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秋水仙碱可降低被动型海曼肾炎的蛋白尿。

Colchicine reduces proteinuria in passive Heymann nephritis.

作者信息

Milner L S, Lotan D, Mills M, Goodyer P R, Fong J S, Kaplan B S

出版信息

Nephron. 1987;46(1):11-7. doi: 10.1159/000184288.

Abstract

Colchicine was given to rats in the heterologous phase of passive Heymann nephritis to see whether this drug could reduce proteinuria. Treatment with 0.06 mg/day for 14 days caused significant reductions in proteinuria and albuminuria. Administration of dimethyl sulfoxide (DMSO) alone or in combination with colchicine also reduced protein and albumin excretion. In a long-term experiment, rats treated with colchicine had significantly less proteinuria. After stopping therapy, urine protein excretion was similar to controls. No differences in glomerular C3 and IgG deposition were found between treated and control rats 24 h, 3,7 and 14 days after immunization. Depressed serum C3 levels were measured at 24 h in colchicine-treated rats. No difference in serum-circulating immune complexes was detected between the two groups. Concurrent administration of indomethacin and colchicine to rats with passive Heymann nephritis (PHN) partially reversed the reduction in proteinuria and albuminuria seen in rats treated with colchicine alone. The G.F.R, however, was significantly reduced in colchicine-treated rats as well as in rats treated with colchicine and indomethacin. Serum cholesterol and triglyceride levels were significantly lower in colchicine-treated rats than in controls. Serum cholesterol concentrations in rats given both colchicine and indomethacin were similar to control values. These findings suggest that colchicine reduces urine protein and albumin excretion, and hyperlipidemia in PHN. The finding that indomethacin partially blocks the effects of colchicine suggests that renal prostaglandin stimulation by colchicine may have been involved in the reduction in proteinuria.

摘要

在被动性海曼肾炎的异源期给大鼠服用秋水仙碱,以观察该药物是否能降低蛋白尿。每天给予0.06毫克,持续14天的治疗可显著降低蛋白尿和白蛋白尿。单独给予二甲亚砜(DMSO)或与秋水仙碱联合使用也可减少蛋白质和白蛋白排泄。在一项长期实验中,用秋水仙碱治疗的大鼠蛋白尿明显减少。停止治疗后,尿蛋白排泄与对照组相似。免疫后24小时、3天、7天和14天,治疗组和对照组大鼠的肾小球C3和IgG沉积无差异。秋水仙碱治疗的大鼠在24小时时血清C3水平降低。两组之间血清循环免疫复合物未检测到差异。将消炎痛与秋水仙碱同时给予患有被动性海曼肾炎(PHN)的大鼠,部分逆转了单独用秋水仙碱治疗的大鼠中蛋白尿和白蛋白尿的减少。然而,秋水仙碱治疗的大鼠以及用秋水仙碱和消炎痛治疗的大鼠的肾小球滤过率(G.F.R)显著降低。秋水仙碱治疗的大鼠血清胆固醇和甘油三酯水平明显低于对照组。同时给予秋水仙碱和消炎痛的大鼠血清胆固醇浓度与对照值相似。这些发现表明,秋水仙碱可降低PHN中的尿蛋白和白蛋白排泄以及高脂血症。消炎痛部分阻断秋水仙碱作用的发现表明,秋水仙碱对肾前列腺素的刺激可能参与了蛋白尿的减少。

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