阿托伐他汀延缓肾脏衰老机制的探讨
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国家自然科学基金(70872713);解放军总医院苗圃基金(07MP40)


Underlying mechanism of atorvastatin against aging kidney in rats
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    摘要:

    目的 我们的前期研究证明长期应用阿托伐他汀可以显著改善老年大鼠肾脏衰老的病理改变,本研究进一步探讨长期应用不同剂量的阿托伐他汀减轻老年大鼠肾脏衰老病理表现的机制。方法 正常20月龄Wistar雌性大鼠分为3组(每组n=9):大剂量阿托伐他汀10mg/(kg?d)灌胃;小剂量阿托伐他汀1mg/(kg?d)灌胃;等容积生理盐水灌胃,3组均连续灌胃4个月后处死大鼠(24月龄),同时以3月龄大鼠(n=9)为对照。RT-PCR方法检测大鼠肾组织内基质金属蛋白酶及其抑制剂(MMPs/TIMPs)、转化生长因子(TGF-b1)及过氧化物酶体增殖物活化型受体(PPARs)三个亚型的表达。Western印迹法检测肾组织内TIMP-1、MMP-9、TGF-b1、PPARs三个亚型的蛋白质表达。结果 老年大鼠(24月龄)较青年大鼠(3月龄)肾组织内MMP-9和TGF-b1的表达显著升高(分别为P<0.05和 P<0.01),TIMPs和PPARs无显著变化。服用阿托伐他汀后显著降低MMP-9和TGF-b1的表达,升高TIMP-1、PPARα、PPARβ和PPARγ(分别为P<0.01,P<0.01和P<0.05)的表达。结论 老年大鼠肾组织内MMPs/TIMPs显著失衡,TGF-b1显著高表达,老年大鼠长期应用阿托伐他汀可能通过降低MMP-9表达和增高TIMP-1表达而纠正MMPs/TIMPs的失衡状态,同时显著减低TGF-b1的表达而起到明显改善老年大鼠肾脏衰老的作用。该作用是否通过阿托伐他汀对PPARs三个亚型的激活而产生,尚需进一步的实验研究。

    Abstract:

    Objective Our previous study had proved that long-term atorvastatin administration notably improves the pathological aging changes of kidney. The aim of this study was to find the underlying mechanism of different doses atorvastatin in attenuation of the aging changes in the kidneys. Methods Twenty-month-old normal female Wistar rats were divided into 3 groups (n=9 for each group), that is, aged control group, large and small dosed atorvastatin groups. The rats from the corresponding groups were treated with normal saline, or atorvastatin at 10 or 1 mg/(kg?d) respectively through intragastrical injection for 4 months. All rats were sacrificed at the end of treatment, and another 9 rats at the age of 3 months served as normal controls. The expression of matrix metalloproteinase (MMP-9, -2), tissue inhibitors of metalloproteinase (TIMP-1, -2), transforming growth factor-b1 (TGF-b1) and peroxisome proliferators activated receptors (PPARs) at mRNA and protein levels in the kidney tissues were detected by RT-PCR and Western blotting respectively. Results The rats at 24 months old had significantly increased expression of MMP-9 and TGF-b1 than those at 3 months old (P<0.05, P<0.01). But no change was found in the expression of TIMPs and PRARs between them. Atorvastatin reversed these above changes. It resulted in a decrease in the increased expression of MMP-9 and TGF-b1, and an increase in the downregulated expression of TIMP-1, PPARα, PPARβ and PPARγ (P<0.01, P<0.01, P<0.05). Conclusion Imbalanced expression of MMPs/TIMPs exists in the aging rat kidney, with up-regulation of TGF-b1. Long-term treatment of atorvastatin rebalances MMPs/TIMPs expression through downregulating MMP-9, upregulating TIMP-1, and decreasing TGF-b1 expression, and thus attenuates the aging changes in the kidneys. Further study is needed to identify whether atorvastatin-induced activation of PRARs plays roles in the process.

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赵佳慧,程庆砾,杜 婧,刘 胜,王小丹,叶 平.阿托伐他汀延缓肾脏衰老机制的探讨[J].中华老年多器官疾病杂志,2012,11(12):933~937

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