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姜多酚减轻环孢素引起的肾功能紊乱:在辅助移植治疗中的潜在应用。

Ginger polyphenols attenuate cyclosporine-induced disturbances in kidney function: Potential application in adjuvant transplant therapy.

作者信息

Adekunle Isiaka Ayofe, Imafidon Christian Eseigbe, Oladele Ayowole Abraham, Ayoka Abiodun Oladele

机构信息

Department of Physiological Sciences, Faculty of Basic Medical Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.

Department of Physiological Sciences, Faculty of Basic Medical Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.

出版信息

Pathophysiology. 2018 Jun;25(2):101-115. doi: 10.1016/j.pathophys.2018.02.001. Epub 2018 Feb 7.

Abstract

Cyclosporine (CYA), a common immuno-suppressant drug that is used in organ transplants, is associated with nephrotoxic effects. Scientific exploration of natural products of plant origin should be considered; especially, in a world with increasing prevalence of kidney diseases. Effects of ginger polyphenols (GP) in Wistar rats with CYA-induced perturbations in electrolyte balance and kidney function was determined. Fifty Wistar rats were recruited for this study such that graded doses of GP were administered following CYA-induced kidney injury and comparisons were made against control and toxic groups at p < 0.05. Distilled water, CYA (50 mg/kg p.o. for 10 days) and GP (100, 200 and 400 mg/kg p.o. for 21 days) were administered to the rats at 0.2 ml/100 g. CYA administration induced kidney injury as characterized by significant deleterious alterations in plasma and urine levels of creatinine, urea, Na and K electrolyte balance as well as creatinine clearance. Also, there was a significant derangement in feeding pattern and relative kidney weight. Using GSH and SOD as antioxidant indicators, there was significant disturbance of the anti-oxidant system while histopathological results showed evidence of interstitial vacuolations with atrophic glomeruli. These conditions were significantly attenuated (p < 0.05) following administration of graded doses of GP. It was, therefore, concluded that GP could potentially be a therapeutic choice for patients with CYA-induced kidney injury.

摘要

环孢素(CYA)是一种用于器官移植的常见免疫抑制药物,具有肾毒性作用。应该考虑对植物源天然产物进行科学探索;特别是在肾脏疾病患病率不断上升的世界中。本研究测定了生姜多酚(GP)对环孢素诱导的Wistar大鼠电解质平衡和肾功能紊乱的影响。本研究招募了50只Wistar大鼠,在环孢素诱导肾损伤后给予不同剂量的GP,并与对照组和中毒组进行比较,p<0.05。以0.2 ml/100 g的剂量给大鼠灌胃蒸馏水、环孢素(50 mg/kg口服,持续10天)和生姜多酚(100、200和400 mg/kg口服,持续21天)。环孢素给药导致肾损伤,表现为血浆和尿液中的肌酐、尿素、钠和钾电解质平衡以及肌酐清除率出现显著有害变化。此外,摄食模式和相对肾重量也出现了显著紊乱。以谷胱甘肽(GSH)和超氧化物歧化酶(SOD)作为抗氧化指标,抗氧化系统受到显著干扰,而组织病理学结果显示存在间质空泡化和肾小球萎缩的证据。给予不同剂量的生姜多酚后,这些情况得到显著改善(p<0.05)。因此,得出结论,生姜多酚可能是环孢素诱导肾损伤患者的一种治疗选择。

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