姜黄素对大鼠肾缺血再灌注损伤的保护作用

F. Sevil, Hülya Sevi̇l, N. Becit, M. Tort, U. Aksu, Z. Saritas, H. Demirel, A. Bulbul
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摘要

目的:肾缺血再灌注损伤是一个严重的临床问题。许多研究都强调姜黄素的抗氧化和抗炎特性。材料与方法:Wistar-Albino雄性大鼠分为3组。假手术组为仅开腹手术组,IR组为开腹后夹持肾下主动脉形成缺血再灌注组,IR+姜黄素组为术前1小时腹腔注射姜黄素组,与IR组重复相同的步骤。制备IR后,取大鼠血液和肾脏组织,进行生化和组织病理学检查。结果:IR+姜黄素组血钾(p=0.005)、尿素(p=0.050)、尿素氮(p=0.050)水平升高。虽然发现IR+姜黄素组的总抗氧化状态较高(p=0.021),但两组之间的总氧化状态没有差异(p=0.069)。IR组白细胞介素(IL)-1β和IL-6升高(p=0.014, p=0.022)。IR组肿瘤坏死因子-α高于其他各组(p=0.020)。干扰素γ在各组间无差异(p=0.140)。在组织病理学检查中,IR组对肾小球和小管上皮细胞的损伤明显高于其他组(p<0.001)。结论:姜黄素虽具有抗炎、抗氧化作用,但对ir所致肾损伤的肾功能无保护作用。发现它能抑制炎症反应,有效地保存肾组织结构。
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Protective effects of curcumin on kidney tissue in ischemia-reperfusion injury in rats
Aim: Kidney damage caused by ischemia-reperfusion (IR) is a serious clinical problem. Many studies have emphasized the antioxidant and anti-inflammatory properties of Curcumin. Material and Methods: Wistar-Albino male rats were divided into three groups. The sham group was the group in which only laparotomy was performed, the IR group was the group in which the infrarenal aorta was clamped after laparotomy and ischemia-reperfusion was created, and the IR+ curcumin group was the group in which intraperitoneal curcumin was given 1 hour before the procedure and the same procedures were repeated with the IR group. After creating the IR, blood and kidney tissue were taken from the rats and biochemical and histopathological examinations were performed. Results: Potassium (p=0.005), urea (p=0.050), and blood urea nitrogen (p=0.050) levels were higher in the IR+curcumin group. While total antioxidant status was found to be high in the IR+curcumin group (p=0.021), there was no difference in total oxidant status across the groups (p=0.069). Interleukin (IL)-1β and IL-6 were found to be higher in the IR group (p=0.014, p=0.022, respectively). Tumour necrosis factor-α was higher in the IR group than in other groups (p=0.020). Interferon-γ did not differ across groups (p=0.140). In the histopathological examination, the IR group had more damage to the glomerulus and tubular epithelial cells than the other groups (p<0.001). Conclusion: Curcumin, despite its anti-inflammatory and antioxidant characteristics, had no protective effect on renal functions in IR-induced kidney injury. It was found that it suppresses the inflammatory response and is effective in preserving renal tissue structure.
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