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酶尿在大鼠环孢素A诱导的肾毒性中的预测价值。

The predictive value of enzymuria in cyclosporin A-induced renal toxicity in the rat.

作者信息

McAuley F T, Simpson J G, Thomson A W, Whiting P H

出版信息

Toxicol Lett. 1986 Jul-Aug;32(1-2):163-9. doi: 10.1016/0378-4274(86)90063-9.

DOI:10.1016/0378-4274(86)90063-9
PMID:2874646
Abstract

The acute nephrotoxic properties of cyclosporin A (CsA) were investigated in normotensive, adult male Sprague-Dawley rats. Animals received either 50 or 100 mg CsA/kg by gastric intubation for 7 days. Within 24 h, significant increases in urinary N-acetyl-beta-D-glucosaminidase (NAG) and gamma-glutamyl transpeptidase (gamma GT) activity were observed at both doses of CsA. Renal function abnormalities, however, were not apparent until 2 days (100 mg/kg) or 7 days (50 mg/kg). Progressive increases in enzymuria were evident in both groups between 1 and 4 days, at which later time proximal straight tubular cell damage was first observed. The data obtained using this model clearly demonstrate that enzymuria provides a sensitive index of acute CsA-induced renal cell damage and that enzymuria precedes detectable renal functional and structural abnormalities.

摘要

在正常血压的成年雄性Sprague-Dawley大鼠中研究了环孢素A(CsA)的急性肾毒性特性。动物通过胃内插管接受50或100mg CsA/kg,持续7天。在24小时内,两种剂量的CsA均观察到尿N-乙酰-β-D-氨基葡萄糖苷酶(NAG)和γ-谷氨酰转肽酶(γGT)活性显著增加。然而,直到2天(100mg/kg)或7天(50mg/kg)才出现明显的肾功能异常。两组在1至4天期间酶尿均逐渐增加,在稍后的这个时间首次观察到近端直管细胞损伤。使用该模型获得的数据清楚地表明,酶尿是急性CsA诱导的肾细胞损伤的敏感指标,并且酶尿先于可检测到的肾功能和结构异常出现。

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