山东大学学报 (医学版) ›› 2023, Vol. 61 ›› Issue (10): 9-16.doi: 10.6040/j.issn.1671-7554.0.2023.0050
杨元凤1,熊高才2,黎豫川1,罗玉玲1,张敬杰3
YANG Yuanfeng1, XIONG Gaocai2, LI Yuchuan1, LUO Yuling1, ZHANG Jingjie3
摘要: 目的 探讨鹿苓安肾颗粒对腺嘌呤诱导的慢性肾功能衰竭(CRF)大鼠的影响及其潜在机制。 方法 将SD雄性大鼠分成6组:对照组,模型组,阳性药物组(尿毒清颗粒,2.25 g/kg),鹿苓安肾颗粒低、中、高剂量组(2.5、5、10 g/kg),每组10只。除对照组外,其他各组大鼠均采用灌胃2.5%腺嘌呤混悬液建立CRF大鼠模型,造模成功后给予相应药物灌胃干预,1次/d,连续28 d。观察并记录大鼠一般情况;腹主动脉取血,测定血清中血尿素氮(BUN)和血肌酐(Scr)水平和24 h尿蛋白水平;酶联免疫吸附测定法(ELISA)检测血清中白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平;苏木精-伊红(HE)染色观察肾脏组织病理学变化;免疫组化检测肾脏组织中碱性成纤维细胞生长因子(bFGF)水平;实时荧光定量PCR(qRT-PCR)和Western blotting检测肾脏组织中Bax、Bcl-2和Caspase-3 mRNA及Bax、Bcl-2和Cleaved-Caspase-3蛋白表达水平。 结果 与对照组比较,模型组大鼠肾脏组织损伤严重,24 h尿蛋白水平,血清中BUN、Scr、IL-1β、IL-6和TNF-α水平,肾脏组织中Bax/Bcl-2、Caspase-3 mRNA及Bax/Bcl-2和Cleaved-Caspase-3蛋白表达水平及bFGF水平均明显上升(P<0.05)。与模型组比较,鹿苓安肾颗粒低、中、高剂量组和阳性药物组大鼠肾脏组织损伤均明显减轻,24 h尿蛋白水平,血清中BUN、Scr、IL-1β、IL-6和TNF-α水平,肾脏组织中Bax/Bcl-2、Caspase-3 mRNA及Bax/Bcl-2和Cleaved-Caspase-3蛋白表达水平及bFGF水平均明显下降(P<0.05),且呈剂量依赖性。 结论 鹿苓安肾颗粒可抑制CRF大鼠肾脏组织炎症反应、细胞凋亡和纤维化,改善肾功能,从而对CRF大鼠肾脏具有一定的保护作用。
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