Wang Yu, Zhou Manhong, Lu Yuanlan, Yu Anyong, Li Jianguo
Department of Emergency, Affiliated Hospital of Zunyi Medical College, Zunyi 563000, Guizhou, China (Wang Y, Zhou MH, Lu YL, Yu AY); Department of Emergency, Fifth Affiliated (Zhuhai) Hospital of Zunyi Medical College, Zhuhai 519100, Guangdong, China (Li JG). Corresponding author: Li Jianguo, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2017 Nov;29(11):961-966. doi: 10.3760/cma.j.issn.2095-4352.2017.11.001.
To investigate the protective effect of 5-aminosalicylic acid (5-ASA) on renal injury poisoned by paraquat (PQ) in rats and its mechanism.
Twenty-four healthy clean male Sprague-Dawley (SD) rats were randomly divided into four groups: normal saline (NS) control group, 5-ASA control group, PQ model group and 5-ASA treatment group, with 6 rats in each group. The rat model of PQ poisoning was reproduced by intraperitoneal injection of 2% PQ solution 20 mg/kg, and the same volume of NS was given in NS control group and 5-ASA control group. Two hours later, the rats in 5-ASA control group and 5-ASA treatment group were intragastrically administered with 1 mL 5-ASA (75 mg/kg) for one time after NS or PQ administration, and those in NS control group and PQ model group were administered with 1 mL double distilled water. Behavioral changes were observed in rats. Then the rats were sacrificed at 24 hours after starting of the experiment for cardiac blood harvest which could be used to detect the biomarkers of renal injury and oxidative stress parameters. The kidney tissue was collected, and the hematein-eosin (HE) staining was conducted for observation of pathological changes in renal tissue, and protein expressions of Nrf2 and heme oxygenase-1 (HO-1) were determined by Western Blot.
At 30 minutes after PQ poisoning, rats appeared obvious poisoning symptoms and signs. Twenty-four hours after PQ poisoned, hemocoel of glomerular capillary, swelling of renal tubular epithelial cell and serious micronecrosis appeared under the light microscope. Compared with NS control group, blood urea nitrogen (BUN), serum creatinine (SCr), superoxide dismutase (SOD), malondialdehyde (MDA), catalase (CAT) and glutathione (GSH) levels were significantly abnormal in PQ model group, and Nrf2 and HO-1 protein expressions in renal tissue were increased. After administration of 5-ASA, the morphological changes and pathological damage were mitigated as compared with those of PQ model group, the levels of BUN, SCr and MDA were decreased significantly [BUN (mmol/L): 11.98±1.81 vs. 18.56±2.32, SCr (μmol/L): 30.67±2.31 vs. 43.67±9.02, MDA (μmol/L): 5.28±0.43 vs. 6.81±1.00], and the SOD activity, CAT and GSH contents were significantly increased [SOD (kU/L): 125.49±7.63 vs. 106.76±7.94, CAT (ng/L): 30.68±3.51 vs. 23.05±1.55, GSH (μmol/L): 3.81±0.44 vs. 3.14±0.17], while the protein expressions of Nrf2 and HO-1 were further increased [Nrf2 protein (gray value): 0.76±0.04 vs. 0.52±0.03, HO-1 protein (gray value): 0.56±0.02 vs. 0.31±0.02, all P < 0.05]. Only 5-ASA intervention had no significant effect on behavior, pathology, renal injury markers and oxidative stress parameters, but it could induce the expressions of Nrf2 and HO-1 protein in renal tissue, which were significantly higher than those of NS control group [Nrf2 protein (gray value): 0.78±0.02 vs. 0.41±0.04, HO-1 protein (gray value): 0.51±0.03 vs. 0.23±0.01, both P < 0.01].
5-ASA attenuates the damage of acute renal injury (AKI) caused by PQ, which mechanism may be related with the activation of Nrf2-antioxidant response element (ARE) signaling pathway.
探讨5-氨基水杨酸(5-ASA)对百草枯(PQ)中毒致大鼠肾损伤的保护作用及其机制。
将24只健康清洁级雄性Sprague-Dawley(SD)大鼠随机分为四组:生理盐水(NS)对照组、5-ASA对照组、PQ模型组和5-ASA治疗组,每组6只。通过腹腔注射2% PQ溶液20 mg/kg建立PQ中毒大鼠模型,NS对照组和5-ASA对照组给予相同体积的NS。2小时后,5-ASA对照组和5-ASA治疗组大鼠在给予NS或PQ后一次性灌胃1 mL 5-ASA(75 mg/kg),NS对照组和PQ模型组大鼠给予1 mL双蒸水。观察大鼠行为变化。然后在实验开始后24小时处死大鼠,采集心脏血液用于检测肾损伤生物标志物和氧化应激参数。收集肾组织,进行苏木精-伊红(HE)染色观察肾组织病理变化,采用蛋白质免疫印迹法检测Nrf2和血红素加氧酶-1(HO-1)蛋白表达。
PQ中毒后30分钟,大鼠出现明显中毒症状和体征。PQ中毒24小时后,光镜下可见肾小球毛细血管内凝血、肾小管上皮细胞肿胀及严重微坏死。与NS对照组相比,PQ模型组血尿素氮(BUN)、血清肌酐(SCr)、超氧化物歧化酶(SOD)、丙二醛(MDA)、过氧化氢酶(CAT)和谷胱甘肽(GSH)水平显著异常,肾组织中Nrf2和HO-1蛋白表达增加。给予5-ASA后,与PQ模型组相比,形态学变化和病理损伤减轻,BUN、SCr和MDA水平显著降低[BUN(mmol/L):11.98±1.81 vs. 18.56±2.32,SCr(μmol/L):30.67±2.31 vs. 43.67±9.02,MDA(μmol/L):5.28±0.43 vs. 6.81±1.00],SOD活性、CAT和GSH含量显著增加[SOD(kU/L):125.49±7.63 vs. 106.76±7.94,CAT(ng/L):30.68±3.51 vs. 23.05±1.55,GSH(μmol/L):3.81±0.44 vs. 3.14±0.17],而Nrf2和HO-1蛋白表达进一步增加[Nrf2蛋白(灰度值):0.76±0.04 vs. 0.52±0.03,HO-1蛋白(灰度值):0.56±0.02 vs. 0.31±0.02,均P < 0.05]。仅5-ASA干预对行为、病理、肾损伤标志物和氧化应激参数无显著影响,但可诱导肾组织中Nrf2和HO-1蛋白表达,显著高于NS对照组[Nrf2蛋白(灰度值):0.78±0.02 vs. 0.41±0.04,HO-1蛋白(灰度值):0.51±0.03 vs. 0.23±0.01,均P < 0.01]。
5-ASA减轻PQ所致急性肾损伤(AKI)的损伤,其机制可能与激活Nrf2-抗氧化反应元件(ARE)信号通路有关。