津力达颗粒对1型糖尿病大鼠肾脏的保护作用
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第二军医大学长征医院内分泌科,第二军医大学长征医院内分泌科,第二军医大学长征医院内分泌科,第二军医大学长征医院内分泌科,第二军医大学长征医院内分泌科

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国家重点基础研究发展计划(“973”计划,2005CB523304).


The protective effect of Jinlida granules on kidney of type 1 diabetic rats
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Department of Endocrinology,Changzheng Hospital,Second Military Medical University,Department of Endocrinology,Changzheng Hospital,Second Military Medical University,Department of Endocrinology,Changzheng Hospital,Second Military Medical University,Department of Endocrinology,Changzheng Hospital,Second Military Medical University,Department of Endocrinology,Changzheng Hospital,Second Military Medical University

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Supported by National Key Basic Research Projects of China ("973" Program, 2005CB523304).

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    摘要:

    目的 探讨津力达颗粒对1型糖尿病大鼠肾脏的保护作用及作用机制。方法 SD大鼠腹腔注射链脲佐菌素(STZ)60 mg/kg制备1型糖尿病模型。将造模成功的糖尿病SD大鼠随机分为糖尿病模型组,低、中、高剂量津力达组(0.75、1.5、3.0 g/kg津力达颗粒),津力达+通心络组(1.5 g/kg津力达颗粒+0.4 g/kg通心络超微粉),二甲双胍组(50 mg/kg二甲双胍)和沙格列汀组(1 mg/kg沙格列汀),每组5只;另取5只未造模大鼠作为正常对照组。各组大鼠予以药物或安慰剂灌胃,8周后实时定量PCR检测大鼠肾脏组织生长激素(GH)及其受体(GHR)、胰岛素样生长因子1(IGF-1)及其受体(IGF-1R)、胰岛素样生长因子结合蛋白1(IGFBP-1)mRNA的表达情况,蛋白质印迹法检测丝裂原活化蛋白激酶(MAPK)通路相关蛋白及纤维连接蛋白(FN)的表达水平,H-E染色、Masson染色和PAS染色观察肾脏组织形态学变化。结果 同正常对照组相比,糖尿病模型组大鼠肾脏组织GH、GHR、IGF-1、IGF-1R mRNA表达水平增加(P<0.01),胞外信号调节激酶(ERK)、c-Jun氨基末端激酶(JNK)磷酸化水平及FN蛋白表达水平升高(P<0.01),伴肾脏组织细胞增殖、纤维沉积;中、高剂量津力达干预后,大鼠肾脏组织GH、GHRIGF-1、IGF-1R mRNA的表达水平降低(P<0.01),p-ERK/ERK、p-JNK/JNK的比值和FN蛋白的表达水平也降低(P<0.05,P<0.01),且肾脏组织纤维化程度明显改善。结论 津力达颗粒对1型糖尿病大鼠肾脏有保护作用,其作用可能是通过降低大鼠肾脏GHIGF-1的水平和抑制MAPK通路的激活来实现的。

    Abstract:

    Objective To explore the protective effect of Jinlida granules on kidney tissues of type 1 diabetic rats, and to elucidate the related mechanism. Methods SD rats were intraperitoneally injected with streptozotocin (STZ, 60 mg/kg) to establish type 1 diabetic models. Then the model rats were randomly divided into diabetic model group, low-, medium- and high-dose Jinlida groups (0.75, 1.5 and 3.0 g/kg Jinlida granules, respectively), Jinlida+Tongxinluo (TXL) group (1.5 g/kg Jinlida granules+0.4 g/kg TXL), metformin group (50 mg/kg metformin), and saxagliptin group (1 mg/kg saxagliptin), with each group containing 5 rats. Five healthy rats served as normal controls. Eight weeks after administration of drugs or placebo, the levels of growth hormone (GH), growth hormone receptor (GHR), insulin-like growth factor 1 (IGF-1), insulin-like growth factor 1 receptor (IGF-1R), and insulin-like growth factor 1 binding protein 1(IGFBP-1) mRNA were detected by real-time quantitative PCR, the expressions of MAPK pathway related proteins and fibronectin (FN) were determined by Western blotting; and H-E staining, Masson staining and PAS staining were used to observe the morphological changes of kidney tissues. Results Compared with the normal control group, the levels of GH, GHR, IGF-1, IGF-1R mRNA and the protein expressions of p-ERK, p-JNK, and FN of kidney tissues were significantly increased (P<0.01), with cellular proliferation and fibrous deposition seen in the kidney tissues in the diabetic model group. After intervention with middle- and high-dose Jinlida granules, the levels of GH, GHR, IGF-1, and IGF-1R mRNA and ratios of p-ERK/ERK, p-JNK/JNK, and FN protein expression were significantly decreased (P<0.05, P<0.01), with alleviated kidney tissues fibrosis. Conclusion Jinlida granules can protect kidney tissues of type 1 diabetic rats, which is probably through up-regulating the levels of GH and IGF-1 mRNA and inhibiting the activation of the MAPK pathway.

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  • 收稿日期:2015-12-15
  • 最后修改日期:2016-03-08
  • 录用日期:2016-07-05
  • 在线发布日期: 2016-08-26
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