾脏。通过放射免疫分析法测定血清Ang II水平。采用酶联免疫吸附测定法评估肾组织中转化生长因子-β的表达。肾组织用Masson三色染色法染色。分别通过增殖细胞核抗原免疫染色和单链DNA免疫染色检测肾小管增殖和凋亡。分别通过CD45免疫染色和F4/80免疫染色研究间质白细胞和巨噬细胞浸润情况。

结果

Agt(-/-)小鼠的血清Ang II水平显著低于WT小鼠(P <.01),Agt(-/-)小鼠梗阻肾脏中的组织转化生长因子-β显著低于WT小鼠(P <.05)。Agt(-/-)梗阻肾脏中的间质胶原沉积显著低于WT梗阻肾脏(P <.01)。Agt(-/-)梗阻肾脏中的肾小管增殖显著高于WT梗阻肾脏,而肾小管凋亡显著低于WT梗阻肾脏(分别为P <.01和P <.01)。Agt(-/-)梗阻肾脏中的白细胞和巨噬细胞间质浸润显著低于WT梗阻肾脏(分别为P <.01和P <.01)。

结论

本研究结果支持将Ang II作为预防单侧输尿管梗阻时肾组织损伤的合理靶点。

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