Laboratório de Fisiopatologia Experimental, Instituto Nacional de Ciência e Tecnologia Translacional em Medicina, Programa de Pós-Graduação em Ciências da Saúde, Unidade Acadêmica de Ciências da Saúde, Universidade do Extremo Sul Catarinense, Criciúma, Brazil.
Nephrol Dial Transplant. 2012 Aug;27(8):3136-40. doi: 10.1093/ndt/gfr807. Epub 2012 Jan 23.
Contrast-induced nephropathy (CIN) is associated with a combination of hypoxic and toxic renal tubular damage, renal endothelial dysfunction and altered intra-renal microcirculation. Recently, sodium butyrate (SB) has been focused on since it possesses anti-inflammatory activities. Thus, based on the lack of information on the effects of SB in acute kidney injury (AKI), we investigated the possible effects of SB after CIN in rats.
Wistar rats were divided into three groups: (1 sham) control, (2 MI) AKI treated with contrast medium and (3 MI + SB) AKI plus SB. Six days after contrast administration, blood and kidney were removed for the determination of creatinine, interleukin (IL)-6 levels, oxidative damage parameters and histologic analyses. Nuclear factor kappa B (NF-κB), pIκBα and vasodilator-stimulated phosphoprotein (VASP) protein content were determined by immunoblotting.
After 6 days, the levels of creatinine increased significantly in the MI group, and this was attenuated using SB. SB treatment was associated with a decrease on the levels of lipid peroxidation, but not the protein oxidation, and IL-6 levels, as well as tubular damage. These effects are probably mediated, in part, by a decrease on the activation of NF-κB in the kidney, but not alteration in pVASP content.
The current experiment suggests that NF-κB induced an inflammatory response after CIN and SB could inhibit NF-κB expression protecting against CIN in rats.
对比剂诱导的肾病(CIN)与缺氧和毒性肾小管损伤、肾内皮功能障碍和肾内微循环改变有关。最近,由于丁酸钠(SB)具有抗炎活性,因此受到了关注。因此,鉴于缺乏 SB 在急性肾损伤(AKI)中作用的信息,我们研究了 SB 在大鼠 CIN 后的可能作用。
Wistar 大鼠分为三组:(1)假手术组,(2)AKI 组,用造影剂治疗,(3)AKI+SB 组,加用 SB。造影后 6 天,取出血和肾脏,测定肌酐、白细胞介素(IL)-6 水平、氧化损伤参数和组织学分析。通过免疫印迹法测定核因子 kappa B(NF-κB)、pIκBα 和血管扩张刺激磷蛋白(VASP)蛋白含量。
6 天后,MI 组肌酐水平显著升高,而 SB 可减轻这一升高。SB 治疗与脂质过氧化水平降低有关,但与蛋白氧化和 IL-6 水平以及肾小管损伤无关。这些作用可能部分是通过降低肾脏 NF-κB 的激活来介导的,但 pVASP 含量没有改变。
本实验表明,CIN 后 NF-κB 诱导炎症反应,SB 可抑制 NF-κB 表达,从而防止大鼠 CIN。