糖通饮对糖尿病肾病大鼠肾脏保护作用Study on the Protective Effects of Tangtong Drink on Kidney in Rats with Diabetic Nephropathy
高楠楠;侯胜开;屈璐;潘艳伶;
GAO Nannan;HOU Shengkai;QU Lu;PAN Yanling;Department of Traditional Chinese Medicine, School of Clinical Medicine, Guizhou Medical University;Guizhou Provincial Key Laboratory of Pathogenesis & Grug Research on Common Chronic Diseases, Guizhou Medical University;
摘要(Abstract):
目的:探讨糖通饮对早期糖尿病肾病大鼠肾脏组织的保护作用。方法:雄性SD大鼠55只,随机分为正常组(A组)10只,剩余的45只造模,将造模成功的40只SD大鼠分为模型组(B组)、糖通饮组(C组)、厄贝沙坦组(D组)及糖通饮+厄贝沙坦组(E组),每组10只;C、D、E组给予对应的药物灌胃治疗,A组及B组给予等量生理盐水灌胃,8周末检测大鼠的空腹血糖(FBG)、血清肌酐(SCr)及24 h尿蛋白定量,取右侧肾脏苏木精-伊红(HE)染色光镜下观察组织学改变。结果:与A组比较,B组大鼠肾脏病理形态变化明显,FBG、SCr及24 h尿蛋白明显升高,差异有统计学意义(P<0.05);与B组比较,C、E组的FBG、SCr及24 h尿蛋白明显降低,D组的SCr及24 h尿蛋白明显降低,差异有统计学意义(P<0.05);与B组比较,C、D、E组治疗后病理改变均明显减轻。结论:糖通饮能够有效地减少早期DN大鼠的24 h尿蛋白,降低FBG和SCr水平,对大鼠肾脏组织具有保护作用。
Objective: To investigate the protective effects of Tangtong Drink on kidney tissue of rats with early diabetic nephropathy. Methods: A total of 55 male Sprague-Dawley rats were randomly divided into normal(A) group(n=10), and the remaining 45 rats were modeled. 40 SD rats with successful modeling were divided evenly into model(B) group, Tangtong Drink(C) Group, Irbesartan(D) group, and Tangtong Drink+Irbesartan(E) group. Group C, D, and E were given the corresponding drugs for intragastric administration, and group A and group B were given the same amount of normal saline. After 8 weeks, the fasting blood glucose(FBG), serum creatinine(SCr) and 24 h urine protein were measured. The pathological changes of rat kidney were observed under hematoxylin-eosin(HE) staining. Results: Compared with group A, the pathological changes of kidney in group B were significantly changed. FBG and SCr and 24 h urine protein significantly increased, and the differences were statistically significant(P<0.05). Compared with group B, FBG, SCr and 24 h urinary protein in group C and E significantly decreased, and SCr and 24 h urine protein significantly lower in group D. The differences were statistically significant(P<0.05). Compared with group B, the pathological changes were all significantly reduced in group C, D, and E. Conclusion: Tangtong Drink could effectively reduce the levels of FBG and SCr in rats with diabetic nephropathy and reduce 24 h urine protein, which showed protective effects of kidney tissues in rats.
关键词(KeyWords):
糖尿病肾病;糖通饮;厄贝沙坦;尿蛋白;血清肌酐;病理学
diabetic nephropathy;Tangtong drink;irbesartan;urine protein;serum creatinine;pathology
基金项目(Foundation): 贵阳市人民政府-贵州医科大学科学技术联合基金(GY2015-21)
作者(Authors):
高楠楠;侯胜开;屈璐;潘艳伶;
GAO Nannan;HOU Shengkai;QU Lu;PAN Yanling;Department of Traditional Chinese Medicine, School of Clinical Medicine, Guizhou Medical University;Guizhou Provincial Key Laboratory of Pathogenesis & Grug Research on Common Chronic Diseases, Guizhou Medical University;
DOI: 10.19367/j.cnki.1000-2707.2019.06.011
参考文献(References):
- [1] HAN H,CAO A,WANG L,et al.Huangqi decoction ameliorates streptozotocin-induced rat diabetic nephropathy through antioxidant and regulation of the TGF-β/MAPK/PPAR-γ signaling[J].Cellular Physiology & Biochemistry International Journal of Experimental Cellular Physiology Biochemistry & Pharmacology,2017,42(5):1934.
- [2] 林子桐,张超,沈雪梅.糖尿病肾病发病机制研究进展[J].中国药理学与毒理学杂志,2014,28(5):765-773.
- [3] 燕成岭,樊淑珍,孟峻,等.尿液中ALB、α1-MG、NAG联合检测在DN早期损伤诊断中的临床意义[J].内蒙古医科大学学报,2015,37 (3) :221-224.
- [4] 孙翠英,王洁,张承承,等.糖肾清1号对糖尿病肾病模型大鼠肾组织MCP-1,RANTES表达的影响[J].中国实验方剂学杂志,2018,24(1):102-108.
- [5] EBOH C,CHOWDHURY T A.Management of diabetic renal disease[J].Annals of Translational Medicine,2015,3(11):154.
- [6] XU Z J,SHU S,LI Z J,et al.Liuwei dihuang pill treats diabetic nephropathy in rats by inhibiting of TGF-β/SMADS,MAPK,and NF-kB and upregulating expression of cytoglobin in renal tissues[J].Medicine,2017,96(3):e5879.
- [7] 王曼曼,穆攀伟,陈燕铭,等.尿微量白蛋白肌酐比值、血胱抑素C在2型糖尿病肾病中的临床应用[J].内蒙古中医药,2013,32(20):1-2.
- [8] MISE K,HOSHINO J,UENO T,et al.Prognostic value of tubulointerstitial lesions,urinary n-acetyl-?2-d-glucosaminidase,and urinary ?22-microglobulin in patients with type 2 diabetes and biopsy-proven diabetic nephropathy[J].Clin J Am Soc Nephrol,2016,11(4):593-601.
- [9] ZHU D,ZHANG L,CHENG L,et al.Pancreatic kininogenase ameliorates renal fibrosis in streptozotocin induced-diabetic nephropathy rat[J].Kidney & Blood Pressure Research,2016,41(1):9-17.
- [10]何丹丹,郑毅,陈闯,等.治疗糖尿病并发症的药物研究进展[J].中南药学,2017,6(15):714-721.
- [11]蓝健姿,潘奇,陶庆,等.补肾益气活血法联合厄贝沙坦对早期糖尿病肾病尿CTGF、TGF-β1水平及肾功能的影响[J].四川中医,2017,37(5):115-118.
- [12]SHI X,LU X G,ZHAN L B,et al.The effects of the Chinese medicine ZiBu PiYin recipe on the hippocampus in a rat model of diabetes-associated cognitive decline:a proteomic analysis.[J].Diabetologia,2011,54(7):1888-1899.
- [13]ZHAO H L,SUI Y,QIAO C F,et al.Sustained antidiabetic effects of a berberine-containing Chinese herbal medicine through regulation of hepatic gene expression[J].Diabetes,2012,61(4):933-943.
- [14]姜威,李向新,赵德明.糖尿病肾病的中医药研究进展[J].吉林中医药,2017,37(12):1303-1306.
- [15]朱海慧,叶学锋,谢春光.清热益气通络方对DN 大鼠蛋白尿的作用机制研究[J].陕西中医,2014,35(1):110-112.
- [16]潘艳伶,凌湘力.糖通饮治疗早期糖尿病肾病30例[J].河南中医,2015,35(5):1068-1070.
- [17]谢甦,凌湘力.糖通饮对早期糖尿病肾病尿白蛋白/肌酐比值、血液流变学的影响[J].康复学报,2011,21(2):8-10.
- [18]潘艳伶,凌湘力.糖通饮对早期糖尿病肾病患者尿微量白蛋白排泄率、糖脂代谢的影响[J].北方药学,2015,12(2):112-113.
- [19]XU Z J,SHU S,LI Z J,et al.Liuwei Dihuang pill treats diabetic nephropathy in rats by inhibiting of TGF-β/SMADS,MAPK,and NF-kB and upregulating expression of cytoglobin in renal tissues[J].Medicine,2017,96(3):e5879.
- [20]ZHOU X,SUN X,GONG X,et al.Astragaloside IV from astragalus membranaceus ameliorates renal interstitial fibrosis by inhibiting inflammation via TLR4/NF-кB in vivo and in vitro[J].International Immunopharmacology,2017,42:18-24.
- [21]蔡琳,彭鹏,郭甜.丹参药理作用及临床研究进展[J].山东化工,2016,45(17):51-52.
- [22]崔璀,韩宝来,张娜娜,等.地骨皮水煎液对3种高血糖模型小鼠的降糖作用研究[J].中国药师,2016,19(11):2023-2026.
- [23]于凡,孙乐,许利嘉,等.决明子现代应用的研究进展[J].中国现代中药,2018,20(5):626-630.
文章评论(Comment):
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- 糖尿病肾病
- 糖通饮
- 厄贝沙坦
- 尿蛋白
- 血清肌酐
- 病理学
diabetic nephropathy - Tangtong drink
- irbesartan
- urine protein
- serum creatinine
- pathology
- 高楠楠
- 侯胜开
- 屈璐
- 潘艳伶
GAO Nannan- HOU Shengkai
- QU Lu
- PAN Yanling
- Department of Traditional Chinese Medicine
- School of Clinical Medicine
- Guizhou Medical University
- Guizhou Provincial Key Laboratory of Pathogenesis & Grug Research on Common Chronic Diseases
- Guizhou Medical University
- 高楠楠
- 侯胜开
- 屈璐
- 潘艳伶
GAO Nannan- HOU Shengkai
- QU Lu
- PAN Yanling
- Department of Traditional Chinese Medicine
- School of Clinical Medicine
- Guizhou Medical University
- Guizhou Provincial Key Laboratory of Pathogenesis & Grug Research on Common Chronic Diseases
- Guizhou Medical University