七氟烷后处理对小鼠肾脏缺血再灌注损伤的保护作用及机制
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南京医科大学科技发展基金重点项目(2016NJMUZD084)


The protective effect and mechanism of sevoflurane postconditioning on renal ischemia/reperfusion injury in mice
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    摘要:

    目的:研究七氟烷后处理对肾脏缺血再灌注损伤的影响,探讨其保护机制是否与抗炎抗氧化有关。方法:雄性C57BL/6小鼠随机分成4组:假手术组(Sham组)、假手术+七氟烷后处理组(Sham+Sevo组)、肾脏缺血再灌注损伤组(IR 组)和肾脏缺血再灌注损伤+七氟烷后处理组(Sevo-Post C组)。摘除右肾后夹闭左肾蒂30 min建立肾脏缺血再灌注损伤模型,Sevo-Post C组于再灌注起吸入2%七氟烷1 h。再灌注24 h后检测肾功能参数、血清炎症因子及肾组织氧化应激指标。Western blot方法检测磷酸化蛋白激酶B(p-Akt)、磷酸化糖原合成酶激酶3β(p-GSK3β)、Akt及GSK3β表达水平。结果:与假手术组比较,缺血再灌注组血清肌酐(Scr)、尿素氮(BUN)、TNF-α、IL-6及丙二醛(MDA)的水平均升高(P<0.05);给予七氟烷后处理可以使Scr、BUN、TNF-α、IL-6、MDA的水平及肾损伤评分明显降低(P<0.05)。在肾脏缺血再灌注损伤后p-Akt及p-GSK3β水平均有所升高,但与IR组比较,七氟烷后处理可以显著增加Akt及GSK3β的磷酸化水平(P<0.05)。结论:七氟烷后处理对小鼠肾脏缺血再灌注损伤有保护作用,其机制可能与Akt/GSK3β通路调控的抗炎抗氧化有关。

    Abstract:

    Objective:To explore the effect of sevoflurane postconditioning on renal ischemia/reperfusion injury,and to determine whether its protective mechanism is related to the anti-inflammation and anti-oxidation. Methods:Male C57BL/6 mice were randomly and equally divided into four groups:sham operation group(Sham group),sham operation+ sevoflurane postconditioning group(Sham+Sevo group),renal ischemia/reperfusion injury group(IR group)and renal ischemia/reperfusion injury + sevoflurane postconditioning group(Sevo-Post C group). The renal ischemia/reperfusion injury model was induced by left renal pedicle clamping for 30 min followed by 24 h reperfusion and right nephrectomy. The mice were inhaled 2% sevoflurane for 1 h at the start of reperfusion in Sevo-Post C group. After 24 h reperfusion,renal functional parameters,serum mediator concentrations and markers of oxidative stress in kidney tissues were determined,and renal histopathological analysis was performed. The protein including p-Akt,p-GSK3β,Akt and GSK3β were determined by Western blot. Results:Serum creatinine(Scr),blood urea nitrogen(BUN),TNF-α,IL-6,and MDA concentrations were significantly increased after renal I/R as compared with the sham group(P<0.05). Sevoflurane postconditioning reduced Scr,BUN,TNF-α,IL-6,and MDA levels(P<0.05),and decreased histological scores(P<0.05). The phosphorylation levels of renal Akt and GSK3β were elevated after renal ischemia/reperfusion injury,and sevoflurane postconditioning further increased the phosphorylation levels of them as compared with the IR group(P<0.05). Conclusion:Sevoflurane postconditioning protected against renal IR injury possibly through the anti-inflammatory and antioxidative effects induced by the activation of Akt/ GSK3β signialing pathway.

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邱 云,高素敏,吴一晨,张劲松.七氟烷后处理对小鼠肾脏缺血再灌注损伤的保护作用及机制[J].南京医科大学学报(自然科学版),2018,(8):1077-1080,1130

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  • 收稿日期:2016-12-29
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  • 在线发布日期: 2018-08-15
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