Department of Nephrology, Jinshan Hospital affiliated to Fudan University, No,1508 Longhang Road, Jinshan District, Shanghai 201508, China.
Eur J Med Res. 2013 Jul 30;18(1):26. doi: 10.1186/2047-783X-18-26.
An increase in serum uric acid (UA) occurs during the early and middle stages of chronic kidney disease (CKD) and aggravates the deterioration of kidney function. This study aims to explore the relation between UA and endothelial dysfunction in early CKD and its mechanisms in a murine model.
The experimental animals were randomly divided into three groups (n = 10): sham-operation group (control group), right nephrectomy only group (CKD group) and right nephrectomy with oxonic potassium group (CKD with hyperuricemia group). Furthermore, we analyzed the relation between UA and endothelial dysfunction indices in early CKD as well as its mechanisms.
Linear regression analysis showed that the level of serum UA had a significant positive correlation with serum endothelin-1 and the percentage of collagen I positive area, but a negative correlation with serum nitric oxide (NO) and NO/endothelin-1 ratio. In addition, the level of serum UA had significant positive correlations with serum malonaldehyde, serum C-reactive protein, serum oxidatively-modified low-density lipoprotein and serum low-density lipoprotein, but a negative correlation with serum superoxide dismutase.
Endothelial dysfunction in the CKD group was significant and had a positive correlation with the level of serum UA. Endothelial dysfunction in early CKD with hyperuricemia is perhaps related to oxidative stress, micro-inflammation and lipid oxidation.
在慢性肾脏病(CKD)的早期和中期,血清尿酸(UA)升高,加重肾功能恶化。本研究旨在探讨早期 CKD 中 UA 与血管内皮功能障碍的关系及其在小鼠模型中的机制。
实验动物随机分为三组(n = 10):假手术组(对照组)、单纯右肾切除术组(CKD 组)和右肾切除加氧钾组(高尿酸血症 CKD 组)。进一步分析早期 CKD 中 UA 与血管内皮功能障碍指标的关系及其机制。
线性回归分析显示,血清 UA 水平与血清内皮素-1和胶原 I 阳性面积百分比呈显著正相关,与血清一氧化氮(NO)和 NO/内皮素-1 比值呈显著负相关。此外,血清 UA 水平与血清丙二醛、血清 C 反应蛋白、血清氧化修饰型低密度脂蛋白和血清低密度脂蛋白呈显著正相关,与血清超氧化物歧化酶呈显著负相关。
CKD 组存在明显的血管内皮功能障碍,与血清 UA 水平呈正相关。高尿酸血症早期 CKD 中的血管内皮功能障碍可能与氧化应激、微炎症和脂质氧化有关。