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骨桥蛋白和核转录因子在慢性环孢素A肾毒性中的作用
方梅荣,金英顺,金吉哲,崔镇花,金海峰,郑海兰,李锦姬,姜玉姬,金华,李灿*
0
(延边大学附属医院肾脏内科, 延吉 133000
*通信作者)
摘要:
目的 探讨炎性介质骨桥蛋白(OPN)的表达和核转录因子在慢性环孢素A(CsA)肾毒性中的作用。方法 雄性Sprague-Dawley大鼠喂食低盐 (0.05% 钠盐)饲料下分为两组,正常对照组给予皮下注射橄榄油(1 mL·kg-1·d-1);毒性组给予皮下注射CsA (15 mg·kg-1·d-1) 4周。通过观察炎性细胞浸润(ED-1) 和肾小管间质纤维化,比较两组大鼠的肾小管间质损伤程度;采用RNA印迹、免疫组织化学染色方法检测OPN在mRNA和蛋白水平的表达;用凝胶电泳迁移率实验 (EMSA)分析法和免疫印迹法测定核转录因子(NF-κB 和 AP-1)的结合活性和IκB蛋白的表达。结果 毒性组大鼠表现为肾小管间质带状纤维化[(38.9±3.3)%/5 mm2vs(0±0)%/5 mm2P<0.01]和大量ED-1阳性细胞浸润[(89±9)vs(7±2),P<0.01]。与对照组相比,毒性组大鼠 OPN mRNA和蛋白的表达增加[(729±37)%vs(103±4)%,P<0.01],分布于肾小管上皮细胞,其主要位于肾小管间质损伤部位;毒性组核转录因子NF-κB [(218±19)%vs(116±15)%,P<0.01]和AP-1 [(735±225)%vs(101±4)%,P<0.01]结合活性增加,而IκB蛋白的表达减少[(9±7)%vs(105±7)%,P<0.01]。直线相关分析示OPN mRNA的表达与肾小管间质纤维化程度(r=0.959,P<0.001)和核转录因子的结合活性呈正相相关(NF-κB: r=0.773,P<0.01;AP-1: r=0.619,P=0.01)。结论 炎性介质OPN和核转录因子参与了慢性CsA肾毒性肾小管间质的损伤。
关键词:  慢性环孢素A肾毒性  骨桥蛋白  NF-κB  转录因子AP-1
DOI:10.3724/SP.J.1008.2014.00476
投稿时间:2013-11-04修订日期:2014-01-13
基金项目:国家自然科学基金(81160092).
Roles of osteopontin and nuclear transcription factor in chronic cyclosporine nephrotoxicity
FANG Mei-rong,JIN Ying-shun,JIN Ji-zhe,CUI Zhen-hua,JIN Hai-feng,ZHENG Hai-lan,LI Jin-ji,JIANG Yu-ji,JIN Hua,LI Can*
(Department of Nephrology, Affiliated Hospital of Yanbian University, Yanji 133000, Jilin, China
*Corresponding authors.)
Abstract:
Objective To investigate the roles of osteopontin(OPN) and nuclear transcription factor in a rat model of chronic cyclosporine A (CsA) nephrotoxicity. Methods Male Sprague-Dawley rats maintained on a low salt diet were treated daily with vehicle (olive oil, 1 mL·kg-1·d-1, s.c.) and CsA (15 mL·kg-1·d-1, s.c.) for 4 weeks. Renal histopathology was estimated by trichrome staining (tubulointerstitial fibrosis) and immunohistochemistry (ED-1) to assess the degrees of renal tubulointerstitial lesions. In addition, OPN mRNA and protein expression and nuclear transcription factor (NF-κB and AP-1) were studied by northern blotting analysis, immunohistochemistry, electrophoretic mobility shift assay, and immunoblotting analysis. Results CsA-treated rats displayed significantly striped tubulointerstitial fibrosis ([38.9±3.3]%/5 mm2 vs [0±0]%/5 mm2, P<0.01) and increased ED-1-positive cells (89±9 vs 7±2, P<0.01). Compared with VH-treated rats, CsA-treated rats showed significantly upregulated OPN mRNA and protein expression in the proximal tubular cells, mainly localizing at areas of severe injured tissues. CsA-treated group also had significantly increased activities of NF-κB ([218±19]% vs [116±15]%, P<0.01) and AP-1 ([735±225]% vs [101±4]%, P<0.01), and significantly decreased expression of ([9±7]% vs [105±7]%, P<0.01). Correlation analysis revealed that upregulated OPN mRNA was positively correlated with tubulointerstitial fibrosis (r= 0.959, P<0.001) and activities of NF-κB and AP-1 (NF-κB: r=0.773, P<0.01; AP-1: r=0.619, P=0.01, respectively). Conclusion Our findings suggest that OPN, nuclear transcription factor NF-κB and AP-1 are involved in renal tubulointerstitial injury in chronic CsA nephrotoxicity.
Key words:  chronic cyclosporine A nephrotoxicity  osteopontin  NF-κB  transcription factor AP-1