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知母皂苷元对小鼠脓毒症诱导的急性肾损伤的保护作用。

Protective role of tenuigenin on sepsis-induced acute kidney injury in mice.

作者信息

Xu Yan, Jiang Yan, Gai Wentao, Yu Botao

机构信息

Department of Urinary Surgery, Laiyang Central Hospital of Yantai, Yantai, Shandong 265200, P.R. China.

Department of Burns and Plastic Surgery, Laiyang Central Hospital of Yantai, Yantai, Shandong 265200, P.R. China.

出版信息

Exp Ther Med. 2017 Nov;14(5):5051-5056. doi: 10.3892/etm.2017.5164. Epub 2017 Sep 21.

Abstract

Acute kidney injury (AKI) is a severe complication of sepsis, which largely contributes to the associated high mortality rate. Tenuigenin (TNG) is a natural product isolated from root, which possesses anti-inflammatory and anti-oxidant properties. The present study investigated the effects of TNG on sepsis-associated AKI in mice subjected to cecal ligation and puncture (CLP). TNG was demonstrated to alleviate sepsis-induced AKI by reducing pathological changes and significantly decreasing the levels of blood urea nitrogen, serum creatinine and kidney coefficient. The production of inflammatory cytokines, including tumor necrosis factor α and interleukin-6, was markedly inhibited by TNG. Hematoxylin-eosin staining revealed that the morphological changes of kidney tissues in CLP mice were reversed following TNG treatment. Furthermore, treatment with TNG inhibited the production of nitric oxide and prostaglandin E. Finally, TNG inhibited the activation of the nuclear factor-κB (NF-κB) signaling pathway. The present study suggested that TNG alleviates sepsis-induced AKI by inhibiting the NF-κB signaling pathway, which provides a novel approach for treating sepsis-induced AKI.

摘要

急性肾损伤(AKI)是脓毒症的一种严重并发症,在很大程度上导致了相关的高死亡率。远志皂苷元(TNG)是从根部分离出的一种天然产物,具有抗炎和抗氧化特性。本研究调查了TNG对经盲肠结扎和穿刺(CLP)的小鼠脓毒症相关急性肾损伤的影响。结果表明,TNG可通过减轻病理变化并显著降低血尿素氮、血清肌酐水平和肾系数,从而缓解脓毒症诱导的急性肾损伤。TNG可显著抑制包括肿瘤坏死因子α和白细胞介素-6在内的炎性细胞因子的产生。苏木精-伊红染色显示,TNG处理后,CLP小鼠肾组织的形态学变化得到逆转。此外,TNG处理可抑制一氧化氮和前列腺素E的产生。最后,TNG可抑制核因子-κB(NF-κB)信号通路的激活。本研究表明,TNG通过抑制NF-κB信号通路来缓解脓毒症诱导的急性肾损伤,这为治疗脓毒症诱导的急性肾损伤提供了一种新方法。

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本文引用的文献

1
Sepsis-Induced Acute Kidney Injury.脓毒症诱导的急性肾损伤
Crit Care Clin. 2015 Oct;31(4):649-60. doi: 10.1016/j.ccc.2015.06.003. Epub 2015 Jul 29.
7
Immunomodulatory therapy for sepsis: an update.脓毒症的免疫调节治疗:更新。
Expert Rev Anti Infect Ther. 2011 Nov;9(11):1013-33. doi: 10.1586/eri.11.122.
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Tim-1 promotes cisplatin nephrotoxicity.TIM-1 促进顺铂肾毒性。
Am J Physiol Renal Physiol. 2011 Nov;301(5):F1098-104. doi: 10.1152/ajprenal.00193.2011. Epub 2011 Aug 10.
10
Sepsis and acute kidney injury.脓毒症与急性肾损伤。
J Am Soc Nephrol. 2011 Jun;22(6):999-1006. doi: 10.1681/ASN.2010050484. Epub 2011 May 12.

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