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单侧部分输尿管梗阻所致实验性肾积水肾脏中一氧化氮和不对称二甲基精氨酸(ADMA)水平

Nitric oxide and asymmetric dimethyl arginine (ADMA) levels in an experimental hydronephrotic kidney caused by unilateral partial ureteral obstruction.

作者信息

Alan Cabir, Kurt Hasan Anil, Topaloğlu Naci, Ersay Ahmet Reşit, Cakir Dilek Ulker, Başturk Gokhan

机构信息

Department of Urology, Medical Faculty, Canakkale Onsekiz Mart University, Turkey.

出版信息

Int Braz J Urol. 2016 May-Jun;42(3):614-20. doi: 10.1590/S1677-5538.IBJU.2015.0030.

Abstract

AIM

Our aim is to measure asymmetric dimethyl arginine and nitric oxide levels in rats with induced unilateral acute ureteral obstruction to research the effects on the kidney.

MATERIAL AND METHODS

The study included 21 adolescent (average age 6 weeks) Sprague-Dawley male rats weighing between 240-290g divided at random into 3 groups. Group-1: Control group (n=6): underwent no procedures. Group-2: Sham group (n=6): underwent the same procedures as the experimental group without ureter and psoas muscle dissection. Group-3: Group with induced partial unilateral ureteral obstruction (n=9). All rats were sacrificed after 12 weeks. Superoxide dismutase enzyme activity and nitrite and nitrate salt levels were measured in renal tissue. Plasma nitrite-nitrate and ADMA levels were examined.

RESULTS

In the experimental group histopathological changes observed included renal pelvis dilatation, flattened papillae, sclerotic glomerulus and fibrosis. In the experimental group tissue SOD and blood ADMA levels were higher than the control and sham groups (p<0.05) while tissue NO and plasma NO values were lower than in the sham and control groups (p<0.05).

CONCLUSION

Oxidative stress and disruption of NO synthesis play an important role in renal function and histopathological changes after obstructive renal disease. To prevent renal complications developing after obstructive nephropathy we believe that a new strategy may be research on reducing ADMA.

摘要

目的

我们的目的是测量诱导单侧急性输尿管梗阻大鼠体内不对称二甲基精氨酸和一氧化氮水平,以研究其对肾脏的影响。

材料与方法

该研究纳入21只青春期(平均年龄6周)体重在240 - 290克之间的雄性Sprague-Dawley大鼠,随机分为3组。第1组:对照组(n = 6):未进行任何操作。第2组:假手术组(n = 6):接受与实验组相同的操作,但不进行输尿管和腰大肌解剖。第3组:诱导部分单侧输尿管梗阻组(n = 9)。所有大鼠在12周后处死。测量肾组织中超氧化物歧化酶活性以及亚硝酸盐和硝酸盐水平。检测血浆中亚硝酸盐 - 硝酸盐和ADMA水平。

结果

实验组观察到的组织病理学变化包括肾盂扩张、乳头扁平、肾小球硬化和纤维化。实验组组织SOD和血液ADMA水平高于对照组和假手术组(p < 0.05),而组织NO和血浆NO值低于假手术组和对照组(p < 0.05)。

结论

氧化应激和NO合成紊乱在梗阻性肾病后的肾功能和组织病理学变化中起重要作用。为预防梗阻性肾病后发生肾脏并发症,我们认为一种新的策略可能是研究降低ADMA。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8780/4920583/52b12c1292aa/1677-5538-ibju-42-3-0614-gf01.jpg

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