高血糖致实验性糖尿病肾病Wistar大鼠模型组织病理学改变序列的研究

Fischer Christie Elum Elum, Agbor Cyril Abang Abang, Abireh Ifeanacho Ezeteonu Ezeteonu, Agaba Eric Agim Agim
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摘要

在糖尿病模型中,高血糖引起的肾毒性的组织病理学改变的顺序以及肾脏参数的改变仍然没有很好地确定。高血糖环境已被证明会产生氧化应激,从而触发肾脏微环境中发生的进一步退行性变化。因此,本研究旨在研究糖尿病患者持续高血糖3周、7周和12周时肾组织血管、肾小球和小管间质室的组织病理学改变,以及氧化应激标志物、肌酐清除率、蛋白尿和血清肌酐浓度的相应变化。实验将成年Wistar大鼠分为4组,A组(正常对照,生理盐水处理),B、C、D组(链脲佐菌素65mg/kg体重处理)诱导糖尿病,分别持续3周、7周、12周。终止时,使用氧化应激标记试剂盒分析氧化应激标记物。在牺牲前几小时从代谢笼中收集24小时尿液,用于肾脏分析,并在光镜下进行组织病理学检查。结果显示,氧化应激在第7周达到高峰,并维持在恒定水平,而肾小球的组织病理改变在第3周首次出现,并伴有血管改变。第7周可见小管间质改变。与第3周和第7周相比,第12周时肾脏参数发生了显著变化。总之,糖尿病引起的肾功能障碍的顺序始于血管和肾小球间室的改变,然后是小管间室的扭曲。肾脏参数的改变与组织病理学改变有关。这些发现可用于糖尿病肾病的临床管理和治疗。j . Bio-Sci。31(1): 29-37, 2023
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Study of Sequence of Histopathological Changes in Hyperglycaemia-Induced Experimental Diabetic Nephropathy in Wistar Rat Model
The sequence of histopathological changes in hyperglycaemia-induced nephrotoxicity as well as alteration in renal parameters is still not well established in diabetic models. Hyperglycaemic ambience has been shown to generate oxidative stress which becomes a trigger for further degenerative changes that occur in the microenvironment of the kidney. This study was therefore intended to investigate histopathological alterations in vascular, glomerular and tubulointerstitial compartments of the renal tissues, and the corresponding changes in values of oxidative stress markers, creatinine clearance, proteinuria and serum creatinine concentration in a duration of three, seven and twelve weeks of sustained hyperglycaemia in diabetic. The experiment included four groups of adult Wistar rat, Group A (Normal Control, treated with normal saline), Groups B, C and D were induced with diabetes (treated with 65mg/kg body weight of streptozotocin) and allowed for 3 weeks 7 weeks and 12 weeks respectively. At termination, Oxidative stress markers were analyzed using Oxidative stress marker kits. A 24 hours urine collection was obtained from metabolic cages few hours before sacrifice and used for renal analysis and histopathological examination was done using a light microscope. Results reveals that oxidative stress was climaxed at 7th week and was maintained at a constant level while histopathological changes in glomerulus first presented on the 3rd week accompanied by vascular changes. Tubulointerstitial changes were noticed on the 7th week. On the 12th week renal parameters were significantly altered when compared to the animals sacrificed on 3th and 7th week. In conclusion, the sequence in diabetic–induced renal dysfunction begins with changes in vascular and glomerular compartment followed by distortion in tubulointerstitial compartment. An alteration in renal parameters presents lastly and correlates with the histopathological changes. These findings can be adopted in clinical management and treatment of diabetes-induced kidney dysfunction. J. Bio-Sci. 31(1): 29-37, 2023
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