通心络对2型糖尿病大鼠肾脏血管紧张素Ⅱ表达的影响
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国家重点基础研究发展计划课题(“973”计划)(编号:2012CB518602)


Effects of Tongxinluo on the Renal Angiotensin Ⅱ Expression in Type 2 Diabetic Rats
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    摘要:

    目的:观察2型糖尿病(T2DM)大鼠肾损伤过程中血管紧张素Ⅱ(AngⅡ)的表达,探讨通心络对糖尿病早期肾小球高滤过的影响及其作用机制。方法:8周龄SD雄性大鼠40只,采用高脂饲料+低剂量链脲佐菌素建立T2DM大鼠模型,随机分为空白组、模型组、缬沙坦组(10 mg·kg-1·d-1)和通心络组(0.4 mg·kg-1·d-1),分别于4周和8周观察T2DM大鼠血糖(FBG)、尿白蛋白排泄率(UAER)及肾功能(Scr,BUN,Ccr)的变化;8周末次给药后取肾组织,计算肾重指数(KW/BW),采用western blot及real time-PCR技术检测AngⅡ和AngⅡ1型受体(AT1R)蛋白和基因的表达。结果:T2DM大鼠的FBG、UAER、Scr、BUN、Ccr及KW/BW较空白组有不同程度的升高(P<0.05),通心络组FBG无明显变化(P>0.05),其他各指标水平较模型组均显著降低(P<0.05);WB及RT-PCR结果显示通心络可以降低肾组织中AngⅡ和AT1R基因蛋白的过度表达(P<0.05)。结论:通心络可以改善T2DM大鼠早期的高滤过状态,抑制尿白蛋白的排泄及肾脏肥大,保护肾功能;通心络可能是通过下调肾组织中AngⅡ的表达,抑制异常活化的RAS来延缓糖尿病肾病的发生发展。

    Abstract:

    To observe the renal angiotensin Ⅱ expression in type 2 diabetic rats, to investigate the effect and the possible mechanism of Tongxinluo on glomerular hyperfiltration in early diabetes.Methods:The rat model of type 2 diabetes mellitus was induced by injection of low-dose of streptozocin after having high-fat diet for 4 weeks,and they were randomly divided into 4 groups—normal group, diabetic group, valsartan treated group (10 mg·kg-1·d-1) and Tongxinluo treated group(0.4 mg·kg-1·d-1);the level of fasting blood glucose(FBG), urinary albumin excretion rate(UAER) and the renal function included serum creatinine(Scr), blood urea nitrogen(BUN) and creatinine clearance rate(Ccr) were measured every 4 weeks; After 8 weeks, kidney weight/body weight ratio(KW/BW)was calculated and the renal expression of angiotensin Ⅱ and angiotensin Ⅱ type 1 receptor(AT1R) was determined by western blot and real-time PCR.Results:The level of UAER, Scr, BUN, Ccr, KW/BW, AngⅡand AT1R expression in Tongxinluo treated group was lower than it in diabetic group(P<0.05) while FBG had no significant alteration(P>0.05).Conclusion:Tongxinluo can improve glomerular hyperfiltration, urinary albumin excretion, kidney hypertrophia and the renal function in type 2 diabetic rats. The mechanism could be related to inhibition of AngⅡand AT1R expression.

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李娇阳,高彦彬,周盛楠,邹大威,朱智耀,张娜,王馨瑶,崔方强,刘静.通心络对2型糖尿病大鼠肾脏血管紧张素Ⅱ表达的影响[J].世界中医药,2015,10(08).

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  • 收稿日期:2014-08-22
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  • 在线发布日期: 2015-08-31
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