短期高盐喂食对C57BL/6J小鼠肾小管上皮细胞间充质转化和肾脏纤维化的影响

Effects of short-term high salt diet on renal tubule epithelial mesenchymal transformation and renal fibrosis in C57BL/6J mice

  • 摘要: 目的探讨短期高盐喂食对C57BL/6J小鼠肾小管上皮细胞间充质转化和肾脏纤维化的影响。方法雄性C57BL/6J小鼠20只,随机分为对照组(饲以0.5%NaCl颗粒饲料)和高盐组(饲以8%NaCl颗粒饲料),每组各10只。测小鼠尾动脉血压,1次/周,共3周;代谢笼收集各组小鼠24 h尿液;3周测定血肌酐、尿素氮、24 h尿微量白蛋白(MAU)及尿钠、钾含量,计算肌酐清除率(Ccr)及24 h尿钠/钾;采用苏木精-伊红(HE)、过碘酸-希夫(PAS)、Masson染色观察肾脏形态及纤维化,用免疫组化和Western blot法分别检测小鼠肾脏E-钙黏蛋白(E-cadherin)、波形蛋白(Vimentin)、α-平滑肌肌动蛋白(α-SMA)及肾脏损伤分子-1蛋白(Kim-1)的分布和表达量。结果实验3周后,两组小鼠血压比较差异无统计学意义(P>0.05);与对照组比,高盐组小鼠24 h MAU(0.39±0.09)比(0.07±0.01)mg、Ccr(1.99±0.46)比(1.25±0.58)L/(g·min)、24 h尿钠(0.62±0.28)比(0.01±0.01)mmol、24 h尿钾(0.29±0.04)比(0.05±0.01)mmol及尿钠/钾(4.31±1.80比0.08±0.03)增加(均P<0.05),肾小球硬化指数、肾小球纤维化指数及肾间质纤维化指数升高(均P<0.05)。免疫组化及Western blot结果显示,与对照组相比,高盐组小鼠肾脏E-cadherin蛋白表达减少,Vimentin、α-SMA及Kim-1蛋白表达增加(均P<0.05)。结论短期高盐喂食可能通过非血压依赖途径诱导正常血压C57BL/6J小鼠肾小管上皮细胞间充质转化的发生,促进肾脏纤维化。

     

    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.

     

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