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硫化氢对实验性单侧输尿管梗阻所致肾损伤的保护作用

Protective effect of hydrogen sulfide on renal injury in the experimental unilateral ureteral obstruction.

作者信息

Dursun Murat, Otunctemur Alper, Ozbek Emin, Sahin Suleyman, Besiroglu Huseyin, Ozsoy Ozgur Doga, Cekmen Mustafa, Somay Adnan, Ozbay Nurver

机构信息

Department of Urology, Bahcelievler State Hospital, Istanbul, Turkey.

Department of Urology, Okmeydani Training and Research Hospital, Istanbul, Turkey.

出版信息

Int Braz J Urol. 2015 Nov-Dec;41(6):1185-93. doi: 10.1590/S1677-5538.IBJU.2014.0090.

Abstract

INTRODUCTION/OBJECTIVE: Ureteral obstruction is a common pathology and causes kidney fibrosis and dysfunction at late period. In this present study, we investigated the antifibrotic and antiinflammatory effects of hydrogen sulfide on kidney damage after unilateral ureteral obstruction (UUO) in rats.

MATERIALS AND METHODS

24 rats were divided into four groups. Group 1 was control, group 2 was sham, group 3 included rats with UUO and group 4 rats with UUO which were given sodium hydrogen sulfide (NaHS)-exogenous donor of hydrogen sulfide (intraperitoneally 56 µmoL/kg/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 were determined histopathologically in a part of the kidneys; nitric oxide (NO), malondialdehyde (MDA) and reduced glutathione (GSH) levels were determined in the other part of the kidneys. Urea-creatinine levels were investigated by blood analysis. Statistical analyses were made by the Chi-square test and one-way analysis of variance (ANOVA).

RESULTS

There was no significantly difference for urea-creatinine levels among groups. Pathologically, there was serious tubular necrosis and fibrosis in group 3 and there was significantly decreasing of tubular necrosis and fibrosis in group 4 (p<0.005). Also, there was significantly increase of NO and MDA levels and decrease of GSH levels in group 3 compared to other groups (p<0.005).

CONCLUSIONS

hydrogen sulfide prevents kidney damage with antioxidant and antiinflammatory effect.

摘要

引言/目的:输尿管梗阻是一种常见的病理状况,晚期会导致肾纤维化和功能障碍。在本研究中,我们探究了硫化氢对大鼠单侧输尿管梗阻(UUO)后肾损伤的抗纤维化和抗炎作用。

材料与方法

将24只大鼠分为四组。第1组为对照组,第2组为假手术组,第3组包括UUO大鼠,第4组为接受硫化氢外源性供体硫氢化钠(NaHS,腹腔注射56 μmoL/kg/天)的UUO大鼠。14天后,处死大鼠并摘取肾脏,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情况;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。通过血液分析检测尿素-肌酐水平。采用卡方检验和单因素方差分析(ANOVA)进行统计分析。

结果

各组间尿素-肌酐水平无显著差异。病理检查显示,第3组存在严重的肾小管坏死和纤维化,第4组肾小管坏死和纤维化明显减轻(p<0.005)。此外,与其他组相比,第3组的NO和MDA水平显著升高,GSH水平降低(p<0.005)。

结论

硫化氢通过抗氧化和抗炎作用预防肾损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f84f/4756947/357492442cc6/1677-5538-ibju-41-6-1185-gf01.jpg

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