Abstract:
Objective To investigate the effects of short-term high salt diet on the interstitial transformation(EMT) of renal tubular epithelial cells and renal fibrosis in C57 BL6/J mice. Methods Twenty male C57 BL/6 J mice were randomly divided into control group(fed with 0.5% NaCl pellet feed) and high salt group(fed with 8% NaCl pellet feed), 10 mice in each group. The tail artery blood pressure was measured once a week for 3 weeks. 24-hour urine was collected by metabolic cage. The serum creatinine, urea nitrogen, 24-hour urinary microalbumin(MAU), urinary sodium and potassium were measured 3 weeks after intervention. Creatinine clearance rate(Ccr) and 24-hour urinary sodium/potassium ratio were calculated. The renal morphology and fibrosis were observed by HE(hematoxylin-eosin), PAS(periodic acid-Schiff) and Masson staining. The protein distribution and expression of E-cadherin, Vimentin, α-smooth muscle actin(α-SMA) and kidney injury molecule-1(Kim-1) in the kidneys of mice was detected with immunohistochemistry and Western blot. Results After 3 weeks of high-salt diet, there was no significant difference in blood pressure among two groups(P>0.05). Compared with the control group, the 24-hour MAU (0.39±0.09) vs(0.07±0.01)mg, Ccr (1.99±0.46) vs(1.25±0.58)L/(g·min), 24-hour urinary sodium (0.62±0.28) vs(0.01±0.01)mmol, 24-hour urinary potassium (0.29±0.04) vs(0.05±0.01)mmol and 24-hour urinary sodium/potassium ratio(4.31±1.80 vs 0.08±0.03) increased in the high salt group(P<0.05). The glomerular sclerosis index, glomerular fibrosis index and renal interstitial fibrosis index were also increased(P<0.05). As compared with control, the expression of Vimentin, α-SMA and Kim-1 increased while E-cadherin decreased(all P<0.05) in the high salt as indicated by immunohistochemistry and Western blot analysis. Conclusion Short term high salt diet may induce renal tubule EMT and promote renal fibrosis in C57 BL/6 J mice with normal blood pressure through blood pressure independent pathway.