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右美托咪定和氨磷汀对放疗所致肾损伤的保护作用。

Protective Effects of Dexmedetomidine and Amifostine Against Radiotherapy-Induced Kidney Injury.

作者信息

Batcik Sule, Tumkaya Levent, Dil Eyup, Kazancioglu Leyla, Gaygusuz Elif, Yazici Zihni Acar, Ozden Zulkar, Kilinc Kagan, Mercantepe Tolga

机构信息

Department of Anesthesiology and Reanimation, Faculty of Medicine, Recep Tayyip Erdogan University, 53100 Rize, Turkey.

Department of Histology and Embryology, Faculty of Medicine, On Dokuz Mayis University, 55010 Samsun, Turkey.

出版信息

Life (Basel). 2025 May 31;15(6):897. doi: 10.3390/life15060897.

DOI:10.3390/life15060897
PMID:40566550
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12193879/
Abstract

: Approximately 18 million individuals were diagnosed with cancer in 2018. The rate is predicted to exceed 22 million by 2030. Radiotherapy is an essential part of cancer therapy, with well documented local and systemic side effects, including oxidative stress and apoptosis. Kidney tissues are also exposed to the deleterious effects of radiotherapy, resulting in acute or chronic kidney function impairment. This study compared the effects of the potent selective α2-adrenoreceptor agonist dexmedetomidine and amifostine on oxidative stress and apoptosis in kidney damage induced by x-irradiation in rats. : Forty Sprague Dawley rats were assigned into five groups: control, x-irradiation, x-irradiation + amifostine, x-irradiation + dexmedetomidine 100 µg/kg, and X-ray irradiation + dexmedetomidine 200 µg/kg. : Necrotic tubules and degenerative Bowman's capsules were present in the x-irradiation group. An increase was determined in malondialdehyde (MDA), Cleaved Caspase-3, and 8-OHdG levels compared to the control group ( ≤ 0.05). In contrast, there was a decrease in necrotic tubules, degenerative Bowman's capsules, and the levels of MDA, Cleaved Caspase-3, and 8-OHdG in the amifostine and dexmedetomidine 100 µg/kg and 200 µg/kg treatment groups ( ≤ 0.05). : Alpha 2 adrenergic receptor agonists exhibit protective effects against kidney injury induced in association with x-irradiation by reducing oxidative stress and apoptosis.

摘要

2018年约有1800万人被诊断患有癌症。预计到2030年这一数字将超过2200万。放射治疗是癌症治疗的重要组成部分,其局部和全身副作用已得到充分记录,包括氧化应激和细胞凋亡。肾脏组织也会受到放射治疗的有害影响,导致急性或慢性肾功能损害。本研究比较了强效选择性α2 - 肾上腺素能受体激动剂右美托咪定和氨磷汀对大鼠X线照射所致肾损伤中氧化应激和细胞凋亡的影响。40只Sprague Dawley大鼠被分为五组:对照组、X线照射组、X线照射 + 氨磷汀组、X线照射 + 100 μg/kg右美托咪定组和X线照射 + 200 μg/kg右美托咪定组。X线照射组出现肾小管坏死和鲍曼囊退变。与对照组相比,丙二醛(MDA)、裂解的半胱天冬酶 - 3和8 - 羟基脱氧鸟苷(8 - OHdG)水平升高(P≤0.05)。相比之下,氨磷汀组以及100 μg/kg和200 μg/kg右美托咪定治疗组的肾小管坏死、鲍曼囊退变以及MDA、裂解的半胱天冬酶 - 3和8 - OHdG水平均降低(P≤0.05)。α2肾上腺素能受体激动剂通过减轻氧化应激和细胞凋亡,对X线照射所致肾损伤具有保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2567/12193879/6f2711b5f647/life-15-00897-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2567/12193879/fd7c2b0f5e5b/life-15-00897-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2567/12193879/c9925088f505/life-15-00897-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2567/12193879/6f2711b5f647/life-15-00897-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2567/12193879/fd7c2b0f5e5b/life-15-00897-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2567/12193879/c9925088f505/life-15-00897-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2567/12193879/6f2711b5f647/life-15-00897-g003.jpg

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本文引用的文献

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Radiotherapy biobanking: current landscape, opportunities, challenges, and future aspirations.放射治疗生物库:现状、机遇、挑战和未来展望。
J Pathol Clin Res. 2022 Jan;8(1):3-13. doi: 10.1002/cjp2.246. Epub 2021 Oct 17.
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Radiation-induced kidney toxicity: molecular and cellular pathogenesis.辐射诱导的肾毒性:分子和细胞发病机制。
Radiat Oncol. 2021 Feb 25;16(1):43. doi: 10.1186/s13014-021-01764-y.
3
Dexmedetomidine Alleviates Lipopolysaccharide-Induced Acute Kidney Injury by Inhibiting p75NTR-Mediated Oxidative Stress and Apoptosis.
右美托咪定通过抑制p75NTR介导的氧化应激和细胞凋亡减轻脂多糖诱导的急性肾损伤。
Oxid Med Cell Longev. 2020 Oct 31;2020:5454210. doi: 10.1155/2020/5454210. eCollection 2020.
4
Organ-Protective Effects and the Underlying Mechanism of Dexmedetomidine.右美托咪定的器官保护作用及其机制。
Mediators Inflamm. 2020 May 9;2020:6136105. doi: 10.1155/2020/6136105. eCollection 2020.
5
Radiation-Induced Normal Tissue Damage: Oxidative Stress and Epigenetic Mechanisms.辐射诱导的正常组织损伤:氧化应激与表观遗传机制。
Oxid Med Cell Longev. 2019 Nov 12;2019:3010342. doi: 10.1155/2019/3010342. eCollection 2019.
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The radioprotective effect of N-acetylcysteine against x-radiation-induced renal injury in rats.N-乙酰半胱氨酸对大鼠放射性肾损伤的放射防护作用。
Environ Sci Pollut Res Int. 2019 Oct;26(28):29085-29094. doi: 10.1007/s11356-019-06110-0. Epub 2019 Aug 7.
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The effects of N-acetylcysteine on radiotherapy-induced small intestinal damage in rats.N-乙酰半胱氨酸对大鼠放射性小肠损伤的影响。
Exp Biol Med (Maywood). 2019 Apr;244(5):372-379. doi: 10.1177/1535370219831225. Epub 2019 Feb 20.
8
Dexmedetomidine Ameliorates Acute Stress-Induced Kidney Injury by Attenuating Oxidative Stress and Apoptosis through Inhibition of the ROS/JNK Signaling Pathway.右美托咪定通过抑制 ROS/JNK 信号通路减轻氧化应激和细胞凋亡来改善急性应激诱导的肾损伤。
Oxid Med Cell Longev. 2018 Sep 3;2018:4035310. doi: 10.1155/2018/4035310. eCollection 2018.
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CA Cancer J Clin. 2018 Nov;68(6):394-424. doi: 10.3322/caac.21492. Epub 2018 Sep 12.
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The effects of dexmedetomidine on biomarkers of oxidative stress and antioxidants in kidney.右美托咪定对肾脏氧化应激生物标志物和抗氧化剂的影响。
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