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化湿丸对肾结石大鼠模型尿液生化指标及骨桥蛋白的调节作用及其对肾结石形成的抑制效应

Inhibitive Effects of Huashi Pill on Formation of Renal Stones by Modulating Urine Biochemical Indexes and Osteopontin in Renal Stone Rat Models.

作者信息

Yang Ailing, Guo Huimeng, Fu Manling, Liu Minyong

机构信息

Medical Laboratory Center, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China (mainland).

School of Nursing, Southwest Medical University, Luzhou, Sichuan, China (mainland).

出版信息

Med Sci Monit. 2019 Nov 6;25:8335-8344. doi: 10.12659/MSM.916247.

Abstract

BACKGROUND Renal stones are the accumulated or deposited crystals that form and appear in supersaturated urine. This study aimed to the investigate the therapeutic effects of Huashi Pill on clearance of renal stones. MATERIAL AND METHODS Sprague Dawley rats were divided into normal control, positive control, low-dosage Huashi Pill, medium-dosage Huashi Pill, and high-dosage Huashi Pill groups. A renal rat model was established by using ethylene glycol, ammonium chloride, and calcium gluconate. The urinary pH, urine protein, and uric acid levels, as well as the calcium, magnesium, and phosphorus levels were examined. The blood urea nitrogen (BUN) and creatinine (Cr) levels were also evaluated. Aspartate aminotransferase (AST), alanine aminotransferase (ALT), and total bilirubin (TBIL) levels were evaluated. Crystal formation and calcium deposits were examined using hematoxylin and eosin (H and E) staining and von Kossa staining, respectively. Osteopontin (OPN) expression was evaluated with quantitative real-time polymerase chain reaction assay and immunohistochemical assay. RESULTS A renal stone rat model was successfully established. Huashi Pill significantly improved water and food intake and enhanced pH value of urine (P<0.05). Huashi Pill significantly improved the liver functions by decreasing ALT and TBIL levels (P<0.05). Huashi Pill regulated the amounts of microelements. Huashi Pill significantly decreased the urine protein, uric acid, and Cr levels (P<0.05). Huashi Pill inhibited formation of stone crystals and reduced the insoluble calcium deposition. Huashi Pill significantly downregulated expression of OPN in the kidney tissues of renal rat models (P<0.05). CONCLUSIONS Huashi Pill inhibited stone formation by regulating urine biochemical indexes and reducing OPN expression in kidney tissue in a renal stone rat model.

摘要

背景 肾结石是在过饱和尿液中形成并出现的积聚或沉积晶体。本研究旨在探讨化石丸对肾结石清除的治疗效果。

材料与方法 将Sprague Dawley大鼠分为正常对照组、阳性对照组、低剂量化石丸组、中剂量化石丸组和高剂量化石丸组。使用乙二醇、氯化铵和葡萄糖酸钙建立大鼠肾结石模型。检测尿pH值、尿蛋白、尿酸水平以及钙、镁、磷水平。还评估了血尿素氮(BUN)和肌酐(Cr)水平。分别使用苏木精和伊红(H&E)染色和冯·科萨染色检测晶体形成和钙沉积。采用定量实时聚合酶链反应测定法和免疫组织化学测定法评估骨桥蛋白(OPN)表达。

结果 成功建立了肾结石大鼠模型。化石丸显著改善水和食物摄入量并提高尿液pH值(P<0.05)。化石丸通过降低ALT和TBIL水平显著改善肝功能(P<0.05)。化石丸调节微量元素含量。化石丸显著降低尿蛋白、尿酸和Cr水平(P<0.05)。化石丸抑制结石晶体形成并减少不溶性钙沉积。化石丸显著下调肾结石大鼠模型肾组织中OPN的表达(P<0.05)。

结论 在肾结石大鼠模型中,化石丸通过调节尿液生化指标和降低肾组织中OPN表达来抑制结石形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc31/6857440/987d997bd032/medscimonit-25-8335-g001.jpg

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