肾动脉栓塞法建立犬肾功能不全模型

Establishment of renal insufficiency model by embolization of renal artery

  • 摘要: 目的 探索新的犬肾功能不全模型建立方法,为心肾综合征研究提供模型。 方法 将20只比格犬随机分为模型组和假手术组。模型组通过肾动脉注入明胶海绵颗粒造成部分肾血管栓塞,引起肾缺血,从而建立肾功能不全模型;假手术组不栓塞肾动脉,其他步骤与模型组相同。3个月后检测血肌酐、尿素氮、尿酸、乳酸脱氢酶含量等肾功能相关指标,观察肾功能损伤对血压和心房颤动诱发率的影响,同时检测交感神经系统、肾素-血管紧张素-醛固酮系统活性。 结果 3个月后与假手术组、自身基线水平比较,模型组血肌酐、尿素氮、尿酸、乳酸脱氢酶含量均显著升高,肾功能显著下降。模型组收缩压由(170.9±12.8) mmHg(1 mmHg=0.133 kPa)升高为(191.1±17.8) mmHg(P<0.05),舒张压由(104.4±10.9) mmHg升高为(126.3±19.8)mmHg。假手术组相关指标手术前后差异无统计学意义。3个月后模型组心房颤动诱发率为41%,与自身基线水平(25%)、假手术组(22%)差异均有统计学意义(P<0.05)。且血浆中去甲肾上腺素、肾素、醛固酮浓度及心房血管紧张素Ⅱ浓度显著升高。 结论 通过肾动脉栓塞方法可有效稳定地建立犬肾功能不全模型,为心肾综合征研究提供新的建模方法。

     

    Abstract: Objective To develop a new method to establish renal insufficiency model for cardiorenal syndrome research. Methods Twenty beagles were randomly divided into model group and sham group. In model group, embolization of some branches of renal artery was achieved by injecting gelatin sponge granules, thus leading to the establishment of renal insufficiency model. The sham group underwent the same procedure, except for embolization. After 3 months, parameters about renal insufficiency including creatinine, urea nitrogen, uric acid, lactate dehydrogenase were tested. The blood pressure and atrial fibrillation (AF) vulnerability were evaluated. The activity of the sympathetic nervous system and renal-angiotensin-aldosterone system were measured. Results After 3 months, the renal function was impaired seriously in model group for the ischemia of glomerular. Compared with sham group and baseline data, the creatinine, urea nitrogen, uric acid, lactic dehydrogenase in model group increased significantly. The systolic pressure elevated from (170.9±12.8) mmHg to (191.1±17.8) mmHg with statistically significant differences (P<0.05). Diastolic pressure elevated from (140.4±10.9) mmHg to (126.3±19.8) mmHg with statistically significant differences (P<0.05). There were no significant differences in related indexes in sham group before and after operation. After 3 months, the AF inducibility of model group were 41%, which was higher than baseline (25%) and sham group (22%) with significant difference (P<0.05). The plasma levels of norepinephrine, renin, aldosterone and the angiotensinⅡlevel in atrial tissue increased significantly. Conclusion The embolization of renal artery with gelatin sponge granules can steadily establish the model of renal insufficiency, which can provide a new animal model for cardiorenal syndrome research.

     

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