Chen Wei-Dong, Chang Bao-Chao, Zhang Yan, Yang Ping, Liu Lei
Department of Nephrology, First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, China. E-mail:
Nan Fang Yi Ke Da Xue Xue Bao. 2015 Apr;35(4):499-505.
To observe the effect of Tripterygium glycosides (TG) on the expression of hypoxia-inducible factor-1α and endothelin-1 in the kidney of diabetic rats and explore the possible mechanism underlying the protective effect of TG against diabetic nephropathy.
Sixty 8-week-old male SD rats were randomly divided into normal control group (n=10) and streptozotocin-induced diabetes mellitus (DM) model group (n=50). The diabetic model rats were then randomly divided into DM group, low-dose (8 mg/kg) and high-dose (16 mg/kg) TG treatment groups, and Irbesartan (50 mg/kg) treatment group. After 8 weeks, the levels of blood glucose (BG), 24-h urine protein (24 h Upro), serum creatinine (Scr) and blood urea nitrogen (BUN) were measured. The pathological changes in the renal tissues were examined by optical microscopy, and the mean glomerular area (MGA) and mean glomerular volume (MGV) were measured with pathological image analysis. Immunohistochemical and Western blotting were used to detect the expression of HIF-1α and ET-1 protein in the renal tissue, and their mRNA expressions were detected using real-time fluorescence quantitative PCR.
HIF-1α and ET-1 expression increased in the kidney of diabetic rats. Compared with the diabetic model rats, the rats receiving TG and Irbesartan treatment showed decreased levels of Scr, BUN, 24h Upro, MGA and MGV, improved renal histopathology, and reduced expression of HIF-1α and ET-1 mRNA and protein in the renal tissue. These changes were more obvious in high-dose TG treatment group. Correlation analysis showed that the expression of HIF-1α was positively correlated with that of ET-1, and they were both positively correlated with kidney weight index (KW/BW), 24 h Upro, MGA, and MGV.
HIF-1α and ET-1 are overexpressed in the kidney of diabetic rats. TG can improve kidney damage in diabetic rats and delay the development of diabetic nephropathy by inhibiting the HIF-1α and ET-1 expression.
观察雷公藤多苷(TG)对糖尿病大鼠肾脏缺氧诱导因子-1α(HIF-1α)和内皮素-1(ET-1)表达的影响,探讨TG对糖尿病肾病保护作用的可能机制。
将60只8周龄雄性SD大鼠随机分为正常对照组(n = 10)和链脲佐菌素诱导的糖尿病(DM)模型组(n = 50)。将糖尿病模型大鼠再随机分为DM组、低剂量(8 mg/kg)和高剂量(16 mg/kg)TG治疗组以及厄贝沙坦(50 mg/kg)治疗组。8周后,检测血糖(BG)、24小时尿蛋白(24 h Upro)、血清肌酐(Scr)和血尿素氮(BUN)水平。用光镜检查肾组织的病理变化,并用病理图像分析测量平均肾小球面积(MGA)和平均肾小球体积(MGV)。采用免疫组织化学和蛋白质印迹法检测肾组织中HIF-1α和ET-1蛋白的表达,并用实时荧光定量PCR检测其mRNA表达。
糖尿病大鼠肾脏中HIF-1α和ET-1表达增加。与糖尿病模型大鼠相比,接受TG和厄贝沙坦治疗的大鼠Scr、BUN、24 h Upro、MGA和MGV水平降低,肾组织病理学改善,肾组织中HIF-1α和ET-1 mRNA及蛋白表达减少。这些变化在高剂量TG治疗组中更明显。相关性分析表明,HIF-1α的表达与ET-1的表达呈正相关,且二者均与肾脏重量指数(KW/BW)、24 h Upro、MGA和MGV呈正相关。
糖尿病大鼠肾脏中HIF-1α和ET-1过表达。TG可通过抑制HIF-1α和ET-1表达改善糖尿病大鼠肾脏损伤,延缓糖尿病肾病的发展。