潜阳育阴颗粒对AngⅡ诱导的血管内皮细胞炎症反应及凋亡的影响
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摘要
目的:研究潜阳育阴颗粒对SHR大鼠血液及肾脏局部AngⅡ含量的影响,以及潜阳育阴颗粒含药血清对AngⅡ诱导HUVEC炎症反应及凋亡的影响,阐述潜阳育阴颗粒与AngⅡ导致的花生四烯酸代谢紊乱相关的防治机制,以期为中医药临床干预高血压早期肾损害提供实验依据。
     方法:
     (1)动物实验:40只SHR大鼠随机分为模型组(等量蒸馏水)、缬沙坦组(0.013g/kg/d)、潜阳育阴颗粒低剂量组(2.5g/kg/d)、潜阳育阴颗粒中剂量组(5g/kg/d)、潜阳育阴颗粒高剂量组(10g/kg/d),每组8只,均为14周龄雄性大鼠;另选8只同周龄的雄性Wister大鼠设为正常组(等量蒸馏水)。灌胃给药,每日1次,连续6周。末次给药1h后,取大鼠血清及肾脏。采用无创伤性尾动脉测压法测量各组大鼠给药前、给药3周及给药6周后的血压,全自动生化仪和放免法检测大鼠给药6周后的尿m-ALB、尿β2-MG、尿NAG含量,HE染色检测肾脏病理,ELISA法检测血液和肾脏局部的AngⅡ含量。
     (2)细胞实验:将SD大鼠随机分为正常组、缬沙坦组、潜阳育阴颗粒组,每组8只,灌胃给药,制备含药血清。HUVEC分为5组,除正常组外,其余组均采用10-6mol/L AngⅡ作用于对数生长期的HUVEC建立细胞凋亡损伤模型。造模后,分别给予相应含药血清干预:正常组(16%空白血清培养液)、模型组(16%空白血清培养液)、缬沙坦组(16%缬沙坦血清培养液)、潜阳育阴颗粒低剂量组(8%潜阳育阴颗粒血清培养液+8%空白血清培养液)、潜阳育阴颗粒高剂量组(16%潜阳育阴颗粒血清培养液)。①ELISA法检测NADPH氧化酶,TBA法检测MDA含量;②RT-PCR检测PPARγ-1mRNA表达,Western Blot检测PPARα-1、PPARγ-1蛋白表达;③EMSA法检测NF-κB的DNA结合活性;④RT-PCR检测AKT mRNA表达,Western Blot检测AKT-1、p-AKT-1、IκBα-1蛋白表达;⑤RT-PCR检测VCAM-1mRNA表达,Western Blot检测VCAM-1蛋白表达,ELISA法检测TNF-α、 IL-1β、IL-6;⑥流式细胞术检测HUVEC凋亡率,Western Blot检测Fas、FasL蛋白表达,免疫细胞化学法检测caspase3表达,TUNEL法检测细胞凋亡形态。
     结果:
     (1)动物实验:①潜阳育阴颗粒可以降低SHR大鼠的SBP、DBP;②潜阳育阴颗粒显著降低尿m-ALB、尿NAG;③HE染色结果显示潜阳育阴颗粒可以减轻肾小球的萎缩性纤维化及肾小管上皮细胞颗粒变性,减轻肾小动脉、细动脉的玻璃样变;④SHR大鼠血液及肾脏局部的AngⅡ含量较Wister大鼠的明显升高,潜阳育阴颗粒可以显著降低SHR大鼠血液及肾脏局部的AngⅡ含量。
     (2)细胞实验:①潜阳育阴颗粒含药血清显著降低AngⅡ诱导HUVEC损伤后增加的NADPH氧化酶及MDA含量,增加其损伤后低表达的PPARα-1、PPARγ-1蛋白以及PPARy-1mRNA,显著降低增加的NF-κB的DNA结合活性,降低AKT mRNA、p-AKT-1及IicBa-1蛋白的高表达,降低TNF-α、IL-1β、IL-6、VCAM-1炎症因子的释放;②潜阳育阴颗粒含药血清显著降低AngⅡ诱导HUVEC损伤后的细胞凋亡率,降低Fas、FasL、caspase3蛋白的高表达,改善细胞凋亡形态。
     结论:①潜阳育阴颗粒对高血压引起的早期肾脏损害具有一定的治疗及保护作用,可能与其降低血液及肾脏局部AngⅡ含量有关:②潜阳育阴颗粒可以抑制AngⅡ诱导HUVEC损伤的炎症反应,降低TNF-α、IL-1β、IL-6、VCAM-1炎症因子的表达,其机制可能与抑制NF-κB的激活有关;同时,其拮抗AngⅡ诱导HUVEC的凋亡效应,机制可能与下调fas、 fasL、caspase3蛋白表达有关。
AIM:To investigate the effect of QianYangYuYin(QYYY) granules on the levels of Angiotensin Ⅱ in the blood and renal tissues of Spontaneously Hypertensive Rats(SHRs) and discuss the effect of the medicated serum of QYYY granules on Angiotensin Ⅱ-induced apoptosis and inflammatory reaction in Human Umbilical Vein Endothelial cells(HUVECs). Elaborate the influence and possible protective mechanism of QYYY granules by curing the metabolic disturbance of arechidonic aid. To look forward a experimental evidence of inchoate intervention for the Chinese medicine.
     Methods:(1)40of SHRs were randomly divided into model group(the same amount of distilled water), group of Valsartan(0.013g/kg/d), low dose group of QYYY granules(2.5g/kg/d), medium dose group of QYYY granules(5g/kg/d) and high dose group of QYYY granules(10g/kg/d),8only each group.They are all14weeks old male rats. Choose another8of the same aged male Wister rats as control group (the same amount of distilled water).Rats were filled into the stomach with different medicines according to the different groups, once daily for6weeks. The kidneys and blood serum were taken out1hour later after the last administration in rats of each group. The non-invasive measurement of blood pressure by caudal artery of rats before treatment, after3weeks of administration and after6weeks of administration. Urinary micro-albumin, urinary β2-micro-globulin and urinary N-acetyl-glucosaminidase were determined by full automatic biochemical analyzer and radioimmunoassay. The pathologic changes of kidneys were tested by hematoxylin-eosin staining. The levels of Angiotensin Ⅱ in the blood and renal tissues of SHRs were determined by enzyme linked immune-sorbent assay.(2)SD rats were randomly divided into normal group, group of Valsartan, group of QYYY granules,8only each group. Rats were filled into the stomach with different medicines according to the different groups. Then the medicated serum of each group was prepared. HUVECs were divided into5groups. Except the normal group, the damaged model of cultured HUVECs were induced by10-6mol/L Angiotensin Ⅱ. At the same time, each medicated serum was used to intervene.①NADPH were determined by enzyme linked immune-sorbent assay, and the content of MDA was determined by the method of thibabituric acid.②The gene expression of PPARy-1was determined by reverse transcription polymerase chain reaction. Western blotting technology was used to detect the protein expression of PPARa-1, PPARy-1. ③DNA binding activity of NF-κB was tested by electrophoretic mobility shift assay.④TThe gene expression of AKT was determined by reverse transcription polymerase chain reaction. Western blotting technology was used to detect the protein expression of AKT-1, p-AKT-1, IκBα-1.⑤) The gene expression of VCAM-1was determined by reverse transcription polymerase chain reaction. Western blotting technology was used to detect the protein expression of VCAM-1. TNF-α, IL-1β and IL-6were determined by enzyme linked immune-sorbent assay.⑥The apoptosis rate of endothelial cells was assessed by flow cytometry with Annexin V/PI staining. Western blotting technology was used to detect the protein expression of Fas and FasL. The protein expression of caspase3was detected by immunocytochemistry. The apoptotic morphology of endothelial cells was tested by TUNEL.
     Results:(1) QYYY granules could make systolic blood pressure and diastolic blood pressure of SHRs decreased significantly.It could reduce urinary micro-albumin and urinary N-acetyl-glucosaminidase of SHRs significantly. Light microscopy revealed QYYY granules could reduce atrophic fibrosis of glomerulus, granular degeneration of epithelia of renal tubular and pathological changes of renal arteriole. The levels of Angiotensin Ⅱ in the blood and renal tissues of SHRs were higher than Wisters'. QYYY granules could decrease the content of Angiotensin Ⅱ significantly.(2) After HUVECs were damaged by10-6mol/L Angiotensin Ⅱ, the content of MDA and NADPH could be decreased by the medicated serum of QYYY granules. The expression of PPARa-1, PPARy-1were obvious increased by QYYY granules. DNA binding activity of NF-κB could be reduced obviously by the medicated serum of QYYY granules. It was also can decrease the expression of AKT, p-AKT-1and IκBα-1, then it reduce the expression of inflammatory factor as TNF-α, IL-1β, IL-6, VCAM-1. QYYY granules decreased apoptosis-positive rate and the expression of Fas, FasL, caspase3.It also make the apoptotic morphology of endothelial cells changed obviously.
     Conclusion:QYYY granules have a therapeutic and protective effect on early renal damage of hypertension to some extent. QYYY granules could significantly inhibit inflammatory reaction of HUVECs induced by Angiotensin II, and could decrease the expression of inflammatory factor as TNF-α, IL-1β, IL-6, VCAM-1. It may be related to the activation of NF-κB. These results indicate that QYYY granules could significantly inhibit apoptosis of HUVECs induced by Angiotensin Ⅱ, it may be related to lower protein expression of fas, fasL, caspasse3.
引文
[1]倪小玲,刘建社,汪俊汉,等.高血压早期肾损害相关因素研究及药物干预的影响[J].临床荟萃,2007,22(3):189-191.
    [2]许顶立,任昊.高血压病肾脏损害的诊断与防治[J].中华心血管病杂志,2004,32(2):190-192.
    [3]Ruilope LM. The kidney as a sensor of cardiovascular risk in essential hypertension. J Am Soc Nephrol, 2002,13 Suppl 3:S165-168.
    [4]刘以鹏,刘淑华.8-异前列腺素F2α与高血压肾损害[J].职业与健康,2010,26(20):2375-2377.
    [5]汤迎爽,张红宾,康阿龙.鬼针草的化学成分与药理作用研究进展[J].中医药导报,2010,16(11):123-125.
    [6]张进,黄进,徐志伟.何首乌补肾作用的相关药理研究进展[J].中药新药与临床药理,2009,20(5):496-498.
    [7]楚晋.山萸肉化学成分及其药理活性的研究[J].中国自然医学杂志,1999,1(1):46-48.
    [8]胡瑛瑛,黄真.玄参的化学成分及药理作用研究进展[J].浙江中医药大学学报,2008,32(2):268-270.
    [9]禹建春,叶红梅,林西西.泽泻的药理研究概况[J].海峡药学,2011,23(2):92-93.
    [10]赵兴梅,徐光忠,李建利,等.川牛膝和怀牛膝的现代药理研究概况[J].华西药学杂志,2004,19(3):205-207.
    [11]范群丽,赵东杰,唐蜀华.降压益肾颗粒治疗高血压病早期肾损害临床观察[J].南京中医药大学学报,2003,19(5):273-275.
    [12]严冬,唐蜀华,陈晓虎.降压益肾颗粒对SHR大鼠尿MAlb、β2-MG的影响[J].江苏中医药,2004,25(2):54-55.
    [13]严冬,钱玉良,唐蜀华,等.降压益肾颗粒对SHR大鼠早期肾脏损害组织形态学的影响[J].中国中医药科技,2004,11(4):210-211.
    [14]严冬,钱玉良,陈晓虎,等.降压益肾颗粒对SHR循环及肾脏局部AngⅡ、ET的影响[J].中医药学报,2007,35(6):42-43.
    [15]严冬,唐蜀华,陈晓虎,等.降压益肾颗粒对SHR循环系统及组织中NO、NOS的影响[J].江苏中医,2001,22(6):40-41.
    [16]刘福明,范群丽,唐蜀华,等.降压益肾颗粒对原发性高血压患者尿NAG、β2-MG、Alb的影响[J].江苏中医药,2005,26(12):12.
    [17]严冬,钱玉良,唐蜀华,等.降压益肾颗粒对对自发性高血压大鼠降压疗效观察[J].江苏中医药,2005,26(9):52-53.
    [18]严冬,钱玉良,唐蜀华.降压益肾颗粒对自发性高血压大鼠胰岛素抵抗的影响[J].实用中医药杂志,2004,20(1):5-6.
    [19]刘玉宁,王耀献.高血压肾损害病理变化的中医病机探讨[J].中国中西医结合肾病杂志,2012,13(1):1-3.
    [20]徐红丰.中西医结合治疗高血压病52例疗效观察[J].吉林中医药,2006,26(12):42-43.
    [21]程广书.高血压肾损害的中医药治疗思路[J].河南中医,2001,21(1):31.
    [22]杨帆,戴小华,王建彬.原发性高血压早期肾损害中医证候学观察[J].安徽中医学院学报.2007,26(2):8-11.
    [23]李云伦.黄连清降合剂治疗高血压病早期肾脏损害35例临床观察[J].新中医2004,36(3):16-18.
    [24]顾仁樾.中医药防治高血压病靶器官损伤临床体会[J].江苏中医药,2007,39(10):6-7.
    [25]刘福明.试论肝肾阴虚痰瘀阻肾是高血压病肾损害病机关键[J].福建中医药,2004,35(2):41-42.
    [26]徐向青,郑三霞.高血压病肾损害病机简析[J].中医药学刊,2005,23(1):312-313.
    [27]魏国健,钟培金,丘伟中.中西医结合治疗高血压病早期肾损害临床观察[J].现代医院,2006,6(3):67-69.
    [28]杨运清.天麻地黄饮降压及干预高血压肾损害66例观察[J].陕西中医,2007,(7):835-837.
    [29]张琪,朱建军.观察保元灌肠液治疗原发性高血压患者早期肾损害的疗效60例[J].南京中医药大学学报.自然科学版,2001,17(3):189-190.
    [30]陈政光.固本降压合剂治疗中老年高血压1临床研究[J].山东中医杂志,2002,21(2):72-73.
    [31]朱遵贤.利水解毒法治疗高血压肾病52例[J].陕西中医,1999,20(8):345.
    [32]汪绍兴,华杰.中西医结合治疗高血压病肾损害32例[J].湖北中医杂志,2002,24(12):19.
    [33]李玲孺,王琦,李英帅,等.氧化还原机制在中医体质研究中的应用[J].安徽中医学院学报,2012,31(2):1-4.
    [34]Meihua Luo, Hongzhen He, Mark R. Kelley, redox regulation of DNA repair:implications for human health and cancer therapeutic development[J].Antioxid Redox Signal,2010,12(11):1247.
    [35]Dean P, Jones. Redox sensing:Orthogonal control in cell cycle and apoptosis signaling[J].Intern Med, 2010,268 (5):432.
    [36]Tsai JY, Chou C J, Chen CF, et al Antioxidant activity of p iperlactam S:prevention of copper- induced LDL per oxidation and am elioration of free rad ical- induced oxidative stress of endothelial cells[J]. Plant Medical,2003,69 (1):3.
    [37]Nemeth I, Boda D, B lood g lutath ione redox rat ion as a parameter of oxidative stress in premature infants with IRDS [J]. Free Radic Biol Med,1994,16:347.
    [38]余文静,李著华.中医阴阳平衡与机体氧化还原态平衡关系初探[J].时珍国医国药,2010,21(11):2963-2965.
    [39]张家锡.中医学基础[M].上海:上海科学技术出版社,2001:15.
    [40]赵淑兰.内环境稳态与阴阳平衡浅识[J].国医论坛,2007,22(4):51.
    [41]Guyton AC, Coleman TG, Cowley AW, et al. Arterial pressure regulation:overriding dominance of the kidneys in long-term regulation and in hypertension[J].Am J Med,1972,52:584-594.
    [42]Rettig R. Does the kidney play a role of in the aetiology of primary hypertension Evidence from renal transplantation studies in rats and human[J].J Hum Hypertens,1993,7 (2):177-180.
    [43]陆再英,钟南山,主编.内科学(第7版)[M].人民卫生出版社,2008,540.
    [44]王阶,主编.实用中西医结合心血管病学[M].中国医药科技出版社,2007,621-622.
    [45]Perera GA. Hypertensive vascular disease:description and natural history. JChronic Dis,1955,1:33-42.
    [46]Weinberger MH. Salt sensitivity of blood pressure in humans. Hypertension,1996,27:481-490.
    [47]Zhou XJ, Rakheja D, Yu X, et al. The aging kidney. Kidney Int,2008,74 (6):710-720.
    [48]Rodriguez-Iturbe B, Vaziri ND, Herrera Acosta J, et al. Oxidative stress, renal infiltration of immune cells and salt-sensitive hyperten-sion:all for one and one for all. Am J PhysiolRenal Physiol,2004,286:F606-F616.
    [49]Diet F, Pratt RE, Berry GJ, et al. Increased accumulation of tissue ACE in human atherosclerotic coronary artery disease. Circulation,1996,94 (11):2756-2767.
    [50]OkamuraA, RakugiH, OhishiM, et al. Upregulation of rennin-angio-tensin system during differentiation from monocytes tomacrophages. J Hypertens,1999,17 (4):537-545.
    [51]Baylis C. Sexual dimorphism of the aging kidney:role ofnitric oxide deficiency. Physiology (Bethesda), 2008,23:142-150.
    [52]Fliser D. The kidneys and old age. DtschMedWochenschr,2008,133 (37):1835-1838.
    [53]Anderson S, Brenner BM. Effects of aging on the renal glomerulus. Am JMed,1986,80(3):435-442.
    [54]Sullivan JC, Semprun-PrietoL, Boesen EI, et al. Sex and sex hormones influence the development of albuminuria and renal macrophage infiltration in spontaneously hypertensive rats. Am J Physiol Regul IntegrComp Physiol,2007,293 (4):R1573-1579.
    [55]Sandberg K. Mechanisms underlying sex differences in progressive renal disease. GendMed,2008,5(1): 10-23.
    [56]黎磊石,刘志红主编.中国肾脏病学[M].第1版.北京:人民军医出版社,2008,827-848.
    [57]黎磊石,刘志红.原发性高血压的肾损害.肾脏病与透析肾移植杂志,2004,13(4):336-337.
    [58]NagaseM, MatsuiH, Shibata S, et al. Salt-induced nephropathy in obese spontaneously hypertensive rats via paradoxical activation of the mineralocorticoid receptor:role of oxidative stress. Hypertension,2007,50 (5):877-883.
    [59]TylickiL, PuttingerH, RutkowskiP, et al. Smoking as a risk factor for renal injury in essential hypertension. Nephron Clin Pract,2006,103 (4):121-128.
    [60]Ellington AA, Malik AR, Klee GG,, et al. Association of Plasma Resistin With Glomerular Filtration Rate and Albuminuria in HypertensiveAdults. Hypertension,2007,50:708-714.
    [61]刘治全.血压的盐敏感性与盐敏感性高血压[J].高血压杂志,2005,13(3):131-132.
    [62]胡伟,邢沈阳,李永山,等.C-反应蛋白及心血管危险因素对高血压交互作用[J].中国公共卫生,2009,25(1):9-12.
    [63]戴瑞鸿,林果为,林庚金,等.内科学新理论与新技术[M].上海:上海科学教育出版社,2002,3: 359-360.
    [64]刘以鹏,刘淑华.8-异前列腺素F2a与高血压肾损害[J].职业与健康,2010,26(20):2375-2377.
    [65]Jonathan H, Peter ST. Alp I, et al. The elephant in uremia:Oxidant stress as a unifying concept of cardiovascular disease in uremia[J]. Kidney Int,2002,62:1524-1538.
    [66]赵林双,廖玉华,王敏等.血清抗AT1、受体自身抗体a1、β1在高血压合并肾损害患者的初步研究[J].高血压杂志,2006,14:15-184.
    [67]邹斌,吴延庆.活性氧与高血压肾损害关系研究进展[J].中国中西医结合肾病杂志,2004,5:62-64.
    [68]吴旭斌,杨成悌,余静,等.炎症在高血压患者肾功能损害中的作用[J].高血压杂志,2003,11(1):16-18.
    [69]陶磊,付淑霞.花生四烯酸与氧化应激的研究进展[J].中国病理生理杂志,2011,27(11):2233-2236.
    [70]Fiorio Pla A, Genova T, Pupo E, et al. Multiple roles of protein kinase A in arachidonic acid -mediated Ca2+ entry and tumor-derived human endothelial cell migration[J]. Mol Cancer Res,2010,8(11):1466-1476.
    [71]Thompson J, Mignen O, Shuttleworth TJ. The N-terminal domain of Orai3 determines selectivity for activation of the store-independent ARC channel by arachidonic acid[J]. Channels (Austin),2010,4 (5): 398-410.
    [72]Jagnandan D, Church JE, Banfi B, et al. Novel mechanism of activation of NADPH oxidase 5. Calcium sensitiza-tion via phosphorylation[J]. J Biol Chem,2007,282 (9):6494-6507.
    [73]Inoguchi T, Li P, Umeda F, et al. High glucose level and free fatty acid stimulate reactive oxygen species production through protein kinase C-dependent activation of NAD(P)H oxidase in cultured vascular cells[J]. Diabetes,2000,49 (11):1939-1945.
    [74]Wang ZJ, Liang CL, Li GM, et al. Neuroprotective effects of arachidonic acid against oxidative stress on rat hippocampal slices[J]. Chem Biol Interact,2006,163 (3):207-217.
    [75]Schnfeld P, Wojtczak L. Fatty acids decrease mitochon-drial generation of reactive oxygen species at the reverse electron transport but increase it at the forward transport[J]. Biochim Biophys Acta,2007,1767(3): 1032-1040.
    [76]Keane DC, Takahashi HK, Dhayal S, et al. Arachidonic acid actions on functional integrity and attenuation of the negative effects of palmitic acid in a clonal pancreatic β-cell line[J]. Clin Sci(Lond),2011, 120 (5):195-206.
    [77]Palomba L, Cerioni L, Cantoni O. Arachidonic acid inhibits neuronal nitric oxide synthase elicited by proinflam-matory stimuli and promotes astrocyte survival with both exogenous and endogenous peroxynitrite via different mechanisms[J]. J Neurosci Res,2010,88 (11):2459-2468.
    [78]De Ciuceis C, Amiri F, Brassard P, Endemann DH, Touyz RM, Schiffrin EL. Reduced vascular remodeling, endothelial dysfunction, and oxidative stress in resistance arteries of angiotensin Ⅱ-infused macrophage colony-stimulating factor-deficient mice:evidence for a role in inflammation in angiotensin-induced vascular injury. Arterioscler Thromb Vasc Biol.2005 Oct;25(10):2106-13.
    [79]Chamarthi B, Williams GH, Ricchiuti V, Srikumar N, Hopkins PN, Luther JM, Jeunemaitre X, Thomas A. Inflammation and hypertension:the interplay of interleukin-6, dietary sodium, and the renin-angiotensin system in humans.Am J Hypertens.2011 Oct;24(10):1143-8.
    [80]Underwood PC, Chamarthi B, Williams JS, Sun B, Vaidya A, Raby BA, Lasky-Su J, Hopkins PN, Adler GK, Williams GH. Replication and meta-analysis of the gene-environment interaction between body mass index and the interleukin-6 promoter polymorphism with higher insulin resistance. Metabolism.2012 May;61(5):667-71.
    [81]Coleman CG, Wang Q Faraco G, Marques Lopes J, Waters EM, Milner TA, Iadecola C, Pickel VM. Membrane Trafficking of NADPH Oxidase p47phox in Paraventricular Hypothalamic Neurons Parallels Local Free Radical Production in Angiotensin II Slow-Pressor Hypertension. J Neurosci.2013 Mar 6;33(10):4308-16. doi:10.1523/JNEUROSCI.3061-12.2013.
    [82]Chen Y, Zhang AH, Huang SM, Ding GX, Zhang WZ, Bao HY, Wu HM, Chen RH. NADPH oxidase-derived reactive oxygen species involved in angiotensin II-induced monocyte chemoattractant protein-1 expression in mesangial cells. Zhonghua Bing Li Xue Za Zhi.2009 Jul;38(7):456-61.
    [83]Shao D, Liu J, Ni J, Wang Z, Shen Y, Zhou L, Huang Y, Wang J, Xue H, Zhang W, Lu L. Suppression of XBP1S Mediates High Glucose-Induced Oxidative Stress and Extracellular Matrix Synthesis in Renal Mesangial Cell and Kidney of Diabetic Rats. PLoS One.2013;8(2):e56124. doi: 10.1371/journal.pone.0056124. Epub 2013 Feb 14.
    [84]Underwood PC, Sun B, Williams JS, Pojoga LH, Chamarthi B, Lasky-Su J, Raby BA, Hopkins PN, Jeunemaitre X, Brown NJ, Adler GK, Williams GH. The relationship between peroxisome proliferator-activated receptor-gamma and renin:a human genetics study. J Clin Endocrinol Metab.2010 Sep;95(9):E75-9. doi:10.1210/jc.2010-0270. Epub 2010 Jul 14.
    [85]王锋.原发性高血.压肾损害的诊疗体会[J].中国中医药现代远程教育,2008,6(7):779-780.
    [86]刘旭杰,郝洪,李玲.鬼针草对血管平滑肌的作用[J].第四军医大学学报,2004,25(19):1767.
    [87]李玲,刘旭杰,郝洪.鬼针草降压作用与肾上腺素受体的关系[J].第四军医大学学报,2004,25(23):封2.
    [88]Lemori Y. Information exchanges on animal models for human diseases [J].Exp. Anim,1977; 26: 363-378.
    [89]Scgura J, Campol C, Puilope LM. Chroic kidney discase and global cardiovascular risk in essential hypertension. Minerva Med,2004,95 (5):375-383.
    [90]石美鑫.主编.实用外科学(上、下册)[M],北京,人民卫生出版社,2002,2405-2450.
    [91]李海波.β2-微球蛋白检测的临床应用[J].中国冶金工业医学杂志,2011,28(1):25-26.
    [92]康莉.β2-微球蛋白与肾脏病的研究[J].医学综述,2007,32(11):32-33.
    [93]董郡.病理学[M].第2版.北京:人民卫生出版社,1996,291.
    [94]叶任高,许韩师.尿溶菌酶和NAG酶测定对肾小管-间质病变的诊断价值[J].中国实用内科杂志,1999, 19(4):198-199.
    [95]刘力生.高血压[M].第2版.北京:人民卫生出版社,2001,9:905.908.
    [96]杨焕荣,蔡淑芳,刘晓琴.难治性肾病肾小管功能损害及缬沙坦干预研究[J].中国医师杂志,2008,10(4):505-507.
    [97]Touya RM.Molecular and cellular mechanisms in vascular injury in hypertension:role of angiotensin Ⅱ[J].Curropin Nephrol Hypertens,2005,14 (2):125-131.
    [98]Unger T.The role of the rein-angiotensin system in the development of cardiovascular disease[J].Am J Cardiol,2002,89 (2A):3A-29A.
    [99]林善谈.肾素-血管紧张素系统认识的演变及其临床意义[J].中华高血压杂志,2007,15(suppl):3-5.
    [100]贾俊亚,丁国华.肾脏中肾素-血管紧张素系统的生理和病理生理作用[J].生理科学进展,2008,39(1):71-74.
    [101]杨慧宇,杨志明,边云飞,等.血管紧张素(1-7)对血管紧张素Ⅱ诱导人脐静脉内皮细胞凋亡的影响及机制分析[J].中国心血管杂志,2010,15(5):384-387.
    [102]王勇,立春,啜文静.血管紧张素II-NADPH氧化酶-活性氧通路在慢性心肌缺血血瘀证中作用的实验研究[J].中华中医药杂志,2011,26(10):2265-2268.
    [103]冉海红,张然.肾素-血管紧张素系统通过氧化应激机制参与血管反应性的调节[J].生理科学进展,2011,42(2):117-120.
    [104]Griendling KK, Ushio-Fukai M. Reactive oxygen spec ies as mediators of angiotensin Ⅱ signaling. Regu l Pept,2000,91:21-27.
    [105]Kasuga M.Insulin resistance and pancreatic B cell failure.Cli Invest,2006 (116):1756-1760.
    [106]Liao H, Xu J, Huang J. FasL/Fas pathway is involved in dengue virus induced apoptosis of the vascular endothelial cells. J Med Virol,2010,82(8):1392-9.
    [107]Li HZ, Han LP, Jiang CM,et al. Effect of dopamine receptor 1 on apoptosis of cultured neonatal rat cardiomyocytes in simulated ischaemia/reperfusion. Basic Clin Pharmacol Toxicol.2008,102(3):329-36.
    [108]孙龙,迟宝荣,张填.过氧化物酶体增生物激活受体-α与肝脏疾病的关系[J].新医学,2007,38(2):127-129.
    [109]卢颖.过氧化物酶体增生物激活受体-γ与肾脏纤维化的研究进展[J].上海交通大学学报(医学版),2010,30(1):104-107.
    [110]Chinetti G, Fmchart jc, Staele B, et al. Peroxisome proliferatoractivated receptors(PPARs):nuclear receptors at the cmesroads between lipid metabolism and inflammation[J]. Inflamm Res,2000,49(10): 497-505.
    [111]Chen Feng, Aiming Yu, Ying Liu, et al.Involvement of protein kinase B/AKT in early development of mouse fertilized eggs. Biolreprod,2007,77:560-8.
    [112]赵学芹,黄宪章.Akt/PKB信号通路调控机制的研究进展[J].广东医学,2009,03(12):1920-1922.
    [113]Brahmachary M, Krishnan SP, Koh JL, et al. ANTIMIC:a database of antimicrobial sequences[J]. Nucleic Acids Res,2004,32 (Database Issue):D586-D589.
    [114]Prates MV, Sforca ML, Regis WC, et al. The NMR-derived solution structure of a new cationic antimicrobial peptide from the skin secretion of the anuran Hyla punctata[J]. J Biol Chem,2004,279(13): 13018-113026.
    [115]Mumcuoglu KY, Ingber A, Gilead L, et al. Maggot therapy for the treatment of intractable wounds[J]. Int J Dermatol,1999,38 (8):623-627.
    [116]Galkina E, Ley K.Vascular adhesion molecules in atherosclerosis[J].Arterioscler Thromb Vasc Biol, 2007,27 (11):2292-2301.
    [117]徐庆华,关瑞锦,韩莉莉,等.吡格列酮对兔动脉粥样硬化血管壁ICAM-1表达的影响[J].重庆医科大学学报,2010,35(2):216-219.
    [118]丘创华,侯敢,黄迪南.TNF-α信号传导通路的分子机理[J].中国生物化学与分子生物化学报,2007,23(6):430-435.
    [119]Till A, Rosenstiel P, Krippner-Heidenreich A, et al.The Met-196→Arg variation of human tumor necrosis factor receptor 2 (TNFR2) affects TNF-alpha-induced apoptosis by impaired NF-kappaB signaling and target gene expression[J]. J Biol Chem,2005,280 (7):5994-6004.
    [120]Depuydt B, Van Loo G, Vandenabeele P, et al. Induction of apoptosis by TNF receptor 2 in a T-cell hybridoma is FADD dependent and blocked by caspase-8 inhibitors[J]. J Cell Sci,2005,118:497-504.
    [121]Rui ML, Kara AU, Sinniah R. Dysregulation of cytokine expression in tubulointerstitial nephritis associated with murine malaria [J]. Kidney Int,1998,53 (4):845-852.
    [122]Strike LJ, Peten EP, Elliot SJ, et al. Biology of disease mesangial cell turn over:Effect of heparin and peptide growth factors[J].Lablnvest,1991,64:446-448.
    [123]Simmons EM, Himmelfarb J, Sezer MT, et al. Plasma cytokine levels predict mortality in patients with acute renal failure[J]. Kidney Int,2004,65:1375.
    [124]Pecoits-Filho R, Barany P, Lindholm B, et al. Interleukin-6 is an independent predictor of mortality in patients starting dialysis treatment[J]. Nephrol Dial Transplant,2002,17:1684.
    [125]Colutta I, Sold L, Polentarutti N, et al. Selective induction of MCP-1 in human mesangial cells by the IL-6/sIL-6R complex[J]. Exp Nephrol,2000,8:37.
    [126]Nanami M, Ookawara T, Otaki Y, et al. Tumor necrosis factor alpha induced iron sequestration and oxidative stress in human endothelial cells[J]. Atheroscler Thromb Vasc Biol,2005,25 (12):2495.
    [127]Sterzel RB, Schulze-Lohoff E, Marx M, et al. Cytokines and mesangial cells[J]. Kidney Int Suppl, 1993,39:26.
    [128]Ruef C, Budde K, Lacy J, et al. Interleukin 6 is an autocrine growth factor for mesangial cells[J]. Kidney Int,1990,38 (2):249.
    [129]Horii Y, Muraguchi A, Iwano M, et al. Involvement of IL-6 in Mesangial proliferative glomerulonephritis[J]. J Immunol,1989,143 (12):3949.
    [130]田中秋,邓立普TNF-α、IL-6在全身炎症反应综合征表达的研究进展[J].蛇志,2008,20(4):275-278.
    [131]张剑,碧清.创伤性休克患者血清TNF-α、IL-6变化的意义[J].浙江中西医结合杂志,2008,18(2):103-104.
    [132]陈灏珠主译.心血管病学[M].北京:人民卫生出版社,2007:900-926.
    [133]Dimmeler S, Rippmanny Weiland L, Weiland U, et al. Angiotensin II induces apoptosis of human endothelial cells. Cire Res,1997,81:970-976.
    [134]于志勇.高血压致肾损害的影响因素与治疗[J].河北医药,2010,32:99-100.
    [135]梁绪国,刘新泳.氯沙坦对血管紧张素Ⅱ所致血管平滑肌细胞凋亡及凋亡调控基因的影响[J].山东大学学报(医学版),2005,43(6):492-495.
    [136]Ashkenazi A, Dixit VM.Death Receptors:Signaling and Modulation. Science 1998,281 (5381): 1305-1308.
    [137]Luo X, Budihardjo I, Zou H, et al.Bid, a Bcl2 interacting protein, mediates cytochrome c release from mitochondria in response to activation of cell surface death receptors.Cell,1998,94 (4):481-490.
    [138]Shah SN, Resar LM. High mobility group A1 and cancer:Potential biomarker and therapeutic target[J]. Histol Histopathol,2012,27 (5):567-579.
    [139]Steller H. Mechanisms and genes of cellular suicide[J]. Science,1995,267:1445-1449.
    [140]郑佳,刘复强.Fas/fasL及其临床意义[J].首都医科大学学报,2004,25(3):411-414.
    [141]De Maria R, Testi R.Fas-FasL interaction:a common pathogenetic mechanism in organ-specific autoimmunity.Immunol Today,1998,19:121-125.
    [142]韩子明,刑燕,王宏伟,等.缬沙坦对阿霉素肾病肾硬化大鼠细胞凋亡及Fas和FasL表达的影响[J].中国当代儿科杂志,2003,5(4):306-310.
    [143]王玉梅,冯国和,刘德刚.暴发性肝衰竭中Fas及caspase-3与肝细胞凋亡的关系[J].中国现代医学杂志,2007,17(9):1076-1078.
    [144]Weinstein RS, Nicholas RW, Manolagas SC.Apoptosis of osteocytes in glucocorticoid-induced osteonecrosis of the hip.J Clin Endocrinol Metab,2000,85 (8):2907-2912.
    [145]蒋杞英,胡艳秋,程相树,等.孕期酒精接触对子鼠视皮质神经元凋亡的影响[J].解剖学报,2007,38(4):400-404.
    [146]金武丕,权修权,孟繁平,等.大鼠酒精性肝病细胞凋亡与细胞色素P4502E1和氧化应激的关系[J].世界华人消化杂志,2007,15(20):2181-2185.
    [147]石磊,张兵,夏春.股骨头坏死组织中半胱氨酰天冬氨酸蛋白酶caspase-3与细胞凋亡的关系[J].中国微创外科杂志,2009,9(8):737-740.
    [148]Su Z, Zimpelmann J, Rums KD. Angiotensin-(1-7) inhibits angiotensinⅡ-stimulated phosphorylation of MAP kinases in proximal tubular cells. Kidrley Int,2006,69:2212-2218.

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