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1.河南中医药大学 第一附属医院,郑州 450000
2.河南中医药大学,郑州 450006
3.北京中医药大学,北京 100029
Published:05 March 2023,
Published Online:27 December 2022,
Received:24 April 2022,
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段凤阳,宋纯东,宋丹等.雷公藤多苷对糖尿病肾病大鼠肾组织NFAT2/COX-2表达的影响[J].中国实验方剂学杂志,2023,29(05):16-23.
DUAN Fengyang,SONG Chundong,SONG Dan,et al.Effect of Tripterygium wilfordii Polyglycosideon Expression of NFAT2/COX-2 in Kidney Tissues of Rats with Diabetic Nephropathy[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(05):16-23.
段凤阳,宋纯东,宋丹等.雷公藤多苷对糖尿病肾病大鼠肾组织NFAT2/COX-2表达的影响[J].中国实验方剂学杂志,2023,29(05):16-23. DOI: 10.13422/j.cnki.syfjx.20222445.
DUAN Fengyang,SONG Chundong,SONG Dan,et al.Effect of Tripterygium wilfordii Polyglycosideon Expression of NFAT2/COX-2 in Kidney Tissues of Rats with Diabetic Nephropathy[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(05):16-23. DOI: 10.13422/j.cnki.syfjx.20222445.
目的
2
基于活化T细胞核因子2(NFAT2)/环氧化酶-2(COX-2)通路探讨雷公藤多苷片(TWPT)防治糖尿病肾病(DN)肾脏损伤的可能作用机制。
方法
2
选取雄性清洁级SD大鼠42只,适应性喂养1周后随机分为正常组8只,造模组34只。正常组予以正常饲养,造模组采用高脂高糖饮食喂养1周后予腹腔注射链脲佐菌素(STZ)法建立DN大鼠模型,除去造模过程中死亡及失败,选取造模成功的24只随机分为模型组、缬沙坦(8.33 mg·kg
-1
·d
-1
)组、TWPT(5 mg·kg
-1
·d
-1
)组。正常组和模型组均予等体积生理盐水灌胃,6周后测量体质量,收集大鼠尿液,腹主动脉取血后处死取材,生化检测血清中的尿素氮(BUN)、肌酐(SCr)、丙氨酸氨基转移酶(ALT)、血脂血糖及尿液中的24 h尿蛋白总量(24 h UTP),苏木素-伊红(HE)及马松(Masson)染色观察肾脏病理,酶联免疫吸附测定法(ELISA)检测血清中的NFAT2、COX-2表达水平,蛋白免疫印迹法(Western blot)检测肾组织中NFAT2、COX-2蛋白表达,实时荧光定量聚合酶链式反应(Real-time PCR)检测肾组织中NFAT2、COX-2 mRNA表达。
结果
2
与正常组比较,模型组大鼠24 h UTP、BUN、SCr、CHO、TG、FBG及血清NFAT2、COX-2表达显著升高(
P
<
0.01),肾组织中的NFAT2、COX-2蛋白及mRNA表达显著升高(
P
<
0.01),肾脏病理示肾小球体积增大,系膜细胞轻度增生,系膜基质增宽;与模型组比较,TWPT组大鼠24 h UTP、BUN、SCr、CHO、TG、FBG均明显降低(
P
<
0.05,
P
<
0.01);肾脏病理示肾小球形态基本正常,血清中NFAT2、COX-2表达显著降低(
P
<
0.01),肾组织中的NFAT2、COX-2 mRNA和蛋白表达显著下降(
P
<
0.01)。
结论
2
TWPT可减轻DN大鼠24 h UTP、保护肾功能、改善肾脏病理,其作用机制可能与下调血清及肾组织NFAT2/COX-2表达相关。
Objective
2
To explore the underlying mechanism of
Tripterygium wilfordii
polyglycoside tablets
(TWPT) in the prevention and treatment of kidney injury in diabetic nephropathy (DN) through the nuclear factor of activated T-cells 2(NFAT2)/cyclooxygenase-2(COX-2) pathway.
Method
2
Forty-two male SD rats of SPF grade were selected and randomly divided into a normal group (
n
=8) and an experimental group (
n
=34) after one week of adaptive feeding. The rats in the normal group were fed conventionally. The DN model was established in rats of the experimental group by intraperitoneal injection of streptozotocin (STZ) following one week of feeding on a high-fat and high-glucose diet. After the death and failure cases during modeling were eliminated, the remaining 24 model rats were randomly divided into model group, valsartan (8.33 mg·kg
-1
·d
-1
) group, and TWPT (5 mg·kg
-1
·d
-1
) group. Rats in normal group and model group were given equal amounts of normal saline by gavage. After six weeks, body weight was measured and urine samples were collected. Blood samples were collected from the abdominal aorta, and then the rats were sacrificed for sampling. Biochemical indicators, such as serum blood urea nitrogen (BUN), serum creatinine (SCr), alanine aminotransferase (ALT), blood lipid, blood glucose, and 24-hour urine total protein (24 h UTP), were determined. Hematoxylin-eosin (HE) staining and Masson staining were used to observe the pathology of the kidney. Enzyme-linked immunosorbent assay (ELISA) was used to detect NFAT2 and COX-2 expression levels in the serum. Western blot and Real-time fluorescence quantitative polymerase chain reaction(Real-time PCR)were adopted to detect NFAT2, COX-2 protein and mRNA expression in kidney tissues, respectively.
Result
2
Compared with the normal group, the model group showed elevated 24 h UTP, BUN, SCr, CHO, TG, and FBG, increased serum NFAT2 and COX-2 production and expression (
P
<
0.01), and elevated protein and mRNA expression of NFAT2 and COX-2 in kidney tissues (
P
<
0.01). In addition, the pathology of the kidney showed enlarged glomeruli, mild proliferation of mesangial cells, and widened mesangial stroma. Compared with the model group, the TWPT group showed decreased 24 h UTP, BUN, SCr, CHO, TG, and FBG (
P
<
0.05,
P
<
0.01), basically normal glomerular morphology, decreased expression of serum NFAT2 and COX-2 (
P
<
0.01), and down-regulated protein and mRNA expression of NFAT2 and COX-2 in kidney tissues (
P
<
0.01).
Conclusion
2
TWPT can alleviate 24 h UTP in DN model rats, protect renal function, and improve renal pathology, and its mechanism of action may be related to the down-regulation of NFAT2/COX-2 expression in the serum and kidney tissues.
雷公藤多苷糖尿病肾病活化T细胞核因子2(NFAT2)/环氧化酶-2(COX-2)通路实验研究
Tripterygium wilfordii polyglycoside tabletsdiabetic nephropathynuclear factor of activated T-cells 2(NFAT2)/cyclooxygenase-2(COX-2) pathwayexperimental study
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