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基于Traf6/TAK1通路探讨维生素D对甲状腺功能减退肾损伤幼鼠肾小管上皮细胞间充质转化的影响
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作者 李鸿燕 张丽敏 +1 位作者 冀娟 刘旭颖 《西部医学》 2024年第8期1115-1122,共8页
目的探讨维生素D(VD)对甲状腺功能减退(HT)肾损伤幼鼠肾小管上皮细胞间充质转化(EMT)的影响,以及其对肿瘤坏死因子受体相关因子6(Traf6)/转化生长因子-β活化激酶1(TAK1)通路的调控机制。方法通过丙基硫尿嘧啶(PTU)灌胃构建幼鼠HT模型,... 目的探讨维生素D(VD)对甲状腺功能减退(HT)肾损伤幼鼠肾小管上皮细胞间充质转化(EMT)的影响,以及其对肿瘤坏死因子受体相关因子6(Traf6)/转化生长因子-β活化激酶1(TAK1)通路的调控机制。方法通过丙基硫尿嘧啶(PTU)灌胃构建幼鼠HT模型,以过表达TAK1(pc DNA3.1-TAK1)作功能挽救实验;50只SPF级雄性SD大鼠分为正常组、HT组、VD低剂量(HT+VD-L)组、VD高剂量(HT+VD-H)组、HT+VD-H+pc DNA3.1-TAK1(HT+VD-H+pc)组,每组10只。全自动生化仪检测各组大鼠血清血肌酐(Scr)和血尿素氮(BUN)的含量;脱氧核糖核苷酸末端转移酶介导的缺口末端标记法试剂盒(TUNEL)检测肾组织中的细胞凋亡;免疫组化检测肾组织中转化生长因子β1(TGF-β1)、α-平滑肌肌动蛋白(α-SMA)和上皮钙黏蛋白(E-cadherin)的表达;Western blot法检测肾组织中B淋巴细胞瘤-2(Bcl-2)、Bcl-2相关X蛋白(Bax)、Traf6、TAK1和磷酸化TAK1(p-TAK1)的表达。结果VD能明显降低HT幼鼠血清中Scr和BUN的含量,下调肾组织中的细胞凋亡率,降低肾组织中TGF-β1和α-SMA的表达,上调E-cadherin的表达;抑制肾组织中Traf6、p-TAK1和Bax的表达,升高肾组织中Bcl-2的表达,差异均具有统计学意义(均P<0.05)。结论维生素D能抑制HT幼鼠肾小管上皮细胞的EMT,降低肾组织中的细胞凋亡率,减轻肾组织的病理损伤,改善其肾功能,这与抑制Traf6/TAK1信号的激活有关。 展开更多
关键词 维生素D 甲状腺功能减退 肾损伤 上皮细胞间充质转化 肿瘤坏死因子受体相关因子6/转化生长因子-β活化激酶1通路
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Up-regulation of intestinal nuclear factor kappa B and intercellular adhesion molecule-1 following traumatic brain injury in rats 被引量:16
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作者 Chun-HuaHang Ji-XinShi +2 位作者 Jie-ShouLi Wei-QinLi Hong-XiaYin 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第8期1149-1154,共6页
AIM: Nuclear factor kappa B (NF-κB) regulates a large number of genes involved in the inflammatory response to critical illnesses, but it is not known if and how NF-KB is activated and intercellular adhesion molecule... AIM: Nuclear factor kappa B (NF-κB) regulates a large number of genes involved in the inflammatory response to critical illnesses, but it is not known if and how NF-KB is activated and intercellular adhesion molecule-1 (ICAM-1) expressed in the gut following traumatic brain injury (TBI). The aim of current study was to investigate the temporal pattern of intestinal NF-κB activation and ICAM-1 expression following TBI. METHODS: Male Wistar rats were randomly divided into six groups (6 rats in each group) including controls with sham operation and TBI groups at hours 3, 12, 24, and 72, and on d 7. Parietal brain contusion was adopted using weight-dropping method. All rats were decapitated at corresponding time point and mid-jejunum samples were taken. NF-KB binding activity in jejunal tissue was measured using EMSA. Immunohistochemistry was used for detection of ICAM-1 expression in jejunal samples. RESULTS: There was a very low NF-κB binding activity and little ICAM-1 expression in the gut of control rats after sham surgery. NF-KB binding activity in jejunum significantly increased by 160% at 3 h following TBI (P<0.05 vs control), peaked at 72 h (500% increase) and remained elevated on d 7 post-injury by 390% increase. Compared to controls, ICAM-1 was significantly up-regulated on the endothelia of microvessels in villous interstitium and lamina propria by 24 h following TBI and maximally expressed at 72 h post-injury (P<0.001). The endothelial ICAM-1 immunoreactivity in jejunal mucosa still remained strong on d 7 post-injury. The peak of NF-κB activation and endothelial ICAM-1 expression coincided in time with the period during which secondary mucosal injury of the gut was also at their culmination following TBI. CONCLUSION: TBI could induce an immediate and persistent up-regulation of NF-κB activity and subsequent up-regulation of ICAM-1 expression in the intestine. Inflammatory response mediated by increased NF-κB activation and ICAM-1 expression may play an important role in the pathogenesis of acute gut mucosal injury following TBI. 展开更多
关键词 Traumatic brain injury INTESTINE Nuclear factor kappa B Intercellular adhesion molecule-1 Inflammatory response
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Caspase-1 inhibition alleviates acute renal injury in rats with severe acute pancreatitis 被引量:14
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作者 Xiao-Hua Zhang Min-Li Li +2 位作者 Bin Wang Mei-Xia Guo Ren-Min Zhu 《World Journal of Gastroenterology》 SCIE CAS 2014年第30期10457-10463,共7页
AIM: To assess the effect of inhibition of caspase-1 on acute renal injury in rats with severe acute pancreatitis (SAP).
关键词 Severe acute pancreatitis CASPASE-1 Interleukin-1 beta INTERLEUKIN-18 Acute renal injury
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Intercellular Adhension Molecule-1 in the Pathogenesis of Heroin-induced Acute Lung Injury in Rats 被引量:3
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作者 周琼 白明 邹世清 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2004年第5期430-432,共3页
The expression of intercellular adhesion molecule-1 (ICAM-1) in the pathogenesis of heroin-induced acute lung injury (ALI) in rats was investigated. The model of ALI was established by intravenous injection of heroin ... The expression of intercellular adhesion molecule-1 (ICAM-1) in the pathogenesis of heroin-induced acute lung injury (ALI) in rats was investigated. The model of ALI was established by intravenous injection of heroin into tail vein in rats. Thirty-six rats were randomly divided into heroin-treated groups (1 h, 2 h, 4 h, 6 h and 24 h) and normal control group. Changes in histopathologic morphology and biological markers of ALI were measured. The expression of ICAM-1 in lung tissue was detected by using immunohistochemistry and RT-PCR. The results showed that the W/D ratio and protein contents in BALF of the heroin-treated groups were significantly higher than that of the control group (P<0.01). The histopathological changes in the lung tissue were more obvious in heroin-treated groups. The ICAM-1 protein and mRNA expression in the lung tissue of heroin-treated groups were significantly increased as compared with that of the control group (P<0.01), and correlated with the ALI parameters in a time-dependent manner. Increasing of ICAM-1 expression was involved in the formation of heroin-induced lung injury. Furthermore, the level of expression was positively correlated with the severity of lung injury. 展开更多
关键词 HEROIN acute lung injury intercellular adhesion molecule-1
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The Role for AVE0991 (MAS-Receptor Angiotensin II (1-7) Agonist) in Reducing Cisplatin-Induced Acute Kidney Injury on C57BL/6 Mice
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作者 Chris Mathew 《Journal of Biosciences and Medicines》 CAS 2023年第1期195-214,共20页
Acute Kidney Injury (AKI) is a condition that causes nephrotoxicity in kidney tissues due to cisplatin-induced cancer treatments. Hence, it is proposed in this review that AVE0991 (a MAS-receptor Angiotensin II (1-7) ... Acute Kidney Injury (AKI) is a condition that causes nephrotoxicity in kidney tissues due to cisplatin-induced cancer treatments. Hence, it is proposed in this review that AVE0991 (a MAS-receptor Angiotensin II (1-7) agonist) may reduce cisplatin-induced acute kidney injury by promoting nitric oxide production. 展开更多
关键词 CISPLATIN Acute Kidney injury AKI Cisplatin-Induced Acute Kidney injury NEPHROTOXICITY renal Renin Angiotensin System RAS AVE0991 MAS-Receptor Angiotensin II (1-7) Agonist
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The relationship between platelet endothelial cell adhesion molecule-1 and paraquat-induced lung injury in rabbits 被引量:7
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作者 Jing Shi Chun-lin Hu +2 位作者 Yu-feng Gao Xiao-xing Liao Hope Xu 《World Journal of Emergency Medicine》 CAS 2012年第1期60-64,共5页
BACKGROUND:Platelet endothelial cell adhesion molecule-1(PECAM-1),also known as CD31,is mainly distributed in vascular endothelial cells.Studies have shown that PECAM-1 is a very significant indicator of angiogenesis,... BACKGROUND:Platelet endothelial cell adhesion molecule-1(PECAM-1),also known as CD31,is mainly distributed in vascular endothelial cells.Studies have shown that PECAM-1 is a very significant indicator of angiogenesis,and has been used as an indicator for vascular endothelial cells.The present study aimed to explore the relationship between the expression of PECAM-1 and the degree of acute lung injury(ALI) and fibrosis in paraquat(PQ) induced lung injury in rabbits.METHODS:Thirty-six adult New Zealand rabbits were randomly divided into three groups(12rabbits in each group) according to PQ dosage:8 mg/kg(group A),16 mg/kg(group B),and 32 mg/kg(group C).After PQ infusion,the rabbits were monitored for 7 days and then euthanized.The lungs were removed for histological evaluation.Masson staining was used to determine the degree of lung fibrosis(LF),and semi-quantitative immune-histochemistry analysis to determine the expression of PECAM-1.Pearson's product-moment correlation analysis was performed to evaluate the relationship between the expression of PECAM-1 and the extent of lung injuries expressed by ALI score and degree of LF.RESULTS:Rabbits in the three groups showed apparent poisoning.The rabbits survived longer in group A than in groups B and C(6.47±0.99 days vs.6.09±1.04 days vs.4.77±2.04 days)(P<0.05).ALI score was lower in group A than in groups B and C(8.33±1.03 vs.9.83±1.17 vs.11.50±1.38)(P<0.05),and there was statistically significant difference between group B and group C(P=0.03).LF was slighter in group A than in groups B and C(31.09%±2.05%vs.34.37%±1.62%vs.36.54%±0.44%)(P<0.05),and there was statistically significant difference between group B and group C(P=0.026).The PEACAM-1 expression was higher in group A than in groups B and C(20.31%±0.70%vs.19.34%±0.68%vs.18.37%±0.46%)(P<0.05),and there was statistically significant difference between group B and group C(P=0.017).Pearson's correlation analysis showed that the expression of PECAM-1 was negatively correlated to both ALI score(Coe=-0.732,P=0.001)and degree of LF(Coe=-0.779,P<0.001).CONCLUSIONS:The PECAM-1 expression significantly decreases in New Zealand rabbits after PQ poisoning,and the decrease is dose-dependent.The PECAM-1 expression is negatively correlated with ALI score and LF,showing a significant role in the development of lung injuries induced by PQ. 展开更多
关键词 Platelet endothelial cell adhesion molecule-1 PARAQUAT Acute lung injury Lung fibrosis
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血清TXNIP、NRP1水平对脓毒症患者发生急性肾损伤的预测价值
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作者 樊子勉 张俊 +1 位作者 张文龙 陈春燕 《中国中西医结合肾病杂志》 2024年第5期403-407,共5页
目的:探讨硫氧还蛋白互作蛋白(TXNIP)、神经纤毛蛋白-1(NRP1)对脓毒症患者发生急性肾损伤(AKI)的预测价值。方法:选取2019年4月-2021年4月在本院住院的160例脓毒症患者为研究对象,以患者7 d内是否发生AKI将患者分为AKI组56例和非AKI组10... 目的:探讨硫氧还蛋白互作蛋白(TXNIP)、神经纤毛蛋白-1(NRP1)对脓毒症患者发生急性肾损伤(AKI)的预测价值。方法:选取2019年4月-2021年4月在本院住院的160例脓毒症患者为研究对象,以患者7 d内是否发生AKI将患者分为AKI组56例和非AKI组104例,再对AKI患者进行分组,分为AKIⅠ期、AKIⅡ期、AKIⅢ期。酶联免疫吸附法血清TXNIP、NRP1水平;多因素Logistic回归分析脓毒症患者发生AKI的可能影响因素;受试者工作特征(ROC)曲线评估血清TXNIP、NRP1水平检测对脓毒症患者发生AKI的预测价值。结果:AKI组SOFA评分、Scr水平、APACHEⅡ评分及PCT水平均显著高于非AKI组,eGFR水平显著低于非AKI组(P<0.05)。AKI组TXNIP水平显著高于非AKI组,且随AKI分期增加而显著增加(P<0.05);NRP1水平显著低于非AKI组,且随AKI分期增加而显著降低(P<0.05)。AKI患者血清TXNIP水平与SOFA评分、Scr、APACHEⅡ评分均呈正相关(r=0.342、0.361、0.335,P<0.05),与eGFR呈负相关(r=-0.495,P<0.05);血清NRP1水平与SOFA评分、Scr、APACHEⅡ评分均呈负相关(r=-0.310、-0.327、-0.306,P<0.05),与eGFR呈正相关(r=0.561,P<0.05)。Logistic回归分析显示,高水平TXNIP、Scr、SOFA评分是脓毒症患者并发AKI的危险因素(P<0.05),高水平NRP1是脓毒症患者并发AKI的保护因素(P<0.05)。ROC曲线显示,TXNIP、NRP1预测AKI的AUC为0.737、0.720,二者联合预测AKI的AUC为0.929,显著高于二者单独预测(Z_(联合VSTXNIP)=4.642、P=0.004;Z联合VS NRP1=4.929、P=0.025),其敏感度、特异度分别为90.79%、85.29%。结论:脓毒症并发AKI患者血清中TXNIP高表达,NRP1低表达,与AKI严重程度有关,且二者联合对脓毒症并发AKI具有一定的预测价值。 展开更多
关键词 脓毒症 硫氧还蛋白互作蛋白 神经纤毛蛋白-1 急性肾损伤 预测
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川芎嗪对脂多糖处理大鼠肾小管上皮细胞S1PR3的抑制作用
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作者 吴晋 应静 《浙江医学》 CAS 2024年第18期1918-1924,共7页
目的探讨川芎嗪对脂多糖(LPS)处理大鼠肾小管上皮细胞(NRK-52E)中1-磷酸鞘氨醇受体(S1PR)3的影响以及S1PR3在脓毒症相关急性肾损伤(S-AKI)中的作用及机制。方法将培养好的大鼠NRK-52E细胞分为对照组、LPS组、川芎嗪+LPS组。对照组不予处... 目的探讨川芎嗪对脂多糖(LPS)处理大鼠肾小管上皮细胞(NRK-52E)中1-磷酸鞘氨醇受体(S1PR)3的影响以及S1PR3在脓毒症相关急性肾损伤(S-AKI)中的作用及机制。方法将培养好的大鼠NRK-52E细胞分为对照组、LPS组、川芎嗪+LPS组。对照组不予处理;LPS组予川芎嗪等量0.9%氯化钠溶液预处理30 min后,予LPS 20μg/mL刺激12 h后离心收集细胞待检;川芎嗪+LPS组先用川芎嗪200 ng/mL预处理30 min后再予LPS 20μg/mL刺激12 h后离心收集细胞待检。采用流式细胞术检测3组细胞凋亡率及钙离子、半胱氨酸天冬氨酸蛋白酶-3(Caspase-3)表达的差异,ELISA法检测钙蛋白酶(Calpain)1、Calpain 2表达的差异,Western blot法检测各组细胞中S1PR3表达的差异。结果经LPS处理后脓毒症NRK-52E细胞模型成功建立。与对照组比较,LPS组的细胞凋亡率、钙离子表达、Caspase-3表达、S1PR3表达、Calpain 1、Calpain 2表达均明显增加(均P<0.01);与LPS组比较,川芎嗪+LPS组的细胞凋亡率、钙离子表达、Caspase-3表达、S1PR3表达、Calpain 1、Calpain 2表达均明显下降(均P<0.05)。结论川芎嗪可以抑制S1PR3的表达,能够降低肾小管上皮细胞内的钙离子浓度,从而抑制Caspase-3细胞凋亡信号通路,减少肾小管细胞凋亡。S1PR3可能在S-AKI的发生、发展中起到重要作用。 展开更多
关键词 脓毒症 急性肾损伤 川芎嗪 1-磷酸鞘氨醇受体3 肾小管上皮细胞
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CD38 deficiency activates ERK1/2-NF-κB signaling pathway in sepsis-associated renal injury
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作者 ZHANG Huiqing DU Yuna +3 位作者 XIE Zhengyu WANG Zeyu LI Hua 李蓉 《实验与检验医学》 CAS 2022年第1期129-138,共10页
CD38 is known to play roles in various inflammatory pathways.However,whether it has a protective or detrimental effect during bacterial septicemia remains disputed.Herein,this study aimed to determine the potential ef... CD38 is known to play roles in various inflammatory pathways.However,whether it has a protective or detrimental effect during bacterial septicemia remains disputed.Herein,this study aimed to determine the potential effect of CD38 on renal injury in septicemia.Escherichia coli(E.coli)was used to induce sepsis-associated renal injury in mice.WT and CD38-/-mice were stimulated with E.coli.After three hours,the serum was collected to detect renal function.Function mRNA expressions inflammatory cytokines in kidneys were quantified by real-time PCR.Hematoxylin and eosin staining were used to observe the histomorphology of kidney.The expression of TLR4,NF-κB,MAPK and cytokines were detected by Western Blot.Our results demonstrated that 3×10^(8) cfu/mL E.coli is the appropriate dose to induce sepsis mice model.Compared to WT sepsis mice,CD38-/-mice showed aggravated kidney injuries with impaired renal function,increased inflammation and apoptosis after E.coli stimulation.Interestingly,CD38 deficiency also led to elevated expression of TLR4 and increased phosphorylation of NF-κB p65/p105 and ERK1/2.To sum up,our results suggested that CD38 deficiency could aggravate E.coli-induced renal injury through activating ERK1/2-NF-κB signaling pathway. 展开更多
关键词 CD38 ERK1/2 NF-κB SEPSIS renal injury
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恩格列净通过上调Epac1表达抑制炎症反应减轻2型糖尿病大鼠肾损伤
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作者 钱宇池 万璐 +4 位作者 卢宇欣 倪文静 杨慧娟 潘艳 陈卫东 《细胞与分子免疫学杂志》 CAS CSCD 北大核心 2024年第2期129-134,共6页
目的 观察恩格列净(EM)对2型糖尿病(T2DM)大鼠肾损伤的治疗效果,并探讨其可能存在的机制。方法 将SD雄性大鼠随机分为正常对照(NC)组、 T2DM组和EM组,每组6只。T2DM组和EM组,给予腹腔注射链脲佐菌素(STZ)建立T2DM模型,记录各组大鼠空腹... 目的 观察恩格列净(EM)对2型糖尿病(T2DM)大鼠肾损伤的治疗效果,并探讨其可能存在的机制。方法 将SD雄性大鼠随机分为正常对照(NC)组、 T2DM组和EM组,每组6只。T2DM组和EM组,给予腹腔注射链脲佐菌素(STZ)建立T2DM模型,记录各组大鼠空腹血糖(FBG)和体质量。EM组给予EM溶液灌胃,其余两组予以等量的羧甲基纤维素钠溶液灌胃,给药12周。记录大鼠体质量和FBG后处死大鼠,留存腹主动脉血液和肾脏组织。全自动生化分析仪检测血清肌酐(Scr)、血尿素氮(BUN)、尿酸(UA)、甘油三酯(TG)、总胆固醇(TC);行Masson染色、过碘酸希夫(PAS)染色、 HE染色观察肾脏组织学变化,透射电镜观察肾脏超微结构变化;免疫组织化学染色法检测大鼠肾脏组织中环磷酸腺苷直接激活的交换蛋白1(Epac1)、肿瘤坏死因子α(TNF-α)、白细胞介素1β(IL-1β)、白细胞介素18(IL-18)的表达和分布。结果 与NC组相比,T2DM组大鼠体质量下降,FBG、 Scr、 BUN、 UA、 TC、 TG水平明显升高;肾小球基底膜增厚,足细胞足突融合,排列紊乱,内皮细胞窗孔消失;Epac1蛋白表达水平下降,TNF-α、 IL-1β、 IL-18的蛋白表达水平明显增高。与T2DM组相比,EM组大鼠体质量上升,FBG、 Scr、 BUN、 UA、 TC、 TG水平降低;肾损伤减轻,Epac1蛋白表达水平升高,TNF-α、 IL-1β、 IL-18的表达显著降低。结论 EM能够改善T2DM肾损伤。这种治疗效果是通过上调Epac1蛋白表达,抑制炎症反应介导的。 展开更多
关键词 恩格列净 环磷酸腺苷直接激活的交换蛋白1(Epac1) 2型糖尿病(T2DM) 肾损伤 炎症反应
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血管性血友病因子、肾损伤分子-1、肝细胞生长因子在急性肾损伤患者中的表达及与预后相关性
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作者 彭红梅 余燕燕 +2 位作者 周红霞 左君秋 刘秀娟 《中国中西医结合肾病杂志》 2024年第9期783-785,共3页
目的:分析血管性血友病因子(vWF)、肾损伤分子-1(KIM-1)、肝细胞生长因子(HGF)在急性肾损伤患者中的表达及与预后相关性。方法:选取2020年01月—2022年12月我院收治的125例急性肾损伤患者为研究对象,作为研究组,另外选取70例健康无疾病... 目的:分析血管性血友病因子(vWF)、肾损伤分子-1(KIM-1)、肝细胞生长因子(HGF)在急性肾损伤患者中的表达及与预后相关性。方法:选取2020年01月—2022年12月我院收治的125例急性肾损伤患者为研究对象,作为研究组,另外选取70例健康无疾病的体检者作为对照组。观察各组vWF、KIM-1、HGF水平,分析与预后的相关性。结果:与对照组相比,研究组APACHEⅡ评分、SOFA评分较高(P<0.05)。与Ⅰ期患者相比,Ⅱ期、Ⅲ期患者vWF、KIM-1、HGF表达水平逐渐升高(P<0.05)。与存活患者相比,死亡患者vWF、KIM-1、HGF表达水平较高(P<0.05)。vWF、KIM-1、HGF与预后呈正相关(P<0.05)。Logistic回归分析显示,肺部感染、APACHEⅡ评分、SOFA评分、氧合指数、Scr、BUN、eGFR、动脉血乳酸、vWF、KIM-1、HGF为影响急性肾损伤患者预后的危险因素。结论:vWF、KIM-1、HGF在急性肾损伤患者体内表达水平较高,且随着病情严重程度的增加,KIM-1、HGF水平逐渐升高,KIM-1、HGF与不良预后呈正相关,为急性肾损伤的危险因素。 展开更多
关键词 急性肾损伤 血管性血友病因子 血清肾损伤分子-1 肝细胞生长因子 不良预后
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术前血清V-set和免疫球蛋白结构域4以及长链非编码核糖核酸SBF2反义RNA1与肾结石患者经皮肾镜取石术后急性肾损伤的关系
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作者 姚俊波 贾波 +2 位作者 刘加元 邹一鸣 邓思文 《实用临床医药杂志》 CAS 2024年第10期29-34,共6页
目的探讨术前血清V-set和免疫球蛋白结构域4(VSIG4)以及长链非编码核糖核酸(LncRNA)SBF2反义RNA1(SBF2-AS1)与肾结石患者经皮肾镜取石术后急性肾损伤(AKI)的关系。方法选择2020年1月—2022年12月本院收治的109例肾结石患者为研究对象。... 目的探讨术前血清V-set和免疫球蛋白结构域4(VSIG4)以及长链非编码核糖核酸(LncRNA)SBF2反义RNA1(SBF2-AS1)与肾结石患者经皮肾镜取石术后急性肾损伤(AKI)的关系。方法选择2020年1月—2022年12月本院收治的109例肾结石患者为研究对象。术前检测患者血清VSIG4水平以及LncRNA SBF2-AS1表达,术后记录AKI发生情况。采用多因素Logistic回归模型分析肾结石患者经皮肾镜取石术后发生AKI的影响因素;采用受试者工作特征(ROC)曲线分析VSIG4、LncRNA SBF2-AS1预测肾结石患者经皮肾镜取石术后发生AKI的价值。结果本研究中,术后发生AKI者16例。AKI组血清VSIG4水平低于非AKI组,LncRNA SBF2-AS1表达高于非AKI组,差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,术前高尿酸水平、术前高LncRNA SBF2-AS1表达、较长的手术时间、术中低血压是肾结石患者经皮肾镜取石术后发生AKI的危险因素(P<0.05),术前高VSIG4水平是保护因素(P<0.05)。术前血清VSIG4、LncRNA SBF2-AS1水平预测肾结石患者经皮肾镜术后发生AKI的曲线下面积分别为0.854、0.705,二者联合预测的曲线下面积为0.948,大于各指标单独预测(Z=1.995、2.958,P<0.05)。结论肾结石患者术前血清VSIG4水平降低、LncRNA SBF2-AS1表达增高与经皮肾镜取石术后AKI的发生有关,联合检测术前VSIG4、LncRNA SBF2-AS1可预测术后AKI的发生风险。 展开更多
关键词 肾结石 经皮肾镜取石术 急性肾损伤 V-set和免疫球蛋白结构域4 长链非编码核糖核酸 SBF2反义RNA 1
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血清MCP-1、TRAF-6水平在脓毒症严重程度和急性肾损伤评估的作用 被引量:3
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作者 郭峻氚 陈东 +2 位作者 郭仁楠 肖东 刘艳 《新疆医科大学学报》 CAS 2023年第4期485-489,共5页
目的探讨血清单核细胞趋化蛋白-1(MCP-1)、肿瘤坏死因子受体相关因子-6(TRAF-6)水平在脓毒症严重程度和急性肾损伤评估中的作用。方法回顾性分析2021年6月至2022年6月在新疆维吾尔自治区人民医院重症医学科接受治疗的110例脓毒症患者的... 目的探讨血清单核细胞趋化蛋白-1(MCP-1)、肿瘤坏死因子受体相关因子-6(TRAF-6)水平在脓毒症严重程度和急性肾损伤评估中的作用。方法回顾性分析2021年6月至2022年6月在新疆维吾尔自治区人民医院重症医学科接受治疗的110例脓毒症患者的病例资料,依据脓毒症相关急性肾损伤发生情况分为发生组(50例)、未发生组(60例)。统计分析两组患者基线资料、血清MCP-1、TRAF-6水平,并分析脓毒症患者血清MCP-1、TRAF-6水平与序贯多器官功能障碍(SOFA)评分、急性生理和慢性健康Ⅱ(APACHEⅡ)评分的相关性,多因素Logistic回归分析脓毒症相关急性肾损伤影响因素。结果110例患者中,脓毒症相关急性肾损伤发生50例,未发生60例,发生率为45.45%。发生组患者的高血压、肺部感染比例均高于未发生组(P<0.05),SOFA评分、APACHEⅡ评分均高于未发生组(P<0.05),氧合指数低于未发生组(P<0.05),肾小球滤过率(eGFR)、血肌酐(SCr)、尿素氮(BUN)水平均高于未发生组(P<0.05),动脉血乳酸水平高于未发生组(P<0.05),但两组患者的性别、年龄、糖尿病比例的差异无统计学意义(P>0.05)。发生组患者的血清MCP-1、TRAF-6水平均高于未发生组(P<0.05)。脓毒症患者血清MCP-1、TRAF-6水平与SOFA评分、APACHEⅡ评分均呈显著的正相关关系(P<0.05)。多因素Logistic回归分析显示,脓毒症相关急性肾损伤影响因素包括高血压、肺部感染、SOFA评分、APACHEⅡ评分、肾小球滤过率(eGFR)、动脉血乳酸、MCP-1、TRAF-6(P<0.05),不包括氧合指数、尿素氮(BUN)、SCr(P>0.05)。结论血清MCP-1、TRAF-6水平和脓毒症严重程度和关系密切,可作为急性肾损伤的诊断参考指标。 展开更多
关键词 脓毒症 严重程度 急性肾损伤 MCP-1 TRAF-6
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血清Apelin-13和网膜素-1表达与肾移植术后患者肾功能的相关性研究
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作者 李冰玉 师勇 +3 位作者 陈家会 梁亚林 唐倩 杨青彦 《实用临床医药杂志》 2023年第20期6-10,15,共6页
目的探讨血清Apelin-13、网膜素-1(Omentin-1)在早期预测肾移植术后并发急性肾功能损伤中的价值。方法纳入89例肾移植患者为肾移植组,根据肾移植术后1个月内患者是否发生急性肾功能损伤分为肾功能损伤组21例和非肾功能损伤组68例。同时... 目的探讨血清Apelin-13、网膜素-1(Omentin-1)在早期预测肾移植术后并发急性肾功能损伤中的价值。方法纳入89例肾移植患者为肾移植组,根据肾移植术后1个月内患者是否发生急性肾功能损伤分为肾功能损伤组21例和非肾功能损伤组68例。同时随机选取健康体检者87例作为对照组。采用酶联免疫吸附(ELISA)法检测血清Apelin-13、Omentin-1水平;采用粒子增强透射免疫比浊法测定胱抑素C水平;采用酶法测定血肌酐水平;采用紫外-谷氨酸脱氨酶法测定血尿素氮水平;采用比浊法测定β2-微球蛋白、24 h尿蛋白水平。校正eMDRD方程,计算估算肾小球滤过率(eGFR)。采用Pearson法进行术后肾功能损伤的肾移植患者血清Apelin-13、Omentin-1水平与肾功能指标的相关性分析;采用受试者工作特征(ROC)曲线分析血清Apelin-13、Omentin-1水平对肾移植患者术后肾功能损伤的预测价值;采用Logistic回归分析法分析肾移植患者术后肾功能损伤的影响因素。结果肾移植组的血肌酐、血尿素氮、胱抑素C、β2-微球蛋白、24 h尿蛋白水平高于对照组,Apelin-13、Omentin-1、eGFR水平低于对照组,差异有统计学意义(P<0.05)。肾功能损伤组的血肌酐、血尿素氮、胱抑素C、β2-微球蛋白、24 h尿蛋白水平高于非肾功能损伤组,Apelin-13、Omentin-1、eGFR水平低于非肾功能损伤组,差异有统计学意义(P<0.05)。术后肾功能损伤的肾移植患者血清Apelin-13、Omentin-1水平与肌酐、血尿素氮、胱抑素C、β2-微球蛋白、24 h尿蛋白呈负相关,与eGFR呈正相关(P<0.05)。Apelin-13、Omentin-1单独及联合预测肾移植患者术后肾功能损伤的曲线下面积(AUC)分别为0.784、0.773、0.841。Apelin-13、Omentin-1是肾移植患者术后肾功能损伤的保护因素(P<0.05)。结论肾移植术后发生肾功能损伤患者血清中Apelin-13、Omentin-1均呈低表达,其或可成为早期预测指标。 展开更多
关键词 肾移植 APELIN-13 网膜素-1 肾功能损伤
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Effects of isoflurane on ICAM-1 expression and neutrophils infiltration in rats with liver ischemia and reperfusion injury 被引量:3
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作者 Xu Guangmin Tao Guocai 《Journal of Medical Colleges of PLA(China)》 CAS 2009年第5期259-265,共7页
Objective: To establish a rat model of warm partial hepatic ischemia-reperfusion (IR), and investigate the protective and anti-inflammatory effects of isoflurane on warm hepatic ischemia-reperfusion injury (IRI) ... Objective: To establish a rat model of warm partial hepatic ischemia-reperfusion (IR), and investigate the protective and anti-inflammatory effects of isoflurane on warm hepatic ischemia-reperfusion injury (IRI) in rats. Methods: Thirty-two female Sprague-Dawley rats were divided equally into 4 groups (n-8): PB-Sham group in which the rats were anesthetized by intraperitoneal injection of pentobarbital sodium (1.0%, 40 mg/kg, PB) and received a sham operation without occlusion of liver blood flow; PB-IR group whose rats underwent partial hepatic IR after anesthesia; Iso-Sham group in which inhalation of 1.0 MAC isoflurane and sham operation was performed; Iso-IR group in which 1.0 MAC isoflurane was inhaled for 4 h and IR was performed. Rat model of warm partial hepatic IR was established by clamping the hepatic arteries and hilar vessels distributing to the left and median lobes to induce partial hepatic ischemia (70%) for 60 rain followed by reperfusion for 3 h. The rats were killed 3 h after declamping, and specimens of liver tissue and blood were obtained. The serum ALT and AST were detected as liver damage markers. Viability of myeloperoxidase (MPO) in liver was measured. The protein level of ICAM-1 in the liver was detected by immunohistochemistry and Western blotting. Results: Rats treated with 1.0 MAC isoflurane during warm partial (70%) hepatic ischemia 60 rain and 3 h reperfusion had significantly lower serum ALT and AST compared with rats anesthetized with pentobarbital sodium subjected to hepatic IRI. The expression of ICAM-1 in hepatic tissue was significantly increased by hepatic IRI after pentobarbital sodium anesthesia. Isoflurane significantly inhibited protein expression of ICAM-1 in hepatic IR injury compared with pentobarbital sodium anesthesia. Viability of liver MPO was significantly increased by hepatic IRI after pentobarbital sodium anesthesia; Isoflurane can significantly inhibit MPO alteration in rat liver ischemia-reperfusion injury compared with rats anesthetized with pentobarbital sodium. Conclusion: Isoflurane anesthesia can attenuate liver IR injury in rats that maybe by inhibiting ICAM-I expression and reducing the infiltration of neutrophils. 展开更多
关键词 ISOFLURANE Ischemia-reperfusion injury LIVER lntercellulor adhesion molecule-1 MYELOPEROXIDASE
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积雪草苷通过Nrf2/HO-1信号通路对创伤脓毒血症大鼠肾损伤的保护作用研究 被引量:2
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作者 朱恒杰 曾允富 +1 位作者 程少文 郑林洋 《湖南中医药大学学报》 CAS 2023年第1期14-20,共7页
目的探究积雪草苷通过核因子E2相关因子2(nuclear factor-erythroid 2-related factor 2,Nrf2)/血红素加氧酶1(hemeoxygenase-1,HO-1)信号通路对创伤引起的脓毒血症大鼠肾损伤的影响以及对氧化应激的调控作用。方法将60只SD雄性大鼠随... 目的探究积雪草苷通过核因子E2相关因子2(nuclear factor-erythroid 2-related factor 2,Nrf2)/血红素加氧酶1(hemeoxygenase-1,HO-1)信号通路对创伤引起的脓毒血症大鼠肾损伤的影响以及对氧化应激的调控作用。方法将60只SD雄性大鼠随机分为对照组(n=10)和脓毒血症组(n=50)。脓毒血症组通过盲肠结扎建立动物模型,造模成功后随机均分为模型组、低剂量组、中剂量组、高剂量组和阳性组。低剂量组、中剂量组、高剂量组灌胃积雪草苷(1.0、2.5、5.0 mg/mL);阳性组注射氨苄西林钠(200 mg/kg);模型组与对照组灌胃生理盐水。记录大鼠的生存时间;取样观察肾组织病理形态;检测血清中血肌酐(serum creatinine,Scr)、尿素氮(blood urea nitrogen,BUN)、丙二醛(malonic dialdehyde,MDA)、超氧化物歧化酶(superoxide dismutase,SOD)水平以及肾组织中Nrf2和HO-1蛋白含量。结果与对照组比较,模型组生存时间更短(P<0.05),肾组织炎症反应明显,Scr、BUN、MDA水平升高(P<0.05),SOD水平降低(P<0.05),Nrf2、HO-1蛋白表达水平降低(P<0.05);与模型组相比,积雪草苷治疗各组及阳性组生存时间延长(P<0.05),肾组织炎症减轻,Scr、BUN、MDA水平降低(P<0.05),SOD水平升高(P<0.05),Nrf2、HO-1蛋白表达水平升高(P<0.05);积雪草苷治疗组上述指标呈现剂量依赖性,其中高剂量组与模型组对比最为明显(P<0.05);高剂量组BUN和MDA水平较阳性组更低(P<0.05),HO-1蛋白表达水平较阳性组更高(P<0.05)。结论积雪草苷可能通过Nrf2/HO-1通路,抑制氧化应激反应,改善脓毒血症大鼠的肾损伤状况,其作用呈现剂量依赖性,且较抗生素治疗有一定的优势。 展开更多
关键词 积雪草苷 脓毒血症 氧化应激 Nrf2/HO-1 肾损伤 大鼠
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基于KIM-1、MCP-1采用甲花片治疗造影剂诱导肾损伤疗效观察
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作者 牛茹歌 林欣 +5 位作者 徐中驰 刘俊红 王艺蓓 缪晓帆 陈超 刘春玲 《山西中医》 2023年第4期18-20,共3页
目的:通过肾损伤分子-1 (kidney injury molecule-1,KIM-1)、单核细胞趋化蛋白-1 (monocyte chemo-attractant protein-1,MCP-1)等肾小管相关损伤标志物,评估甲花片对造影剂诱导的肾损伤(contrast-induced nephropathy,CIN)的防治作用... 目的:通过肾损伤分子-1 (kidney injury molecule-1,KIM-1)、单核细胞趋化蛋白-1 (monocyte chemo-attractant protein-1,MCP-1)等肾小管相关损伤标志物,评估甲花片对造影剂诱导的肾损伤(contrast-induced nephropathy,CIN)的防治作用。方法:采用前瞻性、随机对照研究方法,纳入拟行PCI手术的患者共60例,根据随机数字表法将纳入患者随机分为两组各30例;对照组予常规基础治疗,治疗组在常规基础治疗上加服甲花片;所有患者均于术前24 h、术后48 h观察KIM-1、MCP-1、血尿素氮(blood urea nitrogen,BUN)、血肌酐(serum creatinine,SCr)、肾小球滤过率(estimatedglomerular filtration rate,e GFR)等指标水平。结果:治疗后,治疗组KIM-1、MCP-1、BUN、SCr、e GFR水平与术前比较基本持平或有所降低(P﹤0.05);对照组KIM-1、MCP-1、BUN、SCr水平较术前升高(P﹤0.05),eGFR较术前降低(P﹤0.05)。结论:甲花片对造影剂诱导的肾损伤有一定的防治作用,可在冠脉造影围手术期应用甲花片。 展开更多
关键词 肾损伤 造影剂 甲花片 KIM-1 MCP-1 中医药疗法
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血清胱抑素C、尿液肾损伤分子-1评估妊娠期高血压疾病患者肾小管间质损伤程度的意义 被引量:4
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作者 于运 张铭 王俊 《中国妇幼健康研究》 2023年第2期34-39,共6页
目的研究检测血清胱抑素C(CysC)、尿液肾损伤分子-1(KIM-1)水平在评估妊娠期高血压疾病(HDP)患者肾小管间质损伤程度的意义。方法选取2021年1月至2021年12月在常州市妇幼保健院就诊的74例有肾小管间质损伤的HDP患者为肾损伤组,86例无肾... 目的研究检测血清胱抑素C(CysC)、尿液肾损伤分子-1(KIM-1)水平在评估妊娠期高血压疾病(HDP)患者肾小管间质损伤程度的意义。方法选取2021年1月至2021年12月在常州市妇幼保健院就诊的74例有肾小管间质损伤的HDP患者为肾损伤组,86例无肾小管间质损伤的HDP患者为非肾损伤组,另选取常规体检孕妇80例作为健康对照组。于孕22~26周比较三组的CysC水平、KIM-1水平。采用Cox回归分析肾小管间质损伤程度的影响因素,采用受试者工作特征曲线(ROC)评估CysC、KIM-1指标的预测价值。结果肾损伤组CysC水平、KIM-1水平高于非肾损伤组和健康对照组,非肾损伤组高于健康对照组(F值分别为84.712、516.732,P<0.05);肾损伤组内重度29例,轻度45例;重度患者CysC水平、KIM-1水平高于轻度患者(t值分别为5.301、5.706,P<0.05);经Cox回归分析显示CysC水平、KIM-1水平是肾小管间质损伤程度的独立影响因素,其OR值及95%CI分别为7.412(3.547~11.236)、7.215(2.842~13.985),P<0.05;经ROC分析显示,CysC、KIM-1评估HDP患者肾小管间质损伤程度的截断值分别为1.57mg/L、6.08ng/mL,ROC曲线下面积(AUC)分别为0.844、0.783,且两指标均具有较好的灵敏度和特异度。结论血清CysC、尿液KIM-1在诊断HDP患者的肾小管间质损伤程度中有着重要价值,能为临床评估患者病情和制定后续治疗方案提供参考依据。 展开更多
关键词 妊娠期高血压疾病 肾小管间质损伤程度 血清胱抑素C 尿液肾损伤分子-1
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Early renal injury indicators can help evaluate renal injury in patients with chronic hepatitis B with long-term nucleos(t)ide therapy
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作者 Tong-Tong Ji Ning Tan +2 位作者 Hai-Ying Lu Xiao-Yuan Xu Yan-Yan Yu 《World Journal of Clinical Cases》 SCIE 2020年第24期6306-6314,共9页
BACKGROUND Patients with chronic hepatitis B(CHB)with long-term nucleos(t)ide therapy may experience renal insufficiency.Traditional renal function indicators,such as urine protein,serum urea nitrogen(BUN),and serum c... BACKGROUND Patients with chronic hepatitis B(CHB)with long-term nucleos(t)ide therapy may experience renal insufficiency.Traditional renal function indicators,such as urine protein,serum urea nitrogen(BUN),and serum creatinine,are normal when early mild lesions occur.Therefore,more sensitive renal function indicators are needed.AIM To investigate the significance of early renal injury indicators in evaluating renal injury in patients with CHB with long-term nucleos(t)ide therapy.METHODS We collected the clinical data of 69 outpatients with CHB at Peking University First Hospital from March 2018 to January 2020 who had been treated with longterm nucleos(t)ide therapy and analyzed the results of early renal injury indicators.Continuous normal distribution data were analyzed by the t-test to determine the difference between two groups.Continuous non-normally distributed data were analyzed by the Mann-Whitney U-test between two groups.The Kruskal-Wallis H test was used to determine the differences among multiple groups.Enumeration data were analyzed by the chi-square test.The related factors of early renal injury indicators were analyzed by logistic regression analysis.RESULTS The average treatment duration with nucleos(t)ide analogs of the 69 patients with CHB was 99.7±28.7 mo.The cases of patients with elevated BUN and hypophosphatemia were 6(8.7%)and 13(18.8%),respectively;31(44.9%)patients had abnormal early renal injury indicators,including 9 patients with abnormal urine microalbumin,7 patients with abnormal urine immunoglobulin,6 patients with abnormal urine transferrin,and 19 patients with abnormalα1 microglobulin.There were no significant differences in the mean values of age,sex,BUN,estimated glomerular filtration rate(eGFR),serum uric acid,serum calcium,or serum phosphorus between the two groups of patients with and without early renal injury indicators.However,the mean levels of serum creatinine and urine creatinine,N-acetyl-β-D-glucosidase enzyme,α1 microglobulin,and urine immunoglobulin in the former group of patients were significantly higher than those in the latter group of patients(P<0.05).The incidence of early renal injury in patients with eGFR≥90,60-89,and 30-59 mL/(min·1.73 m2)was 36.4%(8/22),47.6%(20/42),and 60%(3/5),respectively.Logistic regression analysis results showed that gamma-glutamyl transpeptidase[odds ratio(OR)=1.05(1.008-1.093),P=0.020],direct bilirubin[OR=1.548(1.111-2.159),P=0.010],serum creatinine[OR=1.079(1.022-1.139),P=0.006],and age[OR=0.981(0.942-1.022),P=0.357]were independent predictors of early renal injury.CONCLUSION Patients with CHB treated with long-term nucleos(t)ide analog therapy had a high probability of early renal injury,and early renal injury indicators were highly sensitive and could be used to monitor early renal impairment. 展开更多
关键词 Early renal injury Chronic hepatitis B Nucleos(t)ide analog N-acetyl-β-Dglucosidase enzyme α1 microglobulin Urine immunoglobulin
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肾损伤分子1介导游离轻链内吞致近端肾小管上皮细胞损伤 被引量:2
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作者 董世惠 范芸 +5 位作者 夏园园 杨雪 刘丰 杨帆 梁丹丹 曾彩虹 《肾脏病与透析肾移植杂志》 CAS CSCD 北大核心 2023年第2期121-127,共7页
目的:探究近端肾小管上皮细胞中肾损伤分子1(KIM-1)介导免疫球蛋白轻链(FLCs)内吞对肾小管损伤的影响及机制。方法:(1)选取4例多发性骨髓瘤肾损伤患者尿标本,采用离子交换层析法纯化FLCs;(2)体外实验构建纯化的FLCs诱导人肾脏近端肾小... 目的:探究近端肾小管上皮细胞中肾损伤分子1(KIM-1)介导免疫球蛋白轻链(FLCs)内吞对肾小管损伤的影响及机制。方法:(1)选取4例多发性骨髓瘤肾损伤患者尿标本,采用离子交换层析法纯化FLCs;(2)体外实验构建纯化的FLCs诱导人肾脏近端肾小管上皮细胞(HK-2细胞)损伤模型,继续给予FLCs刺激,并予KIM-1抑制剂TW-37干预;体内实验向小鼠腹腔注射FLCs,14 d后建立FLCs致小鼠肾小管损伤的动物模型,并予TW-37干预。Western Blot检测HK-2细胞和小鼠肾组织KIM-1、megalin、核因子E2相关因子2(Nrf2)、葡萄糖调节蛋白78(GRP78)、α平滑肌肌动蛋白(α-SMA)及转化生长因子β(TGF-β)等水平,ELISA法检测小鼠尿白蛋白/肌酐比值、尿液KIM-1的含量,天狼星红染观察小鼠肾间质纤维化程度等。结果:(1)体外实验中FLCs刺激HK-2细胞诱导KIM-1表达增加,并与FLCs存在共定位,TW-37处理后可减少HK-2细胞中FLCs内吞,减轻FLCs刺激所致的肾小管细胞溶酶体的核周聚集,降低氧化应激及纤维化指标表达。(2)动物模型结果显示,TW-37干预可缓解FLCs所致的肾小管损伤,包括尿KIM-1水平及肾组织KIM-1表达下降,肾组织氧化应激和纤维化指标表达下降,肾组织胶原沉积减轻。结论:KIM-1可介导肾近端小管细胞内吞FLCs,抑制KIM-1有助于缓解FLCs造成的肾损伤。 展开更多
关键词 肾小管上皮细胞 免疫球蛋白游离轻链 肾脏损伤分子1 内吞 TW-37
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