1.157000 黑龙江 牡丹江,牡丹江医学院附属红旗医院肾脏内科
2.157000 黑龙江 牡丹江,牡丹江医学院附属红旗医院血液透析室
Received:29 October 2021,
Revised:2022-01-27,
Published:30 May 2022
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Yuanbo SUN, Yanran SONG, Shiqi WANG, et al. Salvianolic acid B attenuates renal interstitial fibrosis in rats with unilateral ureteral obstruction
Yuanbo SUN, Yanran SONG, Shiqi WANG, et al. Salvianolic acid B attenuates renal interstitial fibrosis in rats with unilateral ureteral obstruction
目的
2
基于核因子E2相关因子2(nuclear factor erythroid 2-related factor 2,Nrf2)-谷胱甘肽过氧化物酶4(glutathione peroxidase 4,Gpx4)通路介导的铁死亡途径,探究丹酚酸B对单侧输尿管梗阻(unilateral ureteral obstruction,UUO)大鼠肾脏间质纤维化(renal interstitial fibrosis,RIF)的改善作用。
方法
2
采用随机数字表法将40只大鼠分为假手术组、模型组、丹酚酸B组、丹酚酸B+Nrf2抑制剂组,每组10只。除假手术组外,其余各组建立UUO模型,假手术组除不结扎、剪断输尿管外,其余操作相同。丹酚酸B组灌胃100 mg·kg
-1
·d
-1
丹酚酸B,丹酚酸B+Nrf2抑制剂组在丹酚酸B组基础上腹腔注射Nrf2抑制剂ML385 30 mg·kg
-1
·d
-1
,假手术组、模型组灌胃等体积无菌生理盐水,连续9 d。HE染色和Masson染色检测肾组织形态和纤维化情况;试剂盒检测肾脏组织中Fe
2+
、丙二醛(maleicdialdehyde,MDA)含量及超氧化物歧化酶(superoxide dismutase,SOD)活性;实时荧光定量PCR(quantitative real-time PCR,RT-qPCR)和蛋白质免疫印迹检测肾脏组织中Ⅰ型胶原(Collagen-Ⅰ,CoL-Ⅰ
)、Ⅲ型胶原(Collagen-Ⅲ,CoL-Ⅲ)、Nrf2、Gpx4的mRNA和蛋白水平。
结果
2
与假手术组相比,模型组肾脏组织中Fe
2+
、MDA含量,CoL-Ⅰ、CoL-Ⅲ的mRNA和蛋白水平升高(
P
<
0.05),血清中SOD活性降低(
P
<
0.05),肾脏组织中Nrf2、Gpx4的mRNA和蛋白水平降低(
P
<
0.05);与模型组相比,丹酚酸B组肾脏组织中Fe
2+
、MDA含量,CoL-Ⅰ、CoL-Ⅲ的mRNA和蛋白水平降低(
P
<
0.05),血清中SOD活性,肾脏组织中Nrf2、Gpx4的mRNA和蛋白水平升高(
P
<
0.05);与丹酚酸B组相比,丹酚酸B+Nrf2抑制剂组肾脏组织中Fe
2+
、MDA含量,CoL-Ⅰ、CoL-Ⅲ的mRNA和蛋白水平升高(
P
<
0.05),血清中SOD活性,肾脏组织中Nrf2、Gpx4的mRNA和蛋白水平降低(
P
<
0.05)。
结论
2
丹酚酸B能够激活Nrf2-Gpx4通路进而抑制铁死亡实现对UUO大鼠RIF的缓解。
Objective
2
To determine the improving effect of salvianolic acid B on renal interstitial fibrosis (RIF) of rats with unilateral ureteral obstruction (UUO) based on ferroptosis mediated by nuclear factor erythroid 2-related factor 2 (Nrf2)-glutathione peroxidase 4 (Gpx4) pathway.
Methods
2
A total of 40 rats were divided into sham operation group
model group
salvianolic acid B group
and salvianolic acid B+Nrf2 inhibitor group
with 10 rats in each group. UUO model was established in the latter 3 groups
and those of the sham operation group received the same operation except for not ligating and cutting the ureter. Salvianolic acid B of 100 mg·kg
-1
·d
-1
and Nrf2 inhibitor ML385 of 30 mg·kg
-1
·d
-1
were intragastrically administered to the corresponding groups
and sterile normal saline of equal volume was given to the sham operation group and model group
for 9 consecutive days. Hematoxylin-eosin (HE) staining and Masson staining were used to detect the morphology and fibrosis in renal tissues. The contents of Fe
2+
maleicdialdehyde (MDA) and activity of superoxide dismutase (SOD) in renal tissues were detected with corresponding kits. Quantitative real-time P
CR (RT-qPCR) and Western blotting were used to detect the mRNA and protein levels of Collagen-Ⅰ (CoL-Ⅰ)
Collagen-Ⅲ (CoL-Ⅲ)
Nrf2
and Gpx4 in the renal tissues.
Results
2
Compared with the sham operation group
the contents of Fe
2+
and MDA and the mRNA and protein levels of CoL-Ⅰ and CoL-Ⅲ in the renal tissues were increased (
P
<
0.05)
and the serum SOD activity and the mRNA and protein levels of Nrf2 were decreased (
P
<
0.05) in the model group. While the contents of Fe
2+
and MDA and the mRNA and protein levels of CoL-Ⅰ and CoL-Ⅲ were decreased (
P
<
0.05)
and the SOD activity and the levels of Nrf2 and Gpx4 were increased (
P
<
0.05) in the salvianolic acid B group than the model group. The treatment of salvianolic acid B+Nrf2 inhibitor increased the contents of Fe
2+
and MDA and the mRNA and protein levels of CoL-Ⅰ and CoL-Ⅲ (
P
<
0.05)
and reduced the SOD activity and the levels of Nrf2 and Gpx4 (
P
<
0.05) when compared with the salvianolic acid B group.
Conclusion
2
Salvianolic acid B activates the Nrf2-Gpx4 pathway and then inhibits ferroptosis to relieve RIF in UUO rats.
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