丹红对肾小管间质纤维化的保护作用与抑制血管紧张素II和转化生长因子β有关

Cheng-jun Wang, Yinghua Shen, Kai Chen, Xiaorong Bao
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引用次数: 1

摘要

背景与目的:小管间质纤维化(Tubulointerstitial fibrosis, TIF)是慢性肾脏疾病(CKD)向终末期肾脏疾病发展的共同途径,目前缺乏有效的预防药物,即使合成化学药物也取得了重大进展。因此,本研究旨在探讨丹红(丹参、红花红花活性成分)对早期CKD单侧肾切除动物模型TIF的影响。材料与方法:40只sd大鼠随机分为4组,每组10只:A组,对照组;B, CKD;C、CKD +丹红;D, CKD +氯沙坦。A、B组大鼠灌胃生理盐水12周。C、D组大鼠分别给予丹红(8 mL/kg/ D)和氯沙坦(20 mg/kg/ D)。采用免疫组化技术和酶联免疫吸附法检测肾组织中血管紧张素II (Ang II)和转化生长因子(TGF-β)的浓度。分析了TIF相关指标之间的关系。采用SPSS软件对数据进行收集和分析。结果:与未加丹红治疗的CKD大鼠相比,丹红治疗组肾皮质匀浆中Ang II、TGF-β浓度、肾皮质组织中TGF-β阳性区域、TIF半定量肾脏病理评分均显著降低。结论:丹红对CKD大鼠TIF具有保护作用,其机制与氯沙坦类似,可能通过抑制肾脏Ang II和TGF-β等一系列途径。
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The Protective Effect of Danhong on Tubulointerstitial Fibrosis is Associated with Suppression of Angiotensin II and Transforming Growth Factor β in the Kidney
Background and Objectives: Tubulointerstitial fibrosis (TIF), the common pathway of chronic kidney disease (CKD) to end-stage kidney disease, is sorely lacking of effective drugs in prevention, even synthetic chemical drugs have made significant progress. Therefore, this study was to investigate the effects of Danhong (active agents of Salvia miltiorrhiza and safflower Carthamus) on TIF in early CKD with unilateral nephrectomy animal model. Materials and Methods: Forty Sprague-Dawley rats were randomly divided into four groups (each n = 10): A, control; B, CKD; C, CKD + Danhong; and D, CKD + Losartan. In Group A and B, rats were treated with normal saline for 12 weeks. In Group C and D, rats were treated with Danhong (8 mL/kg/day) and losartan (20 mg/kg/day), respectively. The concentrations of angiotensin II (Ang II) and transforming growth factor (TGF-β) in kidney were measured by immunohistochemistry technique and enzyme-linked immunosorbent assay. The relationship among the indicators relating to TIF was analyzed. Data were collected and analyzed using SPSS software. Results: The concentrations of Ang II and TGF-β in renal cortex homogenate, TGF-β1 positive area in renal cortex tissue, and semi-quantitative nephropathological scores of TIF were dramatically lower in CKD rats treated with Danhong, compare with those without Danhong management. Conclusions: Danhong has a protective effect on TIF in CKD rats, similar to losartan, may through a series of approach including suppression of Ang II and TGF-β in kidney.
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