Yuniartha Ratih, Arfian Nur, Setyaningsih Wiwit Ananda Wahyu, Kencana Sagita Mega Sekar, Sari Dwi Cahyani Ratna
Department of Anatomy, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Malays J Med Sci. 2022 Dec;29(6):46-59. doi: 10.21315/mjms2022.29.6.5. Epub 2022 Dec 22.
Chronic hyperglycaemia of diabetes causes long-term damage and impaired function of multiple organs. However, the pathological changes in the liver following long-term diabetes remain unclear. This study aimed to determine the pathological complications of long-term diabetes in the rat liver.
Intraperitoneal injection of streptozotocin (STZ) was used to induce diabetes in rats at a single dose (60 mg/kg body weight [BW]). Rats were euthanised at 1 month (DM1 group), 2 months (DM2 group) and 4 months (DM4 group) following diabetes induction with six rats in each group. Immunohistochemistry was performed against SOD1, CD68, p53 and p16 antibodies. Messenger RNA (mRNA) expressions of SOD1, SOD2, GPx, CD68, p53, p21 and caspase-3 genes were measured by reverse transcription-polymerase chain reaction.
Hepatic p53 mRNA expression was significantly higher in DM1, DM2 and DM4 groups compared to the control group. The p21 and caspase-3 mRNA expressions were significantly upregulated in the DM2 and DM4 groups. The p16-positive cells were obviously increased, particularly in the DM4 group. Bivariate correlation analysis showed mRNA expressions of p21 and caspase-3 genes were positively correlated with the p53 gene.
Diabetic rats exhibited increased apoptosis and senescence in the liver following a longer period of hyperglycaemia.
糖尿病患者的慢性高血糖会导致多器官的长期损害和功能障碍。然而,长期糖尿病后肝脏的病理变化仍不清楚。本研究旨在确定大鼠肝脏长期糖尿病的病理并发症。
采用腹腔注射链脲佐菌素(STZ)以单剂量(60mg/kg体重[BW])诱导大鼠患糖尿病。在诱导糖尿病后的1个月(DM1组)、2个月(DM2组)和4个月(DM4组)对大鼠实施安乐死,每组6只大鼠。针对超氧化物歧化酶1(SOD1)、CD68、p53和p16抗体进行免疫组织化学检测。通过逆转录聚合酶链反应测量SOD1、SOD2、谷胱甘肽过氧化物酶(GPx)、CD68、p53、p21和半胱天冬酶-3基因的信使核糖核酸(mRNA)表达。
与对照组相比,DM1、DM2和DM4组的肝脏p53 mRNA表达显著更高。DM2组和DM4组的p21和半胱天冬酶-3 mRNA表达显著上调。p16阳性细胞明显增加,尤其是在DM4组。双变量相关分析显示,p21和半胱天冬酶-3基因的mRNA表达与p53基因呈正相关。
高血糖持续较长时间后,糖尿病大鼠肝脏的细胞凋亡和衰老增加。