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肾康注射液通过调控ERK1/2/MMPs信号通路促进肾衰竭大鼠细胞外基质降解的作用及机制

[Effects and mechanisms of Shenkang injection promoting extracellular matrix degradation via regulating ERK1/2/MMPs signaling pathway in renal failure rats].

作者信息

Yang Jing-Jing, Mao Zhi-Min, Wan Yi-Gang, Wu Wei, Huang Yan-Ru, Shi Ge, Han Wen-Bei, Yao Jian

机构信息

Department of Traditional Chinese Medicine, Nanjing Drum Tower Hospital Clinical College of Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210008,China.

Department of Traditional Chinese Medicine, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2016 Oct;41(20):3805-3813. doi: 10.4268/cjcmm20162016.

Abstract

This study aimed to clarify preliminarily the effects and mechanisms of Shenkang injection (SKI) promoting extracellular matrix(ECM)degradation via regulating extracellular-signal regulated protein kinase(ERK)1/2/matrix metalloproteinases(MMPs)signaling pathway in renal failure rats. Twenty rats were randomly divided into 4 groups:the Sham group,the Model group,the SKI group and the Enalapril maleate(EM)group. The model rats with renal failure were induced by intragastric administration of adenine and unilateral ureteral obstruction(UUO). After modeling, the rats in SKI group and EM group were intervened by intraperitoneal injection of SKI or intragastric administration of the EM suspension,while the rats in Sham group and Model group were administrated with distilled water respectively for 3 weeks. The 24 h urinary protein excretion(Upro)and urinary N-acety1-β-D-glucosaminidase(UNAG)in all rats were tested after drug administration. All rats were sacrificed after drug administration for 3 weeks,blood and kidney were collected,renal morphological characteristics were observed. Furthermore,serum biochemical indices and the protein expressions of collagen type IV(CIV),MMP-2,MMP-9,tissue inhibitors of metalloproteinase(TIMP)-1,ERK1/2 and phosphorylated-ERK1/2(p-ERK1/2)in the kidney were evaluated respectively. The results indicated that,after the intervention of SKI,serum creatinine(Scr),blood urea nitrogen(BUN),uric acid(UA),albumin(Alb),Upro,UNAG and renal morphological change in model rats were improved at different levels,respectively. Moreover,these actions were similar to EM. In addition to these,SKI adjusted the protein expressions of MMP-2,MMP-9 and TIMP-1,and down-regulated the protein expressions of p-ERK1/2 in the kidney. Moreover,these actions were different from EM. In conclusion,SKI promotes ECM degradation and delays the progression of renal failure possibly through regulating ERK1/2 signaling pathway activation in the kidney and intervening MMPs/TIMP-1 expressions in vivo.

摘要

本研究旨在初步阐明肾康注射液(SKI)通过调节细胞外信号调节蛋白激酶(ERK)1/2/基质金属蛋白酶(MMPs)信号通路促进肾衰竭大鼠细胞外基质(ECM)降解的作用及机制。将20只大鼠随机分为4组:假手术组、模型组、SKI组和马来酸依那普利(EM)组。采用腺嘌呤灌胃联合单侧输尿管梗阻(UUO)法制备肾衰竭模型大鼠。造模后,SKI组和EM组大鼠分别腹腔注射SKI或灌胃给予EM混悬液进行干预,而假手术组和模型组大鼠分别给予蒸馏水,共3周。给药后检测所有大鼠24 h尿蛋白排泄量(Upro)和尿N-乙酰-β-D-氨基葡萄糖苷酶(UNAG)。给药3周后处死所有大鼠,采集血液和肾脏,观察肾脏形态学特征。此外,分别评估血清生化指标以及肾脏中Ⅳ型胶原(CIV)、MMP-2、MMP-9、金属蛋白酶组织抑制剂(TIMP)-1、ERK1/2和磷酸化ERK1/2(p-ERK1/2)的蛋白表达。结果表明,SKI干预后,模型大鼠血清肌酐(Scr)、血尿素氮(BUN)、尿酸(UA)、白蛋白(Alb)、Upro、UNAG及肾脏形态学改变均有不同程度改善。此外,这些作用与EM相似。除此之外,SKI调节肾脏中MMP-2、MMP-9和TIMP-1的蛋白表达,并下调肾脏中p-ERK1/2的蛋白表达。而且,这些作用与EM不同。综上所述,SKI可能通过调节肾脏中ERK1/2信号通路激活并干预体内MMPs/TIMP-1表达来促进ECM降解并延缓肾衰竭进展。

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