残肾大鼠主动脉重塑及缓激肽B2受体

Aortic Remodeling and BKB2 Rs mRNA Level in Rats with Remnant Kidneys

  • 摘要: 目的 研究1/6残肾大鼠主动脉重塑情况和BKB2R mRNA水平。方法 32只Wistar大鼠随机分成模型组和假手术组,每组16只。使用5/6肾切除术构建残肾大鼠模型。造模前和造模后15、30、60、120d检测血压和血清肌酐。造模后1月和4月每组处死大鼠各8只,RT-PCR法检测主动脉BKB2R mRNA的水平;取同一部位胸主动脉石蜡切片行天狼星红染色。结果 造模后15d血压(180±22)mm Hg和血清肌酐(44.5±9.3)μmol/L较假手术组,分别(109±11)mm Hg和(24.5±5.3)μmol/L显著升高(均P<0.01),并维持在较高水平,至术后120d无显著变化。模型组主动脉BKB2R mRNA水平(×10~3拷贝数)术后1月为22.48±6.26,4月为6.25±1.78,呈现时间依赖性持续降低(P<0.05)。造模后1月大动脉中膜胶原纤维含量略增加,造模后4月大动脉中膜胶原纤维增生显著。结论 1/6残肾大鼠模型至少在术后15d出现显著的肾功能不全的表现,并维持到术后4月。残肾大鼠更易出现大血管重塑,血管BKB2R mRNA的水平呈时间依赖性的显著降低。

     

    Abstract: Objective To investigate the aortic remodeling and BKB2 R mRNA level in rats with remnant kidneys. Methods Thirty-two rats were divided into sham-operation and experiment groups randomly (n=16). The animal model was established through 2-stage 5/6 nephroctomy. The blood pressure and serum Cr were determined pre-operation and 15, 30, 60, 120 days after operation respectively. Eight animals in each group were sacrificed 1-month and 4-month after the second operation. Aortic BKB2R mRNA was determined using RT-real time PCR. Paraffin embedded aorta was sliced to 3μm, and then sirius red staining for collagen. Results Blood pressure and serum Cr were increased significantly 15 days after 5/6 nephrotomy (180±22)mm Hg and (44.5±9.3)μmol/L, vs sham-operation group (109±11)mm Hg and (24.5±5.3)μmol/L, P<0.01, respectively. Hypertension and azomia were sustainedtill 120 days without significant fluctuation. Aorta BKB2 Rs (×10~3 copies)were declining in a time-dependent manner (22.48±6.26 at 1 month, 6.25±1.78 at 4 months, P<0.05). In experiment group, increases in aortic collagen after operation was significant especially 4-month after 5/6 nephrotomy. Conclusion A chronic renal failure rat model can be established 15 days after 5/6 nephrotomy and sustained more than 4 months. Aortic BKB2 mRNA were down-regulated in the model, which was accompanied with significant aortic vessel remodeling.

     

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