Shin B C, Kwon Y E, Chung J H, Kim H L
Department of Internal Medicine, Division of Nephrology, Chosun University Hospital, Gwangju, Republic of Korea.
Transplant Proc. 2012 May;44(4):1080-2. doi: 10.1016/j.transproceed.2012.03.047.
It has been reported that the proteinuria is an early useful marker to detect cyclosporine (CsA) nephrotoxicity. The aim of this study was to investigate the antiproteinuric effects of green tea extract (GTE) on CsA-induced acute renal injury in rats.
The rats (n = 28) were divided into four groups (n = 7/group); controls intraperitoneally (IP) injected with 0.9% saline; CsA group IP injected CsA (50 mg/kg); inducible nitric oxide synthase (iNOS) inhibitor group administered in addition NG-nitro-L-arginine-methyl ester (12 mmol/L) subcutaneously and CsA-GTE group of CsA IP plus GTE (100 mg/kg) subcutaneously.
The 24-hour urine proteins were significantly increased among the CsA (22.6 ± 3.1 mg/d) compared with the control (7.1 ± 1.5 mg/d) and significantly decreased in the CsA-GTE group (8.2 ± 1.8 mg/d, P < .01). Nitric oxide production induces by CsA treatment was significantly suppressed by GTE and iNOS inhibitor. Renal tissue malondialdehyde level was significantly increased in the CsA compared with controls and significantly decreased in the CsA-GTE group. The antioxidant enzyme activities of superoxide dysmutase and catalase, which were significantly suppressed in the CsA compared with the control group, were restored in the CsA-GTE cohort.
GTE treatment of rats showed meaningful antiproteinuric effects through antioxidative activity in kidneys from CsA-induced acute renal injury.
据报道,蛋白尿是检测环孢素(CsA)肾毒性的早期有用标志物。本研究的目的是探讨绿茶提取物(GTE)对CsA诱导的大鼠急性肾损伤的抗蛋白尿作用。
将大鼠(n = 28)分为四组(每组n = 7);对照组腹腔注射0.9%生理盐水;CsA组腹腔注射CsA(50 mg/kg);诱导型一氧化氮合酶(iNOS)抑制剂组皮下注射NG-硝基-L-精氨酸甲酯(12 mmol/L),CsA-GTE组腹腔注射CsA并皮下注射GTE(100 mg/kg)。
与对照组(7.1±1.5 mg/d)相比,CsA组(22.6±3.1 mg/d)24小时尿蛋白显著增加,而CsA-GTE组(8.2±1.8 mg/d,P <.01)显著降低。GTE和iNOS抑制剂显著抑制了CsA处理诱导的一氧化氮生成。与对照组相比,CsA组肾组织丙二醛水平显著升高,而CsA-GTE组显著降低。与对照组相比,CsA组超氧化物歧化酶和过氧化氢酶的抗氧化酶活性显著受到抑制,而在CsA-GTE组中得以恢复。
GTE对大鼠的治疗通过抗氧化活性对CsA诱导的急性肾损伤大鼠肾脏产生了有意义的抗蛋白尿作用。