TNF-α对肾血管收缩敏感性的影响

Effect of TNF-α on renal vasoconstriction sensitivity

  • 摘要: 目的 观察肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)对肾血管收缩敏感性的影响。 方法 28只大鼠制备离体灌注肾模型,随机分为4组(n=7)。A1组:无钙Kreb's液灌流组;A2组:无钙Kreb's液+TNF-α(100 μg/L)灌流组;B1组:无钙Kreb's液+2-APB(30 μmol/L)灌流组;B2组:无钙Kreb's液+TNF-α(100 μg/L)+2-APB(30 μmol/L)灌流组,4组在刺激期均加内皮素(endothelin,ET)(1 nmol/L)刺激。灌流结束后,计算肾脏水肿率,HE染色观察肾小球及肾小管形态、结构。 结果 平衡期过后,各组基础灌注压比较无统计学差异(P> 0.05)。A1、A2组ET刺激后,肾灌注压较基础压均明显升高(P< 0.05);A2组灌注压升高值显著高于A1组(P< 0.01)。B1、B2组ET刺激后,肾灌注压均略升高,但与基础灌注压比较无统计学差异(P> 0.05);两组灌注压升高值比较无统计学差异(P> 0.05)。4组肾脏的水肿率均低于30%,灌流后肾脏标本切片均未发现明显的器质性损伤,与灌流前相符。 结论 TNF-α可能通过上调1,4,5-三磷酸肌醇受体(IP3R)进而增强ET引起的肾血管收缩。

     

    Abstract: Objective To study the effect of TNF-α on renal vasoconstriction sensitivity. Methods A rat in vitro perfusion kidney model was established. Twenty eight male SD rats were randomly divided into A1 group, A2 group, B1 group and B2 group (7 in each group). Rats in the 4 groups underwent perfusion with Ca2+-free Kreb's solution, TNF-α and Ca2+-free Kreb's solution (100 μg/L), Ca2+-free Kreb's solution and 2-APB (30 µmol/L), TNF-α (100 μg/L) and Ca2+ -free Kreb's solution and 2-APB (30 µmol/L)respectively, and stimulated with 1nmol/L endothelin (ET). Then, kidney edema rate was calculated. Morphology and structure of glomeruli and renal tubules were observed. Results No significant difference was found in the basic perfusion pressure among the 4 groups (P> 0.05). Although the renal perfusion pressure was significantly higher than the basic perfusion pressure in A1 and A2 groups (P< 0.05), it was significantly higher in A2 group than in A1 group after ET stimulation (P< 0.05). Although the renal perfusion pressure was slightly higher in B1 and B2 groups, no significantly difference was found in the perfusion pressure and basic perfusion pressure between the two groups (P> 0.05). The kidney edema rate was lower than 30% in the 4 groups. No significant organic injury was observed in renal tissue sections after perfusion. Conclusion TNF-α can stimulate ET–induced renal vasoconstriction by up-regulating the IP3R.

     

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