Zhao X, Li L
Renal Department, Zhangzhen Hospital, Shanghai.
Zhonghua Yi Xue Za Zhi. 1993 Jul;73(7):410-2, 447.
To explore the protective effect of cordyceps sinensis (CS) on cyclosporine A nephro-toxicity (CsA-Nx) and the possible mechanism, we studied the kidney changes induced by CsA in rats by light microscopy (LM), electronic microscopy (EM) and morphometrical analysis. At the 15th day after receiving CsA, prominent vacuolation and necrosis were noted microscopically in proximal tubular cells and mitochondria swelling electronmicroscopically. Morphometrical study showed that the epithelial areas of both proximal and distal tubules in the CS group were larger than those of the control group. There were obvious vacuolation (90%) and necrosis in proximal tubular cells at different stages of chronic CsA-Nx. Interstitial edema with mild fibrosis was observed. Mitochondria abnormality was seen electronmicroscopically. Morphometrical analysis showed that the epithelial cell areas of tubules and glomeruli were smaller in the CsA group than those in the CS group. Both acute and chronic experiments showed that CS could protect the kidney from CsA-Nx and ameliorate the glomerular and interstitial injuries.
为探讨冬虫夏草(CS)对环孢素A肾毒性(CsA - Nx)的保护作用及其可能机制,我们通过光学显微镜(LM)、电子显微镜(EM)和形态计量学分析,研究了CsA诱导的大鼠肾脏变化。接受CsA后第15天,光学显微镜下可见近端肾小管细胞明显空泡化和坏死,电子显微镜下可见线粒体肿胀。形态计量学研究表明,CS组近端和远端小管的上皮面积均大于对照组。在慢性CsA - Nx的不同阶段,近端肾小管细胞存在明显空泡化(90%)和坏死。观察到间质水肿伴轻度纤维化。电子显微镜下可见线粒体异常。形态计量学分析表明,CsA组肾小管和肾小球的上皮细胞面积小于CS组。急性和慢性实验均表明,CS可保护肾脏免受CsA - Nx损伤,并减轻肾小球和间质损伤。