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藏红花素通过减轻氧化应激和炎症级联反应来抑制糖尿病大鼠的糖尿病肾病进展。

Crocin mediated amelioration of oxidative burden and inflammatory cascade suppresses diabetic nephropathy progression in diabetic rats.

机构信息

Department of Pharmacology and Biochemistry, Faculty of Pharmacy, Delta University for Sciences and Technology, Gamasa, Egypt.

Department of Histology and Cytology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

出版信息

Chem Biol Interact. 2018 Mar 25;284:90-100. doi: 10.1016/j.cbi.2018.02.001. Epub 2018 Feb 3.

Abstract

Diabetic Nephropathy (DN) is one of the main complications associated with diabetes mellitus. Persistently elevated blood glucose level drives histopathological changes in renal tissues that hinder normal kidney functions. In the current study, crocin; the main bioactive constituent of Crocus sativus was investigated as a reno-protective agent against DN by virtue of its numerous pharmacological activities. Diabetes was induced in male Sprague-Dawely rats through intravenous injection of streptozocin (STZ) (50 mg/kg), DN was confirmed eight weeks post diabetes induction. Daily oral crocin for eight weeks (20 mg/kg) significantly reduced blood glucose level with a significant increase in insulin level. Moreover, crocin improved impaired kidney functions as manifested in reduction of serum creatinine levels, blood urea nitrogen and proteinuria with concomitant increase in urinary creatinine clearance. Furthermore, biomarkers of cell injury and tissue necrosis like LDH activity was significantly reduced, kidney content of NOS significantly declined likewise. In addition, renal antioxidants such as SOD, GSH and serum catalase activity significantly increased with concomitant reduction of kidney MDA; biomarker of oxidative load. Kidney content of toll-like receptors 4 and IL-6 significantly declined with simultaneous suppression of nuclear factor kappa-B (NF-κB/p65) protein expression and immuno-staining in rat renal cortex. Furthermore, crocin inhibited progression of renal fibrosis as seen with reduction of renal hydroxyproline and collagen content, TGF-β immuno-staining and Masson's Trichrome positive tissue. Histopathologically, crocin pretreatment was associated with minimal renal damage with fewer fibrotic lesions. There was a concomitant restoration of renal tubules integrity with preservation of glomerular space area. In conclusion, crocin's ameliorative impact on DN may be attributed to its free radicals scavenging properties, its ability to enhance host antioxidant defense system and its ability to inhibit inflammatory and fibrotic cascades activation.

摘要

糖尿病肾病(DN)是糖尿病的主要并发症之一。持续升高的血糖水平会导致肾脏组织的组织病理学变化,从而阻碍正常的肾脏功能。在目前的研究中,西红花苷——藏红花的主要生物活性成分,因其多种药理活性而被研究为一种防治 DN 的肾脏保护剂。雄性 Sprague-Dawely 大鼠通过静脉注射链脲佐菌素(STZ)(50mg/kg)诱导糖尿病,糖尿病诱导 8 周后确认 DN。八周的每日口服西红花苷(20mg/kg)可显著降低血糖水平,同时胰岛素水平显著升高。此外,西红花苷可改善受损的肾功能,表现为血清肌酐水平、血尿素氮和蛋白尿的降低,同时尿肌酐清除率增加。此外,细胞损伤和组织坏死的生物标志物如 LDH 活性显著降低,NOS 含量也显著降低。此外,肾脏抗氧化剂如 SOD、GSH 和血清过氧化氢酶活性显著增加,同时肾脏 MDA 减少;氧化应激的生物标志物。肾脏 toll 样受体 4 和 IL-6 的含量显著下降,同时核因子 kappa-B(NF-κB/p65)蛋白表达和大鼠肾皮质免疫染色受到抑制。此外,西红花苷可抑制肾脏纤维化的进展,表现为肾羟脯氨酸和胶原含量减少、TGF-β免疫染色和 Masson 三色阳性组织减少。组织病理学检查显示,西红花苷预处理与肾脏损伤最小,纤维化病变较少。肾小管完整性得到恢复,肾小球空间面积得到保留。总之,西红花苷对 DN 的改善作用可能与其清除自由基的特性、增强宿主抗氧化防御系统的能力以及抑制炎症和纤维化级联激活的能力有关。

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