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阿托伐他汀通过减轻糖尿病大鼠肾脏相关代谢紊乱发挥肾保护作用。

Renoprotective effect of atorvastatin on STZ-diabetic rats through attenuating kidney-associated dysmetabolism.

机构信息

Department of Endocrinology, Affiliated Hospital of Guilin Medical University, Guilin 541001, China.

Department of Endocrinology, The Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou 545005, China.

出版信息

Eur J Pharmacol. 2014 Oct 5;740:9-14. doi: 10.1016/j.ejphar.2014.06.055. Epub 2014 Jul 5.

Abstract

Atorvastatin (AT) has been alternatively used for managing diabetic complications in clinic. However, AT-related therapeutic potentiality remains relatively unexplored, especially in diabetic nephropathy. This study aimed to investigate the underlying potentiality that AT exerted on anti-diabetic nephropathy role against streptozotocin (STZ)-induced kidney injury in rats. STZ-diabetic rats were intragastrically administered with AT (10, 20 mg/kg/d) for consecutive 8 weeks. The effects of AT on body weight, levels of blood glucose, lipometabolism, redox state, cellular metabolism, regulator factor and kidney morphological changes were monitored by routine measurement, biochemistry assay, PT-PCR analysis, ultrastructural and pathological observations, respectively. Compared with the diabetic nephropathy rats, AT elevated the body weight of diabetic nephropathy rats (P<0.01), effectively reduced the blood glucose level (P<0.01), increased the levels of insulin and high-density lipoprotein cholesterol (HDL-C) in plasma (P<0.01), and decreased the 24 h urine protein content and serum concentrations of low-density lipoprotein cholesterol (LDL-C) (P<0.01). Meanwhile, increase in kidney tissue, the intrarenal activities of superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) were enhanced, while the malonaldehyde (MDA) content was reduced (P<0.01). In addition, the expression of transforming growth factor beta 1 (TGF-β1) mRNA in kidney tissue was notably down-regulated (P<0.01). Furthermore, AT contributed to alleviating STZ-induced nephritic damages in rats. These results demonstrate that atorvastatin exerts the effective protective role against kidney injuries of STZ-induced diabetic nephropathy rat, which the underlying mechanisms are associated with ameliorating glyco, lipometabolism, enhancing antioxidant ability, and mitigating renal damage.

摘要

阿托伐他汀(AT)已在临床上被用于治疗糖尿病并发症。然而,AT 的相关治疗潜力仍未得到充分探索,尤其是在糖尿病肾病方面。本研究旨在探讨 AT 在链脲佐菌素(STZ)诱导的大鼠肾脏损伤中的抗糖尿病肾病作用的潜在机制。STZ 诱导的糖尿病大鼠连续 8 周每天经胃内给予 AT(10、20mg/kg/d)。通过常规测量、生化测定、PT-PCR 分析、超微结构和病理观察,分别监测 AT 对体重、血糖水平、脂代谢、氧化还原状态、细胞代谢、调节因子和肾脏形态变化的影响。与糖尿病肾病大鼠相比,AT 增加了糖尿病肾病大鼠的体重(P<0.01),有效降低了血糖水平(P<0.01),增加了血浆中胰岛素和高密度脂蛋白胆固醇(HDL-C)的水平(P<0.01),并降低了 24 小时尿蛋白含量和血清中低密度脂蛋白胆固醇(LDL-C)的浓度(P<0.01)。同时,肾脏组织中,超氧化物歧化酶(SOD)和谷胱甘肽过氧化物酶(GSH-Px)的活性增加,而丙二醛(MDA)的含量降低(P<0.01)。此外,肾脏组织中转化生长因子-β1(TGF-β1)mRNA 的表达显著下调(P<0.01)。此外,AT 有助于缓解 STZ 诱导的大鼠肾炎损伤。这些结果表明,阿托伐他汀对 STZ 诱导的糖尿病肾病大鼠的肾脏损伤具有有效的保护作用,其作用机制与改善糖、脂代谢、增强抗氧化能力和减轻肾脏损伤有关。

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