Features of Klotho Protein Expression in Rat Kidneys in Experimental Hyperglycemia Against the Background of Pharmacological Correction with GABA Derivatives

D. A. Kavalerova, G. L. Snigur, S. S. Surin, I. Tyurenkov, D. A. Bakulin, E. Y. Sakharova
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Abstract

The aim is to identify the features of Klotho protein expression in the epithelium of the convoluted tubules of the kidney during prolonged experimental hyperglycemia and pharmacological correction with GABA derivatives. Material and methods. The study used 50 mongrel male rats (initial weight: 330,0–360,0 g) with streptozotocin diabetes lasting 6 months. 6 months after the injection of streptozotocin (60 mg/kg), animals with a glycemic level of ≥ 15 mmol/l were included in the study (after 4 hours of food deprivation), then GABA derivatives (aminalon, mefargine, succicard) were administered orally for 30 days. Proteinuria and serum creatinine concentrations were evaluated. After euthanasia, kidney tissue was fixed in buffered neutral formalin and examined using immunofluorescence microscopy. The intensity of the glow was evaluated based on a visual-analog scale. Results. In the group with chronic hyperglycemia without treatment, there was a significant increase in the protein content in daily urine and serum creatinine levels (p<0,05). In the group of animals with chronic hyperglycemia without treatment, there was a significant decrease in the expression of Klotho protein compared to the group of intact animals during immunofluorescence analysis. In the group treated with the GABA derivative succicard, there was an improvement in the functional state of the kidneys, accompanied by a significant increase (p≤0,0001) in the area of Klotho-positive material in the epithelium of the convoluted tubules of the kidney in relation to the group of animals with prolonged hyperglycemia without treatment. Conclusion. Prolonged hyperglycemia causes severe renal dysfunction in rats with streptozotocin diabetes: an increase the proteinuria and serum creatinine levels is accompanied by a decrease in the expression of Klotho protein in the kidneys. The GABA derivative succicard with course administration improves kidney function and this effect is accompanied by an increase in the expression of Klotho protein.
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用 GABA 衍生物进行药理学矫正背景下实验性高血糖大鼠肾脏中 Klotho 蛋白表达的特点
目的是确定在长期实验性高血糖和用 GABA 衍生物进行药物矫正期间,肾脏曲小管上皮细胞中 Klotho 蛋白的表达特征。材料和方法研究使用 50 只雄性杂种大鼠(初始体重:330.0-360.0 克)进行为期 6 个月的链脲佐菌素糖尿病实验。注射链脲佐菌素(60 毫克/千克)6 个月后,将血糖水平≥ 15 毫摩尔/升的动物纳入研究(禁食 4 小时后),然后口服 GABA 衍生物(阿米那龙、甲法金、琥珀酰卡)30 天。对蛋白尿和血清肌酐浓度进行评估。安乐死后,将肾组织固定在缓冲中性福尔马林中,并使用免疫荧光显微镜进行检查。发光强度根据视觉模拟标度进行评估。结果在未接受治疗的慢性高血糖组中,每日尿液中的蛋白质含量和血清肌酐水平显著增加(P<0.05)。在未接受治疗的慢性高血糖动物组中,在免疫荧光分析过程中,Klotho 蛋白的表达与完整动物组相比明显减少。在接受 GABA 衍生物琥珀酰卡治疗的动物组中,肾脏功能状态有所改善,与未接受治疗的长期高血糖动物组相比,肾脏曲小管上皮细胞中 Klotho 蛋白阳性物质的面积显著增加(p≤0,0001)。结论长期高血糖会导致链脲佐菌素糖尿病大鼠出现严重的肾功能障碍:在蛋白尿和血清肌酐水平升高的同时,肾脏中 Klotho 蛋白的表达量也会下降。GABA 衍生物 succicard 的疗程用药可改善肾功能,这种效果伴随着 Klotho 蛋白表达的增加。
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