Otunctemur Alper, Ozbek Emin, Cakir Suleyman Sami, Polat Emre Can, Dursun Murat, Cekmen Mustafa, Somay Adnan, Ozbay Nurver
Department of Urology, Okmeydani Training and Research Hospital, Istanbul, Turkey.
Department of Urology, Bayburt State Hospital, Bayburt, Turkey.
Urol Ann. 2015 Apr-Jun;7(2):166-71. doi: 10.4103/0974-7796.150488.
Ureteral obstruction may cause permanent kidney damage at late period. We know that the pomegranate extract (PE) play a strong role on removal of free oxygen radicals and prevention of oxidative stress. In the current study study, we evaluated the effect of PE on kidney damage after unilateral ureteral obstruction (UUO).
A total of 32 rats were divided into four groups. Group 1 was a control, Group 2 was a sham, Group 3 was rats with UUO and Group 4 was rats with UUO that were given PE (oral 100 μL/day). After 14 days, rats were killed and their kidneys were taken and blood analysis was performed.
Tubular necrosis, mononuclear cell infiltration, and interstitial fibrosis scoring were determined histopathologically in a part of kidneys; nitric oxide (NO), malondialdehyde (MDA), and reduced glutathione (GSH) levels were determined in the other part of kidneys.
Statistical analyses were performed by the Chi-square test and one-way analysis of variance.
There was no difference significantly for urea-creatinine levels between groups. Pathologically, there was serious tubular necrosis, mononuclear cell infiltration and fibrosis in Group 3, and there was significantly decreasing for tubular necrosis, mononuclear cell infiltration and fibrosis in Group 4 (P < 0.005). Furthermore, there was significantly increasing for NO and MDA levels; decreasing for GSH levels in Group 3 compared the other groups (P < 0.005).
We think that the PE prevents kidney damage by decreasing oxidative stress in kidney.
输尿管梗阻晚期可能导致永久性肾损伤。我们知道石榴提取物(PE)在清除游离氧自由基和预防氧化应激方面发挥着重要作用。在本研究中,我们评估了PE对单侧输尿管梗阻(UUO)后肾损伤的影响。
总共32只大鼠被分为四组。第1组为对照组,第2组为假手术组,第3组为UUO大鼠组,第4组为接受PE的UUO大鼠组(口服100μL/天)。14天后,处死大鼠并取出其肾脏,进行血液分析。
对部分肾脏进行组织病理学检查,确定肾小管坏死、单核细胞浸润和间质纤维化评分;对另一部分肾脏测定一氧化氮(NO)、丙二醛(MDA)和还原型谷胱甘肽(GSH)水平。
采用卡方检验和单因素方差分析进行统计分析。
各组间尿素肌酐水平无显著差异。病理上,第3组有严重的肾小管坏死、单核细胞浸润和纤维化,第4组肾小管坏死、单核细胞浸润和纤维化明显减轻(P<0.005)。此外,与其他组相比,第3组NO和MDA水平显著升高,GSH水平降低(P<0.005)。
我们认为PE通过降低肾脏氧化应激来预防肾损伤。