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三七总皂苷对 1 型糖尿病大鼠肾病的影响。

Effects of Panax notoginoside on the nephropathy in rats with type 1 diabetes mellitus.

机构信息

Department of Integrated Traditional Chinese and Western Medicine, Tongji Hospital/Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Chin J Integr Med. 2011 Aug;17(8):612-5. doi: 10.1007/s11655-011-0825-9. Epub 2011 Aug 9.

Abstract

OBJECTIVE

To explore the effects and underlying mechanisms of Panax notoginoside (PNS) on the nephropathy in rats with type 1 diabetes.

METHODS

A murine model of diabetic nephropathy was set up by an intravenous injection of streptozotocin (STZ). Wistar rats were randomly divided into 5 groups: the control group, the diabetic group (DM), the group treated with low-dosage PNS (PNS-L), the group treated with high-dosage PNS (PNS-H) and the group treated with catopril. Rats in the PNS-L and PNS-H groups were given different dosages of PNS while rats in the catopril group were given catopril through gastrogavage every day for the next four consecutive weeks. Serum creatinine (Cr) levels, endogenous creatinine clearance rate (CCr), and 24-h urinary microalbumin (UAlb) were examined and calculated. Meanwhile, immunohistochemistry was applied to determine the expression of vascular endothelial growth factor (VEGF) and bone morphogenetic protein-7 (BMP-7) in the kidney tissue.

RESULTS

The levels of Cr, Ccr, and UAlb were all elevated significantly in the DM group (P<0.01). The expression of VEGF protein was increased but BMP-7 protein was decreased in the kidney tissue (P<0.01). However, the above items decreased in the PNS-L, PNS-H and catopril groups compared with the DM group (P<0.05, P<0.01). In the PNS-L, PNS-H and catopril groups, the expression of VEGF protein was decreased but BMP-7 protein was increased in the kidney tissue (P<0.05, P<0.01).

CONCLUSION

PNS shows protective effects on the kidney in type 1 diabetic rats at the early stage. The protective mechanism might be closely related to its role of inhibiting the expression of VEGF protein and enhancing the expression of BMP-7 protein in the kidney.

摘要

目的

探讨三七总皂苷(PNS)对 1 型糖尿病大鼠肾病的作用及机制。

方法

通过尾静脉注射链脲佐菌素(STZ)建立糖尿病肾病大鼠模型。将 Wistar 大鼠随机分为 5 组:对照组、糖尿病组(DM)、低剂量 PNS 组(PNS-L)、高剂量 PNS 组(PNS-H)和卡托普利组。PNS-L 和 PNS-H 组大鼠分别给予不同剂量的 PNS,卡托普利组大鼠每天灌胃给予卡托普利,连续 4 周。检测和计算血清肌酐(Cr)水平、内生肌酐清除率(CCr)和 24 小时尿微量白蛋白(UAlb)。同时,采用免疫组化法检测肾脏组织中血管内皮生长因子(VEGF)和骨形态发生蛋白-7(BMP-7)的表达。

结果

DM 组 Cr、CCr 和 UAlb 水平均显著升高(P<0.01)。肾脏组织中 VEGF 蛋白表达增加,BMP-7 蛋白表达减少(P<0.01)。但 PNS-L、PNS-H 和卡托普利组上述指标均低于 DM 组(P<0.05,P<0.01)。在 PNS-L、PNS-H 和卡托普利组中,肾脏组织中 VEGF 蛋白表达减少,BMP-7 蛋白表达增加(P<0.05,P<0.01)。

结论

PNS 对早期 1 型糖尿病大鼠肾脏具有保护作用。其保护机制可能与其抑制 VEGF 蛋白表达和增强肾脏 BMP-7 蛋白表达的作用密切相关。

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