Liang Sudong, Xu Zhen, Ruan Yashi, Niu Tianli, Guo Wei, Jiang Wei, Hou Jianquan
Department of Urology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Department of Urology, Taizhou People's Hospital, Taizhou, Jiangsu, China.
Transplant Proc. 2020 Apr;52(3):1014-1019. doi: 10.1016/j.transproceed.2019.12.038. Epub 2020 Feb 28.
Renal ischemia-reperfusion injury (RIRI) occurs after several surgical procedures such as kidney transplantation and partial nephrectomy. Isoquercitrin (IQ) exhibited protective effects in cerebral ischemia-reperfusion injury. In the present study, we aimed to evaluate the effects of IQ on the prevention of RIRI. The mouse model of RIRI was induced by 30-minute clamping of the left renal pedicle after excising of the right kidney, followed by 24-hour reperfusion. Thirty mice were randomly divided into the following 3 groups: sham operation, RIRI model group, and IQ pretreatment + RIRI. Serum creatinine and blood urea nitrogen (BUN) were used for evaluating renal function. Kidney cell apoptosis was measured by terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL) staining. Moreover, the pro-inflammatory cytokines (TNF-α, IL-6), the oxidative stress associated factors (malondialdehyde, superoxide dismutase), and the apoptotic factors (Bcl-2, Bax) were assessed. After RIRI, BUN, creatinine, TNF-α, IL-6, malondialdehyde, and Bax were significantly increased, and levels of superoxide dismutase and Bcl-2/Bax ratio and Bcl-2 expression were decreased markedly. As expect, IQ reversed these changes. These data indicate that IQ plays a protective role during RIRI, which may be partially mediated through the actions of antioxidation, anti-inflammation, and antiapoptosis.
肾缺血再灌注损伤(RIRI)发生在诸如肾移植和部分肾切除术等多种外科手术后。异槲皮苷(IQ)在脑缺血再灌注损伤中表现出保护作用。在本研究中,我们旨在评估IQ对预防RIRI的作用。通过切除右肾后夹闭左肾蒂30分钟,然后再灌注24小时来诱导RIRI小鼠模型。30只小鼠随机分为以下3组:假手术组、RIRI模型组和IQ预处理+RIRI组。血清肌酐和血尿素氮(BUN)用于评估肾功能。通过末端脱氧核苷酸转移酶dUTP缺口末端标记(TUNEL)染色来检测肾细胞凋亡。此外,还评估了促炎细胞因子(TNF-α、IL-6)、氧化应激相关因子(丙二醛、超氧化物歧化酶)和凋亡因子(Bcl-2、Bax)。RIRI后,BUN、肌酐、TNF-α、IL-6、丙二醛和Bax显著升高,超氧化物歧化酶水平、Bcl-2/Bax比值和Bcl-2表达明显降低。正如预期的那样,IQ逆转了这些变化。这些数据表明IQ在RIRI期间发挥保护作用,这可能部分是通过抗氧化、抗炎和抗凋亡作用介导的。