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富血小板血浆(PRP)对大鼠肾缺血再灌注模型的影响。

Effects of Platelet-Rich Plasma (PRP) on a Model of Renal Ischemia-Reperfusion in Rats.

作者信息

Martín-Solé Oriol, Rodó Joan, García-Aparicio Lluís, Blanch Josep, Cusí Victoria, Albert Asteria

机构信息

Unit of Pediatric Urology, Department of Pediatric Surgery, Hospital Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain.

Department of Pediatric Radiology, Hospital Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain.

出版信息

PLoS One. 2016 Aug 23;11(8):e0160703. doi: 10.1371/journal.pone.0160703. eCollection 2016.

Abstract

Renal ischemia-reperfusion injury is a major cause of acute renal failure, causing renal cell death, a permanent decrease of renal blood flow, organ dysfunction and chronic kidney disease. Platelet-rich plasma (PRP) is an autologous product rich in growth factors, and therefore able to promote tissue regeneration and angiogenesis. This product has proven its efficacy in multiple studies, but has not yet been tested on kidney tissue. The aim of this work is to evaluate whether the application of PRP to rat kidneys undergoing ischemia-reperfusion reduces mid-term kidney damage. A total of 30 monorrenal Sprague-Dawley male rats underwent renal ischemia-reperfusion for 45 minutes. During ischemia, PRP (PRP Group, n = 15) or saline solution (SALINE Group, n = 15) was administered by subcapsular renal injection. Control kidneys were the contralateral organs removed immediately before the start of ischemia in the remaining kidneys. Survival, body weight, renal blood flow on Doppler ultrasound, kidney weight, kidney volume, blood biochemistry and histopathology were determined for all subjects and kidneys, as applicable. Correlations between these variables were searched for. The PRP Group showed significantly worse kidney blood flow (p = 0.045) and more histopathological damage (p<0.0001). Correlations were found between body weight, kidney volume, kidney weight, renal blood flow, histology, and serum levels of creatinine and urea. Our study provides the first evidence that treatment with PRP results in the deterioration of the kidney's response to ischemia-reperfusion injury.

摘要

肾缺血再灌注损伤是急性肾衰竭的主要原因,可导致肾细胞死亡、肾血流量永久性减少、器官功能障碍和慢性肾病。富血小板血浆(PRP)是一种富含生长因子的自体产物,因此能够促进组织再生和血管生成。该产物已在多项研究中证明了其疗效,但尚未在肾组织上进行测试。这项工作的目的是评估将PRP应用于经历缺血再灌注的大鼠肾脏是否能减少中期肾损伤。总共30只单肾雄性Sprague-Dawley大鼠接受了45分钟的肾缺血再灌注。在缺血期间,通过肾包膜下注射给予PRP(PRP组,n = 15)或生理盐水(生理盐水组,n = 15)。对照肾脏是在其余肾脏缺血开始前立即切除的对侧器官。根据适用情况,对所有受试者和肾脏测定存活率、体重、多普勒超声测量的肾血流量、肾脏重量、肾脏体积、血液生化和组织病理学。寻找这些变量之间的相关性。PRP组的肾脏血流明显更差(p = 0.045),组织病理学损伤更多(p<0.0001)。发现体重、肾脏体积、肾脏重量、肾血流量、组织学以及肌酐和尿素的血清水平之间存在相关性。我们的研究提供了首个证据,即PRP治疗会导致肾脏对缺血再灌注损伤的反应恶化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d10b/4994962/c8b8b46908f5/pone.0160703.g001.jpg

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