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吡格列酮对5/6肾切除大鼠PDGF-BB与MMP-9表达的影响
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摘要
目的
     观察吡格列酮(Pioglitzone, PGZ)对5/6肾切除大鼠血小板源性生长因子(platelet-derived growth factor, PDGF)与基质金属蛋白酶-9 ( matrix metalloproteinase-9, MMP-9)表达的影响,探讨其对肾小球硬化影响的可能机制。
     方法
     选取60只雄性SD大鼠,随机分为假手术组、模型组、PGZ组,每组20只,然后每组于8周和12周取10只处死进行检测指标。模型组和PGZ组大鼠按两步法行5/6肾切除建立肾小球硬化模型。假手术组仅分离肾周围脂肪组织暴露肾脏,缝合腹壁。末次手术后PGZ组给予PGZ(10mg/kg/d)灌胃,假手术组和模型组仅给予生理盐水。分别于术后8周、12周进行肾脏病理学分析,采取免疫组织化学和Western blotting检测肾组织PDGF-BB和MMP-9的表达。
     结果
     1.模型组系膜细胞明显增殖,系膜区细胞外基质(extracellular matrix, ECM)显著沉积,肾小球硬化指数(Glomerulosclerosis index, GSI)和肾小球ECM/肾小球面积(Glomerular area, GA)明显升高(p﹤0.05);PGZ组系膜细胞增殖以及系膜区ECM沉积明显减轻,GSI和ECM/GA明显降低(p﹤0.05)。
     2.模型组PDGF-BB在肾小球表达增强,12周时表达最强,PGZ组在8周和12周时PDGF-BB表达较模型组减弱;模型组较假手术组MMP-9在肾小球表达减弱,12周时表达最弱,PGZ组8周和12周时较模型组MMP-9表达增强。
     3. Western blotting结果显示,模型组PDGF-BB表达随时间逐渐升高,12周时升高最为明显,MMP-9表达随时间逐渐降低,12周时降低最为显著,而PGZ组于8周和12周时较模型组PDGF-BB表达显著降低,MMP-9表达显著升高(p﹤0.05)。
     4. PDGF-BB与ECM/GA、GSI呈正相关(r=0.613、0.697, p<0.05)。MMP-9与ECM/GA、GSI呈负相关(r分别为-0.893、-0.764, p<0.05)。
     结论
     1. PGZ能显著抑制5/6肾切除大鼠系膜细胞的增殖,降低肾小球系膜区ECM的沉积,减轻肾小球毛细血管袢受压,最终延缓肾小球硬化的进展。
     2. PGZ延缓肾小球硬化的机制可能与下调肾小球PDGF-BB的表达,进而抑制系膜细胞的过度增殖;上调MMP-9的表达,进而促进ECM降解有关。
Objective
     To investigate the effect of pioglitzone on the expression of PDGF-BB and MMP-9 in the rat remnant kidney and further reveal the possible mechanisms of pioglitzone on glomerulosclerosis.
     Methods
     60 male Sprague-Dawley rats were randomly divided into 3 equal groups: sham group, model group and PGZ group. 10 rats were used to examine index in each group at 8 and 12 week. The rats in the latter two groups were subjected to 5/6 nephrectomy. Pioglitzone was orally administered for 12 weeks to PGZ group, but the rats in model group were only given 0.9% sodium chloride solution by gastrogavage as well as 12 weeks after operation. 0.9% sodium chloride solution was also fed for 12 weeks to rats that previously underwent sham operation. After the completion of administration period, the degree of renal injury was examined histopathologically. At 8 and 12 week, Immunohistochemichal staining and western blotting for PDGF-BB and MMP-9 were also performed.
     Results
     1. Rats that underwent 5/6 nephrectomy had more severe MC proliferation and ECM accumulation, greater GSI and ECM/GA than sham operated rats; The PGZ ameliorated these effects.
     2. Immunohistochemistry showed that compared with sham operated group the expression of PDGF-BB in glomeruli increased, PGZ group decreased compared with model group; compared to sham operated group the reduction of MMP-9 was detected in glomeruli of model group, PGZ group increased compared to model group.
     3. Glomeruli in 5/6 nephrectomized rats expressed higher levels of PDGF-BB and lower MMP-9 compared with sham group rats. PGZ group rats have lower levels of PDGF-BB and higher levels of MMP-9.
     4. PDGF-BB was positively correlated with ECM/GA and GSI (r =0.613, 0.697, p<0.05); MMP-9 and ECM/GA, GSI was a negative correlation ( r = -0.893, -0.764, p<0.05).
     Conclusions
     1. PGZ significantly inhibited MC proliferation of 5/6 nephrectomized rats, reduced glomerular mesangial ECM deposition, and thereby delay the progress of glomerulosclerosis, ultimately improving kidney function.
     2. These effects might be, partly, related to down-regulation of PDGF-BB, and up-regulation of MMP-9 in the remnant kidney.
引文
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