Ki Yongkan, Kim Wontaek, Kim Yong Ho, Kim Donghyun, Bae Jin Sook, Park Dahl, Jeon Hosang, Lee Ju Hye, Lee Jayoung, Nam Jiho
Department of Radiation Oncology, Biomedical Research Institute, Pusan National University Hospital and Pusan National University School of Medicine, Busan, Korea.
Department of Radiation Oncology, Pusan National University Yangsan Hospital, Yangsan, Korea.
J Korean Med Sci. 2017 May;32(5):757-763. doi: 10.3346/jkms.2017.32.5.757.
The kidney is one of the most radiosensitive organs in the abdominal cavity and is the dose-limiting structure in cancer patients receiving abdominal or total body irradiation. In the present study, the effect of coenzyme Q10 (CoQ10) on radiation nephropathy was evaluated in rats. A total of 72 rats were equally randomized into 4 groups: Control, CoQ10, irradiation with 10 Gy (RT) + placebo, or RT + CoQ10. The 2 RT groups received single 10 Gy of abdominal irradiation. The 2 CoQ10 groups were supplemented daily with 1 mL of soybean oil containing 10 mg/kg of CoQ10. The RT + placebo and control groups received same dose of soybean oil. After 24 weeks, laboratory and histopathologic findings were compared. The 2 RT groups showed significant increases in blood urea nitrogen (BUN) and creatinine levels and significant pathologic changes such as glomerulosclerosis and tubulointerstitial fibrosis. CoQ10 supplementation resulted in significant reductions of BUN and creatinine levels compared with the RT + placebo group (P < 0.001 and P = 0.038, respectively). CoQ10 treatment significantly attenuated glomerular and tubular changes of irradiated kidney in semiquantitative analysis (P < 0.001 for both). Administration of CoQ10 can alleviate the radiation-induced nephropathy.
肾脏是腹腔中对辐射最敏感的器官之一,也是接受腹部或全身照射的癌症患者的剂量限制结构。在本研究中,评估了辅酶Q10(CoQ10)对大鼠放射性肾病的影响。总共72只大鼠被平均随机分为4组:对照组、CoQ10组、10 Gy照射(RT)+安慰剂组或RT + CoQ10组。两个RT组接受单次10 Gy的腹部照射。两个CoQ10组每天补充1 mL含10 mg/kg CoQ10的大豆油。RT +安慰剂组和对照组接受相同剂量的大豆油。24周后,比较实验室和组织病理学结果。两个RT组的血尿素氮(BUN)和肌酐水平显著升高,出现明显的病理变化,如肾小球硬化和肾小管间质纤维化。与RT +安慰剂组相比,补充CoQ10导致BUN和肌酐水平显著降低(分别为P < 0.001和P = 0.038)。在半定量分析中,CoQ10治疗显著减轻了受照射肾脏的肾小球和肾小管变化(两者均为P < 0.001)。给予CoQ10可减轻辐射诱导的肾病。