基础医学与临床 ›› 2020, Vol. 40 ›› Issue (4): 506-511.

• 研究论文 • 上一篇    下一篇

厄贝沙坦减轻糖尿病肾病大鼠肾损伤

张娅1, 黄文辉1*, 侯智敏2, 刘菊香1, 刘静1   

  1. 1.甘肃省人民医院, 甘肃 兰州 730000;
    2.甘肃中医药大学 临床医学系, 甘肃 兰州 730000
  • 收稿日期:2019-04-12 修回日期:2019-11-04 出版日期:2020-04-05 发布日期:2020-04-06
  • 通讯作者: *huangwh9966@163.com
  • 基金资助:
    甘肃省人民医院院内科研基金(17GSSY4-2)

Irbesartan attenuates renal injury with diabetic nephropathy rats

ZHANG Ya1, HUANG Wen-hui1*, HOU Zhi-min2, LIU Ju-xiang1, LIU Jing1   

  1. 1. Gansu Provincial People's Hospital, Lanzhou 730000;
    2. Department of Clinical Medicine, Gansu University of Traditional Chinese Medicine, Lanzhou 730000, China
  • Received:2019-04-12 Revised:2019-11-04 Online:2020-04-05 Published:2020-04-06
  • Contact: *huangwh9966@163.com

摘要: 目的 观察厄贝沙坦能否减轻糖尿病肾病(DN)大鼠的肾损伤。方法 将大鼠随机分为对照组、DN模型组、厄贝沙坦治疗组。于22周测体质量、随机血糖、24 h尿微量白蛋白、血肌酐、尿素氮,观察肾脏形态改变。应用荧光定量PCR检测miR-192 mRNA 在大鼠肾组织中的表达;蛋白免疫印迹法、免疫组织化学法检测肾组织TGF-β1、Zeb1、collagen Ⅰ蛋白的表达。结果 与对照组比较,DN组大鼠体质量、随机血糖、血肌酐、尿素氮和24 h尿微量白蛋白显著增高(P<0.05);与DN组比较,厄贝沙坦治疗组大鼠体质量、随机血糖、血肌酐、尿素氮和24 h尿微量白蛋白显著降低(P<0.05)。厄贝沙坦治疗可以改善DN大鼠的一般情况和肾脏病理损害。与对照组相比,DN组miR-192 mRNA在DN大鼠肾脏的表达下调(P<0.05);与DN组相比,厄贝沙坦组miR-192 mRNA表达上调(P<0.05);与对照组大鼠相比,DN组肾组织的TGF-β1、ZEB1和collagen Ⅰ蛋白表达量明显增加(P<0.05);与DN组相比较,厄贝沙坦治疗可以减少TGF-β1、ZEB1和collagen Ⅰ蛋白的表达(P<0.05)。结论 厄贝沙坦可减轻糖尿病肾病大鼠的肾损伤。

关键词: 糖尿病肾病, miR-192, 厄贝沙坦

Abstract: Objective To observe the effect of Irbesartan on renal injury in diabetic nephropathy (DN) rats. Methods The rats were randomly divided into control group, DN model group and Irbesartan treatment group. At the age of 22 weeks, body weight, random blood sugar, serum creatinine,urea nitrogen,and 24-hour urinary microalbumin were measured.The morphological changes of kidneys were observed. The expression of microRNA-192 in rat kidney was detected by fluorescence quantitative PCR,the expression of TGF-beta 1, Zeb1 and collagen Ⅰ in rat kidney were detected by Western blot and immuno-histochemistry. Results Compared with the control group, the body weight, random blood sugar, serum creatinine,urea nitrogen,and 24-hour urinary micro-albumin of the model group rats increased significantly (P< 0.05); Compared with the DN group, the body weight, random blood sugar, serum creatinine,urea nitrogen,and 24-hour urinary micro-albumin of the Irbesartan treatment group rats decreased significantly(P<0.05). Irbesartan treatment can improve the general condition and renal pathological damage of DN rats. Compared with the normal control group, the expression of microRNA-192 in the kidney of DN rats in the DN model group was down-regulated (P<0.05), while that in the Irbesartan group was up-regulated (P<0.05). WB and immuno-histochemical results showed that the expression of TGF-beta 1, ZEB1 and collagen Ⅰ protein in kidney tissue of DN model group was significantly increased as compared with that of normal group (P<0.05); Compared with DN group, Irbesartan treatment reduced expression of TGF-beta 1, ZEB1 and collagen Ⅰ protein, with statistical significance (P< 0.05). Conclusions Irbesartan attenuates renal damage in diabetic nephropathy rats.

Key words: diabetic nephropathy, miR-192, Irbesartan

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