Received:07 November 2016,
Published:28 February 2017
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Junjie Yuan, Kehong Chen, Lirong Lin, et al. Relationship between E3 ubiquitin ligase Parkin expression and renal tubulointerstitial injury in diabetic nephropathy[J]. J Third Mil Med Univ, 2017, 39(4): 349-354.
Junjie Yuan, Kehong Chen, Lirong Lin, et al. Relationship between E3 ubiquitin ligase Parkin expression and renal tubulointerstitial injury in diabetic nephropathy[J]. J Third Mil Med Univ, 2017, 39(4): 349-354. DOI: 10.16016/j.1000-5404.201611059.
Objective
2
To investigate the expression of Parkin in renal tissues of patients with diabetic nephropathy (DN) and the relationship between Parkin expression and renal tubulointerstitial injury.
Method
2
Totally 40 patients diagnosed with type 2 DN by renal biopsy admitted in our hospital between 2015 and 2016 were enrolled in this study. Ten patients with pathologically confirmed normal kidney tissues after renal tumor resection were taken as control group. Immunohistochemical examination were performed to detect the Parkin expression in renal tissues with different tubulointerstitial injury scored by interstitial fibrosis and tubular atrophy (IFTA) classification. The expression of Parkin correlating to clinical factors and renal pathological damage was determined by Pearson and Spearman correlation analyses
respectively. Immunofluorescence staining was performed to determine the expression of Parkin
renal interstitial injury factors e.g. interleukin (IL)-6
transforming growth factor beta (TGF-β)
and interstitial fibrosis marker collagen Ⅳ (Col-Ⅳ).
Results
2
Parkin was mainly expressed in the cytoplasm of renal tubular epithelial cells
and its expression level was gradually decreased with increased IFTA score. There was a significant negative correlation between Parki
n expression and renal tissue injury scores (glomerulosclerosis
tubular atrophy and interstitial fibrosis
renal interstitial inflammation) (
P
<
0.01). Such negative correlation was also found between Parkin expression and renal function injury parameters (quantitative urinary protein
urinary N-Acetyl-β-D glucosaminidase
blood urea nitrogen
serum cystatin C
serum creatinine)
while Parkin expression was positively correlated with estimated glomerular filtration rate (eGFR) (
P
<
0.05). Immunofluorescence assay showed that renal tubular epithelial cells with positive expression of Parkin did not co-express IL-6
TGF-β and Col-IV.
Conclusion
2
Decreased expression of Parkin is closely related to renal tubulointerstitial injury in patients with DN.
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