内毒素血症对大鼠肾功能及肾素-血管紧张素系统的影响分析
作者:
作者单位:

1.清华大学医院内科,北京 100086;2.北京妇产医院,北京 100026

中图分类号:

R-33


Effects of endotoxemia on renal function and the renin-angiotensin system in rats
Author:
Affiliation:

1.Department of Medicine, Tsinghua University Hospital, Beijing 100086, China. 2. Beijing Maternity Hospital, Beijing 100026

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    摘要:

    目的 探讨内毒素血症大鼠不同阶段肾功能和肾素-血管紧张素(RAS)系统的变化,为完善其病理机制提供数据支持。 方法 将 90 只大鼠随机分为 9 组:对照组(n= 10)和模型组的 8 个时间点(注射后 2、4、8、12、 24、48、72、168 h 组,n= 10)。 模型组采用腹腔注射 LPS 的方式制备脓毒症模型,对照组注射等体积的无热源水。 对照组于注射后 8 h,模型组于各个时间点取心脏血,测定循环内毒素、一氧化氮(NO)、内皮素(ET)、一氧化氮合 酶(NOS)、肾素(PRA)、血管紧张素转换酶(ACE)、血管紧张素(Ang)、血肌酐和尿素氮水平。 取肾组织,测定血管紧张素 1 型受体(AT1R)和 2 型受体(AT2R)的蛋白表达。 结果 在 LPS 注射后,模型组循环内毒素、ET、NO、NOS、 PRA、ACEⅡ、AngⅠ、AngⅡ、血肌酐、尿素氮,肾组织 AT1R 和 AT2R 表达均有不同程度的升高,其中肾脏系数、血清内毒素、血肌酐、尿素氮、肾组织 AT1R 和 AT2R 表达在注射后 2 ~ 168 h 的水平高于对照组,血清内皮素、NOS、Ang Ⅱ在注射 2~ 48 h 高于对照组,NO 在注射 4~ 48 h 高于对照组,ACE 在 2~ 24 h 高于对照组,差异有统计学意义(P< 0. 05)。 结论 内毒素血症所致肾损伤中可能有 RAS 的参与。

    Abstract:

    Objective To investigate the changes in renal functions and the renin-angiotensin system (RAS) at different stages in endotoxemia rats, to provide data to support its pathological mechanism. Methods Ninety rats were randomly divided into nine groups: the control group (n= 10) and the model group at eight timepoints (2, 4, 8, 12, 24, 48, 72 and 168 h, n= 10). Rats in the model group were prepared for the sepsis model by a tail vein injection of lipopolysaccharides, while those in the control group were injected with an equal volume of pyrogen-free water. Samples were collected from the animals in the control group at 8 h after injection and from animals in the model group at each timepoint. The circulating endotoxin, nitric oxide (NO), endothelin ( ET), nitric oxide synthase (NOS), angiotensin converting enzyme (ACE), angiotensin (Ang), renin-angiotensin (PRA), serum creatinine and blood urea nitrogen levels were detected by enzyme-linked immunosorbent assay, the protein expression of AngII type 1 receptor (AT1R) and Ang II type 2 receptor ( AT2R) in the kidney was measured using Western blot assay. Results After lipopolysaccharide injection, the circulating endotoxin, endothelin, NO, NOS, ACE, AngⅡ, serum creatinine, blood urea nitrogen, AT1R and AT2R levels were all increased in the model group. The kidney coefficient, serum endotoxin, serum creatinine, blood urea nitrogen and kidney AT1R and AT2R were higher in the model group than in the control group at 2 ~ 168 h after injection. In addition, the serum levels of endothelin, NOS and AngⅡ were higher in the model group than in the control group at 2~ 48 h after injection and the NO level in the model group was higher than that in the control group at 4 ~ 48 h after injection. Moreover, the ACE level in the model group was higher than that in the control group at 2 ~ 24 h after injection. All differences were significant ( P< 0. 05). Conclusions RAS may be involved in kidney injury caused by endotoxemia.

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李晶铃,阴赪宏.内毒素血症对大鼠肾功能及肾素-血管紧张素系统的影响分析[J].中国比较医学杂志,2021,31(9):72~77.

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  • 收稿日期:2020-12-16
  • 在线发布日期: 2021-10-25
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