补体C3参与小鼠缺血再灌注急性肾损伤后肾脏炎症及慢性纤维化

Complement C3 participates in inflammation and post-injury fibrosis in mice with ischemia-reperfusion induced acute kidney injury

  • 摘要: 目的 探讨补体C3是否参与缺血再灌注急性肾损伤(AKI)后肾脏慢性纤维化过程。方法 C57BL/6小鼠50只予微型动脉夹夹闭左侧肾动脉,持续30 min后恢复血流,1周后切除右侧肾脏,建立肾脏缺血再灌注损伤后慢性纤维化模型,随机分为5组,分别于第0、3、7、14、28天,酶联免疫吸附试验(ELISA)法和Western-blot法检测肾组织补体C3、白细胞介素(IL)1、IL-6、转化生长因子(TGF)-β1含量或表达水平。另取20只C57BL/6小鼠和20只周龄、性别与之相配对补体C3基因敲除小鼠(C3-/-),各随机分为2组:肾脏缺血再灌注损伤后慢性纤维化组C57BL/6-AKI-慢性肾脏病(CKD)组、C3-/--AKI-CKD组及仅分离左肾动脉,不阻断的假手术(sham)组(C57BL/6-sham组、C3-/--sham组),28 d后检测24 h尿蛋白、血肌酐、尿素氮;苏木素-伊红(HE)染色和Masson染色观察肾小球、肾小管及肾间质纤维化;ELISA法测肾组织C3、IL-1、IL-6、TGF-β1含量;用Western-blot法测补体C3、IL-1、IL-6、TGF-β1蛋白表达水平。结果 AKI后肾组织C3及炎症因子IL-1、IL-6、TGF-β1呈时间依赖性增加,第7天达到高峰(均P<0.01)。与C57BL/6-sham组、C3-/--sham组相比,第28天,C57BL/6-AKI-CKD组和C3-/--AKI-CKD组小鼠血肌酐肌酐:C57BL/6-sham组(8.05±1.06)比C57BL/6-AKI-CKD组(25.35±3.02)比C3-/--sham组(7.96±1.09)比C3-/--AKI-CKD组(16.94±1.89)μmol/L,F=210.72,P<0.01、尿素氮和尿蛋白升高,肾脏组织补体C3、炎症因子IL-1、IL-6、TGF-β1的表达增加,肾脏纤维化明显;与C57BL/6-AKI-CKD组相比,第28天,C3-/--AKI-CKD组小鼠血肌酐、尿素氮和尿蛋白水平降低,肾脏组织补体C3、炎症因子IL-1、IL-6、TGF-β1的表达水平降低,肾小球系膜增生、肾小球硬化和肾小管间质评分降低;肾小球、肾小管和肾间质胶原面积减少(均P<0.05)。结论 补体C3参与了缺血再灌注AKI后肾脏炎症及慢性纤维化。

     

    Abstract: Objective To investigate whether complement C3 is involved in the process of post-injury fibrosis after ischemia-reperfusion induced acute kidney injury(IR-AKI). Methods The IR-AKI and post-injury fibrosis model was established by left renal artery clamping with micro-arterial clip for 30 minutes, and resecting the right kidney one week later in C57 BL/6 mice. Fifty successful mice were randomly divided into 5 groups to detect the concentrations of complement C3, interleukin(IL) 1, IL-6 and transforming growth factor(TGF)-β1 and the protein expression of these indexes in renal tissue by enzyme-linked immunosorbent assay(ELISA) and Western blot on day 0, 3, 7, 14 and 28 respectively. In addition, twenty C57 BL/6 mice and twenty gender-and age-matched complement C3 knockout(C3-/-) mice were randomly divided into IR-AKI and post-injury fibrosis(chronic kidney disease, CKD) group and sham-operation group respectively, namely C57 BL/6-AKI-CKD group, C3-/--AKI-CKD group, C57 BL/6-sham group, C3-/--sham group. In the sham group, only the left renal artery were isolated without blocking the blood flow.After 28 days, the 24 h urine protein, serum creatinine(Scr) and blood urea nitrogen(BUN) were detected; HE and Masson staining were performed to observe glomerulus, renal tubules and renal fibrosis; the concentrations of complement C3, IL-1, IL-6 and TGF-β1 of renal tissue were measured by ELISA, and the expression of complement C3, IL-1, IL-6, and TGF-β1 protein were detected by Western blot. Results After AKI, the expression of renal complement C3, IL-1, IL-6 and TGF-β1 increased in a time-dependent manner and reached to the peak on the 7 th day. Compared with the sham group, on the 28 th day, the ScrC57 BL/6-sham(8.05±1.06) vs C57 BL/6-AKI-CKD(25.35±3.02) vs C3-/--sham(7.96±1.09) vs C3-/--AKI-CKD(16.94±1.89)μmol/L, F=210.72, P<0.01, BUN and urine protein levels in C57 BL/6-AKI-CKD group and C3-/--AKI-CKD group increased, and the levels of renal complement C3, IL-1, IL-6 and TGF-β1 increased, and the renal fibrosis was obvious. Compared with the C57 BL/6-AKI-CKD group, on Day 28, the levels of Scr, BUN and urinary protein in the C3-/--AKI-CKD group were decreased, the levels of complement C3, IL-1, IL-6 and TGF-β1 in the C3-/--AKI-CKD group significantly declined, glomerular mesangial hyperplasia, glomerular sclerosis and kidney tubulointerstitial scores in the C3-/--AKI-CKD group substantially decreased, the glomerular, renal tubule and renal interstitial collagen area in the C3-/--AKI-CKD group decreased(all P<0.05). Conclusion Complement C3 participates in inflammation and post-injury fibrosis after IR-AKI.

     

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