Emergency Hospital, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
Ren Fail. 2020 Nov;42(1):208-215. doi: 10.1080/0886022X.2020.1729189.
Remote renal injury is a drastic consequence of hepatic ischemia/reperfusion (IR) injury. Vildagliptin (V) is a dipeptidyl peptidase-4 inhibitor that has a hepatorenal protective effect against models of liver and renal IR. This research was done to explore the protective role of vildagliptin against renal injury following hepatic IR injury as well as the possible involvement of transforming growth factor-beta (TGF-β)/Smad/alpha-smooth muscle actin (α-SMA) expressions in the pathophysiological mechanism of the remote renal injury. Three groups of male Wistar rats were organized into: sham group, IR group, and V + IR group in which 10 mg/kg/day of vildagliptin was pretreated for 10 days intraperitoneally. Blood in addition to renal and hepatic tissue samples was used for biochemical and histopathological studies. Hepatic IR induced a marked increase in serum creatinine, blood urea nitrogen, liver enzymes, renal nitric oxide, malondialdehyde, tumor necrosis factor-alpha levels with a marked upregulation of renal mRNA expressions of TGF-β, Smad2, Smad3, and α-SMA in addition to a marked decline in renal catalase content comparing to the sham group. Abnormal histopathological findings of hepatic and renal injury were detected in the IR group. Vildagliptin significantly improved these biochemical markers as well as the histopathological changes. The upregulation of renal TGF-β/Smad/α-SMA mRNA expressions was involved for the first time in the pathogenesis of the renal injury following hepatic IR and vildagliptin ameliorated this renal injury through blocking these expressions.
远程肾损伤是肝缺血/再灌注 (IR) 损伤的严重后果。维格列汀 (V) 是一种二肽基肽酶-4 抑制剂,对肝和肾 IR 模型具有肝肾功能保护作用。本研究旨在探讨维格列汀对肝 IR 损伤后肾损伤的保护作用,以及转化生长因子-β (TGF-β)/Smad/α-平滑肌肌动蛋白 (α-SMA) 表达在远程肾损伤病理生理机制中的可能作用。将三组雄性 Wistar 大鼠分为:假手术组、IR 组和 V+IR 组,其中 V+IR 组每天腹腔内给予 10mg/kg 的维格列汀预处理 10 天。采集血液和肾肝组织样本进行生化和组织病理学研究。肝 IR 导致血清肌酐、血尿素氮、肝酶、肾一氧化氮、丙二醛、肿瘤坏死因子-α水平显著升高,肾 TGF-β、Smad2、Smad3 和 α-SMA 的 mRNA 表达显著上调,而肾过氧化氢酶含量显著下降与假手术组相比。在 IR 组检测到肝和肾损伤的异常组织病理学发现。维格列汀显著改善了这些生化标志物和组织病理学变化。肾 TGF-β/Smad/α-SMA mRNA 表达的上调首次涉及肝 IR 后肾损伤的发病机制,维格列汀通过阻断这些表达改善了这种肾损伤。