Iizuka K
Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan.
Nihon Jinzo Gakkai Shi. 1993 Sep;35(9):1015-21.
Increasing evidence supports the hypothesis that epidermal growth factor (EGF) may have a role in the repair of tubular injury on acute renal failure (ARF). On the other hand, platelet-depletion reduces the renal damage in experimental ARF rats. We investigated the expression of EGF in the renal tissues of mercuric-chloride (HgCl2, 2mg/kg)-induced ARF rats with (group-1) or without (group-2) platelet depletion for clarification of the role of EGF in the recovery of the renal tubules after ARF. Platelet-depletion was accomplished by the injection of anti-rat platelet serum (APS) 24 hours prior to the induction of ARF. The tubular necrosis and deterioration of renal function were significantly suppressed in group-1 compared with group-2 24 hours after HgCl2 injection (S-Cr 0.60 +/- 0.17 mg/dl, Ccr 0.58 +/- 0.11 ml/min in group-1 and 1.45 +/- 0.10 mg/dl, 0.20 +/- 0.02 ml/min in group-2, p < 0.05) but were in the same range between both groups 12 hours after (S-Cr 0.75 +/- 0.03 mg/dl, Ccr 0.49 +/- 0.02 ml/min in group-1 and 0.60 +/- 0.05 mg/dl, 0.67 +/- 0.08 ml/min in group-2). By immunohistochemistry, EGF was localized in the ascending limbs of Henle and distal convoluted tubules in normal rats. However, in both ARF rats, EGF was stained on the proximal tubules, including the necrotic area as well as the ascending limbs of Henle and distal convoluted tubules, both 12 and 24 hours after ARF induction.(ABSTRACT TRUNCATED AT 250 WORDS)
越来越多的证据支持这样一种假说,即表皮生长因子(EGF)可能在急性肾衰竭(ARF)时肾小管损伤的修复中发挥作用。另一方面,血小板减少可减轻实验性ARF大鼠的肾损伤。为了阐明EGF在ARF后肾小管恢复中的作用,我们研究了氯化汞(HgCl2,2mg/kg)诱导的ARF大鼠在血小板减少(第1组)或未减少(第2组)情况下肾组织中EGF的表达。在诱导ARF前24小时注射抗大鼠血小板血清(APS)以实现血小板减少。HgCl2注射24小时后,第1组的肾小管坏死和肾功能恶化与第2组相比明显受到抑制(第1组血清肌酐0.60±0.17mg/dl,内生肌酐清除率0.58±0.11ml/min;第2组分别为1.45±0.10mg/dl和0.20±0.02ml/min,p<0.05),但ARF后12小时两组处于相同范围(第1组血清肌酐0.75±0.03mg/dl,内生肌酐清除率0.49±0.02ml/min;第2组分别为0.60±0.05mg/dl和0.67±0.08ml/min)。通过免疫组织化学方法,正常大鼠中EGF定位于髓袢升支和远曲小管。然而,在两种ARF大鼠中,ARF诱导后12小时和24小时,EGF均在近端小管染色,包括坏死区域以及髓袢升支和远曲小管。(摘要截选至250字)