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中性粒细胞膜纳米囊泡改善脓毒症大鼠急性肾损伤的肾功能指标

Neutrophil Membrane Nanovesicles Alleviate the Renal Function Indicators in Acute Kidney Injury Caused by Septic Rats.

作者信息

Pan Junhao, Shao Feifei, Xiao Xiaorong, Ke Xin, Guan Zhihui, Lin Hui, Yan Qingqing, Xiang Xinyao, Luo Jinming

机构信息

Department of Intensive Care Unit, Taizhou First People's Hospital, Taizhou, 318020, ZJ, China.

出版信息

Cell Biochem Biophys. 2025 Jun;83(2):2553-2565. doi: 10.1007/s12013-024-01664-4. Epub 2025 Jan 14.

Abstract

This study aims to explore the efficacy of neutrophil membrane nanovesicles (NMNVs) in the treatment of acute kidney injury caused by sepsis (S-AKI). Moreover, its effects on renal function indicators in plasma [creatinine (CREA), urea (UREA)], oxidative stress factor [malondialdehyde (MDA)], inflammatory factor [myeloperoxidase (MPO), histone H4 (H4), and macrophage inflammatory protein-2 (MIP-2)] are studied. Sixty SPF grade adult male Wistar rats in a healthy state under natural infection were randomly divided into blank, LSP, and experimental groups, with 20 rats in each group. After 7 days of adaptive feeding, a S-AKI model was established in the control group and the experimental group. The control group was treated with red blood cell membrane nanovesicles (RBC-NVs), the experimental group was treated with NMNVs, and the blank group was normal rats. The clinical treatment and changes in renal function indicators of the tested rats were observed and recorded. The total effective rate of treatment in the experimental group was higher than that in the controlling group (P < 0.05). Moreover, 1 h after the construction of the S-AKI model, the CREA, UREA, MDA, MPO, H4, MIP-2 in the controlling group and experimental group were higher than those in the blank group. At 7 and 14 h after constructing S-AKI model, the CREA, UREA, MDA, MPO, H4, and MIP-2 in the controlling and experimental groups decreased. However, the above indicators in the experimental group were lower than those in the controlling group (P < 0.05), and the comparison between this group and the blank group showed P > 0.05. In summary, the efficacy of NMNV in treating S-AKI is significant, as it can reduce CREA, UREA, MDA, MPO, as well as H4 and MIP-2, effectively controlling disease progression.

摘要

本研究旨在探讨中性粒细胞膜纳米囊泡(NMNVs)治疗脓毒症所致急性肾损伤(S-AKI)的疗效。此外,还研究了其对血浆中肾功能指标[肌酐(CREA)、尿素(UREA)]、氧化应激因子[丙二醛(MDA)]、炎症因子[髓过氧化物酶(MPO)、组蛋白H4(H4)和巨噬细胞炎性蛋白-2(MIP-2)]的影响。将60只自然感染状态下的健康SPF级成年雄性Wistar大鼠随机分为空白组、脂多糖(LSP)组和实验组,每组20只。适应性饲养7天后,对照组和实验组建立S-AKI模型。对照组用红细胞膜纳米囊泡(RBC-NVs)治疗,实验组用NMNVs治疗,空白组为正常大鼠。观察并记录受试大鼠的临床治疗情况及肾功能指标变化。实验组的治疗总有效率高于对照组(P<0.05)。此外,在S-AKI模型构建后1小时,对照组和实验组的CREA、UREA、MDA、MPO、H4、MIP-2均高于空白组。在构建S-AKI模型后7小时和14小时,对照组和实验组的CREA、UREA、MDA、MPO、H4和MIP-2均下降。然而,实验组的上述指标低于对照组(P<0.05),且该组与空白组比较差异无统计学意义(P>0.05)。综上所述,NMNV治疗S-AKI疗效显著,可降低CREA、UREA、MDA、MPO以及H4和MIP-2,有效控制疾病进展。

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