降糖三黄片对早期糖尿病肾病大鼠肾组织TGF-β1/Smad1信号通路的影响
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国家中医药管理局“十一五”重点专科课题(编号:2007BAI10B04-02)


Effect of Jiangtangsanhuang Tablet on TGF-β1/Smad1 Signal Path of Kidney Tissues of Rats with Early Diabetic Nephropathy
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    摘要:

    目的:观察降糖三黄片对早期糖尿病肾病大鼠肾组织中转化生长因子β1(TGF-β1)、Smad1、Co1-Ⅳ的影响,探讨其对肾脏的保护作用。方法:将80只SD大鼠随机分为正常组11只、造模组69只。腹腔内注射链脲佐菌素(STZ)复制糖尿病肾病大鼠模型。造模成功的大鼠随机进一步分为模型组、厄贝沙坦组(给药量0.027 g·kg-1·d-1)、降糖三黄片组(给药量0.675 g·kg-1·d-1),给药8周后处死。于治疗前、模后4周、8周各组大鼠测血糖、称体重;造模成功后、实验结束前收集24 h尿液测定尿微量白蛋白。实验结束后摘取肾脏,去包膜称重;分别用免疫组化染色法及荧光定量RT-PCR法检测smad1、Ⅳ型胶原(Col-Ⅳ);用双抗体夹心法(ELASA)检测肾组织TGF-β1。结果:造模后各组大鼠体重明显减轻,降糖三黄片、厄贝沙坦与模型组比较,肾重/体重指数下降(P<0.01)。降糖三黄片、厄贝沙坦与模型组比较尿微量白蛋白水平下降(P<0.05)。降糖三黄片与模型组、厄贝沙坦组相比,能较好地降低血糖(P<0.01);降糖三黄片、厄贝沙坦均能明显抑制糖尿病肾病大鼠肾组织中TGF-β1的表达(P<0.01)。免疫组化染色表明厄贝沙坦组和降糖三黄片组比模型组smad1、Col-Ⅳ阳性表达程度显著减弱。免疫组化图像染色指数及荧光定量RT-PCR法结果提示降糖三黄片能降低smad1、Col-Ⅳ水平(P<0.05),且与厄贝沙坦作用相近。结论:降糖三黄片可通过抑制肾组织TGF-β1/smad1通路的表达,降低Col-Ⅳ的沉积,使肾脏的异常结构得到改善,延缓肾小球硬化。

    Abstract:

    To observe the effect of Jiangtangsanhuang (JTSH) on growth factor-β1 (TGF-β1),Smad1,Co1-Ⅳ of early diabetic nephropathy rats,and investigate its protective effect for kidney.Methods:Eighty SD rats were randomly divided into normal control group (n=11) and diabetic model group (n=69).The diabetic models were induced by lower-dosage of streptozocin (STZ) (30mg/kg).The model group was then divided into three sub-groups including early DN group,Irbesartan group (0.027 g·kg-1·d-1) and JTSH group(0.675 g·kg-1·d-1).The course of treatment lasted for 8 weeks.Rats were tested with blood glucose and weighed before dosing,4 and 8 weeks after dosing.Microalbuminuria was tested after DN model was established and before execution.Weight of all rats were measured before being executed.Immunohistochemical staining and fluorescence quota RT-PCR were used to determine smad1 and Col-Ⅳ.ELASA was used to determine TGF-β1.Results:All the rats had weight loss after being made into disease models,and JTSH and Irbesartan groups had better effect of alleviating weight/kidney weight index (P<0.01) and 24 hours urine immunohistochemical(P<0.05) compare to early DN group.JTSH Tablet had better effect in reducing blood glucose than Irbesartan and early DN groups(P<0.01).JTSH and Irbesartan groups could significantly reduce TGF-β1(P<0.01) in rats kidney.The expression of smad1 and Col-Ⅳ among DN group was significantly higher than normal group by using immunohistochemical method,but there was substantial reduction in JTSH and Irbesartan groups(P<0.01).As dye index and fluorescence quota RT-PCR results,JTSH groups could reduce gene expression of smad1 and Col-Ⅳ as well as Irbesartan.Conclusion:JTSH tablet has restrained TGF-β1/smad1 channel to deduce Col-Ⅳ in kidney,so as to delay renal glomerulus sclerosis.

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江 丹 吴 伟 林明欣 朱章志.降糖三黄片对早期糖尿病肾病大鼠肾组织TGF-β1/Smad1信号通路的影响[J].世界中医药,2014,9(08).

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  • 收稿日期:2014-04-06
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  • 在线发布日期: 2014-08-25
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