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Quote : 李岩岩,何泽云,吴凡,周艳利.六味地黄汤对5/6肾切除大鼠NF-κB、MCP-1、Col-Ⅲ表达的影响[J].湖南中医药大学学报英文版,2016,36(5):18-22.[Click to copy ]
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六味地黄汤对5/6肾切除大鼠NF-κB、MCP-1、Col-Ⅲ表达的影响
李岩岩,何泽云,吴凡,周艳利
(郑州市第三人民医院, 河南郑州 450000;湖南中医药大学第一附属医院, 湖南 长沙 410007;广州市中医医院, 广东 广州 510130)
摘要:
    目的 观察六味地黄汤对5/6肾切除大鼠残肾转录因子-核因子κB(NF-κB)、单核细胞趋化因子(MCP-1)及Ⅲ型胶原(Col-Ⅲ)表达的影响,探讨六味地黄汤抑制肾间质纤维化进展的作用机制。方法 按照随机数字表法将60只SD雄性大鼠分为5组:空白组、假手术组、模型组、依那普利组、六味地黄汤组,每组12只,后三组行5/6肾切除术诱导大鼠肾衰模型,假手术组同期手术,但不损及肾脏。造模术后3 d进行灌胃干预。灌胃8周后处死各组大鼠,观察各组大鼠残肾组织形态学变化并用免疫组化法检测大鼠残肾NF-κB、MCP-1、Col-Ⅲ的表达。结果(1)观察5/6肾切除大鼠残肾组织细胞形态学,与模型组相比六味地黄汤、依那普利组可减轻大鼠肾间质损害及纤维化程度;(2)免疫组化半定量分析显示六味地黄汤组肾皮质的NF-κB、MCP-1及Col-Ⅲ表达均明显低于模型组(P<0.05),与依那普利组差异无统计学意义(P>0.05)。结论 六味地黄汤可能通过下调NF-κB、MCP-1及Col-Ⅲ的表达,减少细胞外基质的积聚,减轻炎症反应和纤维化程度,抑制5/6肾切除大鼠肾间质纤维化进展,可作为慢性肾衰竭的辅助用药。
关键词:  六味地黄汤  5/6肾切除  转录因子-核因子κB  单核细胞趋化因子  Ⅲ型胶原
DOI:10.3969/j.issn.1674-070X.2016.05.005
Received:November 07, 2015  
基金项目:湖南省科技厅项目资助(2013SK3099)。
Effects of Liuwei Dihuang Decoction on NF-κB, MCP-1 and Col-III Expression in 5/6 Nephrectomied Rats
LI Yanyan,HE Zeyun,WU Fan,ZHOU Yanli
(The Third Hospital of Zhengzhou, Zhengzhou, Henan 450000, China;The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Guangzhou Hospital of TCM, Guangzhou, Guangdong 510130, China)
Abstract:
    Objective To observe the effects of Liuwei Dihuang decoction on the expression of nuclear factor kappa B (NF-κB), monocyte chemoattractant protein-1(MCP-1)and collagen type III (Col-Ⅲ) in remnant kidney of 5/6 nephrectmized rats, and to investigate the mechanism of action for Liuwei Dihuang decoction on renal tubulointerstitial fibrosis. Methods The sixty male Sprapue-Dewley rats were randomly divided into five groups:blank group, sham-operation group, model group, enalapril group and Liuwei Dihuang decoction group, 12 rats in each group. The model group, enalapril group and Liuwei Dihuang decoction group adopted 5/6 nephrectomized induced into renal failure model. After 3 days of modeling, the rats were treated by gavage. After 8 weeks, rats were sacrificed, remnant kidney tissue morphological changes were observed and the expression of NF-kB, MCP-1, Col-Ⅲ levels were tested by immunohistochemistry. Results (1) The cell morphology in remnant kidney of 5/6 nephrectmized rats was observed. Compared with model group, renal tubulointerstitial damage and fibrosis was reduced in Liuwei Dihuang decoction and enalapril group; (2) Compared with model group, NF-κB, MCP-1 and Col-III expression level were reduced markedly in Liuwei Dihuang decoction group (P<0.05), there is no obvious diffrence between Liuwei Dihaung group and enalapril group (P>0.05). Conclusion Liuwei Dihuang decoction may inhibit the expression of NF-κB, reduce the expression of MCP-1, decrease the accumulation of extracellular matrix, reduce the inflammation and fibrosis and delay the progress of renal interstitial fibrosis, which can be the adjuvant drug of chronic renal failure.
Key words:  Liuwei Dihuang decoction  5/6 nephrectomy  nuclear factor kappa B  monocyte chemoattractant protein-1  collagen type III
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