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收稿:2016-08-30,
纸质出版:2017-02-28
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刘佳睿, 陈佳, 陈客宏, 等. 缺血再灌注大鼠肾组织及尿液DcR2表达变化与肾损伤的关系[J]. 第三军医大学学报, 2017,39(4):342-348.
Jiarui Liu, Jia Chen, Kehong Chen, et al. DcR2 expression in renal tissue and urine after ischemia reperfusion related to kidney injury in rats[J]. J Third Mil Med Univ, 2017, 39(4): 342-348.
刘佳睿, 陈佳, 陈客宏, 等. 缺血再灌注大鼠肾组织及尿液DcR2表达变化与肾损伤的关系[J]. 第三军医大学学报, 2017,39(4):342-348. DOI: 10.16016/j.1000-5404.201608163.
Jiarui Liu, Jia Chen, Kehong Chen, et al. DcR2 expression in renal tissue and urine after ischemia reperfusion related to kidney injury in rats[J]. J Third Mil Med Univ, 2017, 39(4): 342-348. DOI: 10.16016/j.1000-5404.201608163.
Objective
2
To observe the expression of decoy receptor 2 (DcR2) in renal tissue and urine of rat after ischemia reperfusion injury (I/R) for investigating its correlation to kidney injury.
Method
2
Forty healthy male SD rats were randomized into sham operation group and I/R 60 min group. Blood
urine and bilateral renal tissues were collected at days 1
3
7
21 and 35 after operation. The levels of serum creatinine (Scr) and urinary NAG (uNAG) were detected by biochemical analysis. Renal morphologic changes were observed and pathologically assessed by PAS and Masson's trichrome staining. The expression of DcR2 in renal tissues was detected by immunohistochemical assay
and the expression of urine DcR2 (uDcR2) was measured by enzyme-linked immunosorbent assay (ELISA).
Results
2
Compared to the Scr and uNAG levels in the sham group (21.3±1.6 and 4.4±0.6 U/mmol
respectively)
they significantly increased in the I/R 60 min group(
P
<
0.05). At days 1
3
7
21 and 35 post operation
the Scr levels were 122.2±15.4
193.5±27.7
66.4±10.2
37.8±6.2
and 34.4±2.8 μmol/L
respectively. Accordingly
the uNAG levels were 9.8±2.0
17.0±2.5
7.8±1.5
6.5±2.1
6.7±2.3 U/mmol
respectively. Obvious pathological changes were found at the corticomedullary junction in the I/R 60 min group
including acute tubular necrosis
denudation
brush border and formation of cellular casts
which progressed to renal tubule atrophy
interstitial fibrosis and chronic kidney disease in later stage of reperfusion. Additionally
the expression of DcR2 in renal tissue and urine was increased significantly in the I/R 60 min group compared to the sham group(
P
<
0.05). The increased level of DcR2 and uDcR2 were positively correlated with renal function and kidney injury score (
P
<
0.05). Meanwhile
the Masson staining showed that in the I/R 60 min group renal DcR2 expression was positively correlated with interstitial fibrosis (
P
<
0.05).
Conclusion
2
The expression of DcR2 in renal tissue and uDcR2 level are positively related to renal function and kidney injury score in rats with I/R injury. This may suggest the important role of DcR2 played in the progress of renal interstitial fibrosis after ischemia reperfusion.
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