文章摘要
吴 卿,杨晓龙,周维娜,严嘉伟,何立群,沈沛成.固本通络方对IgA肾病小鼠炎症反应、氧化应激和TGF-β1/Smads信号通路的影响[J].,2023,(3):407-411
固本通络方对IgA肾病小鼠炎症反应、氧化应激和TGF-β1/Smads信号通路的影响
Effects of Guben Tongluo Formula on Inflammatory Response, Oxidative Stress and TGF-β1/Smads Signaling Pathway in IgA Nephropathy Mice
投稿时间:2022-07-23  修订日期:2022-08-18
DOI:10.13241/j.cnki.pmb.2023.03.002
中文关键词: IgA肾病  小鼠  固本通络方  炎症反应  氧化应激  TGF-β1/Smads信号通路
英文关键词: IgA nephropathy  Mice  Guben Tongluo formula  Inflammatory response  Oxidative stress  TGF-β1/Smads signaling pathway
基金项目:国家自然科学基金项目(81904124);上海市浦东卫生系统重点学科群建设项目(PWZxq2017-07)
作者单位E-mail
吴 卿 上海中医药大学附属曙光医院肾病科 上海 201203 wuqing19850414@163.com 
杨晓龙 上海中医药大学附属曙光医院重症医学科 上海 201203  
周维娜 上海中医药大学附属曙光医院肾病科 上海 201203  
严嘉伟 上海中医药大学附属曙光医院肾病科 上海 201203  
何立群 上海中医药大学附属曙光医院肾病科 上海 201203  
沈沛成 上海中医药大学附属曙光医院肾病科 上海 201203  
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中文摘要:
      摘要 目的:研究固本通络方对免疫球蛋白A(IgA)肾病小鼠炎症反应、氧化应激和转化生长因子β1(TGF-β1)/Smads信号通路的影响。方法:选取45只雄性昆明种小鼠作为研究对象。以电脑随机数字表法将其分为正常组、模型组以及治疗组,每组各15只。模型组及治疗组均通过牛血清白蛋白及葡萄球菌肠毒素B进行诱导造模,造模结束后,治疗组给予固本通络方灌胃干预,模型组及正常组均给予生理盐水灌胃处理。对比三组肾脏病理损伤以及系膜区IgA沉积、肾脏损伤指标、炎症反应指标、氧化应激反应指标、Peyer小结TGF-β1/Smads信号通路指标。结果:正常组无异常肾脏病理变化,模型组及治疗组均可见显著肾小球系膜细胞增生以及基质增多,系膜区有免疫复合物沉积,治疗结束后治疗组相较于模型组肾小球病变显著减轻。正常组系膜区无IgA沉积,模型组及治疗组均可见系膜区明显团块状或颗粒状中等强度IgA沉积,且在治疗后治疗组相较于模型组系膜区IgA沉积有所减弱。三组血肌酐(Scr)及尿素氮(BUN)水平对比无明显差异(均P>0.05);模型组及治疗组24 h尿蛋白定量均高于正常组,且治疗组24 h尿蛋白定量低于模型组(均P<0.05)。模型组、治疗组血清白细胞介素-6(IL-6)、白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)水平均高于正常组,且治疗组上述各项血清学指标水平均低于模型组(均P<0.05)。模型组、治疗组MDA均高于正常组,而治疗组MDA低于模型组;模型组、治疗组SOD均低于正常组,而治疗组SOD高于模型组(均P<0.05)。模型组、治疗组Peyer小结TGF-β1、Smad3蛋白表达量均高于正常组,且治疗组上述蛋白表达量低于模型组(均P<0.05)。结论:固本通络方可有效改善IgA肾病小鼠炎症反应、氧化应激,可能和调控TGF-β1/Smads信号通路有关。
英文摘要:
      ABSTRACT Objective: To study the effects of Guben Tongluo formula on inflammatory response, oxidative stress and transforming growth factor β1(TGF-β1)/Smads signaling pathway in immunoglobulin A (IgA) nephropathy mice. Methods: 45 male Kunming mice were selected as the research objects. They were divided into normal group, model group and treatment group by computer random number table, 15 rats in each group. The model group and the treatment group were induced modeling by bovine serum albumin and staphylococcal enterotoxin B. After modeling, the treatment group was given Guben Tongluo formula by gavage intervention, and the model group and the normal group were given normal saline by gavage treatment. Renal pathological injury, mesangial IgA deposition, renal injury index, inflammatory response index, oxidative stress response index, Peyer summary TGF-β1/Smads signaling pathway index were compared in the three groups. Results: There were no abnormal renal pathological changes in the normal group, but there were significant mesangial cell hyperplasia and matrix increase in the model group and the treatment group, and immune complex deposition in the mesangial area. After treatment, the glomerular lesions in the treatment group were significantly reduced compared with the model group. There was no IgA deposition in the mesangial area in the normal group, but the mesangial area in the model group and the treatment group was significantly clumped or granular with moderate intensity IgA deposition, and the mesangial IgA deposition was decreased in the treatment group after treatment compared with the model group. There were no significant differences in serum creatinine(Scr) and blood urea nitrogen(BUN) levels in the three groups (all P>0.05). The 24 h urinary protein quantification in the model group and the treatment group were higher than that in the normal group, and the 24 h urinary protein quantification in the treatment group was lower than that in the model group (all P<0.05). The serum interleukin-6 (IL-6), interleukin-1β(IL-1β) and tumor necrosis factor-α (TNF-α) levels in the model group and treatment group were higher than those in the normal group, and the serum levels of the above-mentioned serological indexes in the treatment group were lower than those in the model group (all P<0.05). The MDA in the model group and treatment group was higher than that in the normal group, while the MDA in the treatment group was lower than that in the model group. SOD in the model group and treatment group was lower than that in the normal group, while SOD in the treatment group was higher than that in the model group (all P<0.05). The protein expressions of TGF-β1 and Smad3 in the model group and treatment group were higher than those in the normal group, and the protein expressions in the treatment group were lower than those in the model group (all P<0.05). Conclusion: Guben Tongluo formula can effectively improve the inflammatory response and oxidative stress in IgA nephropathy mice, which may be related to the regulation of TGF-β1/Smads signaling pathway.
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