氰钴胺和甲钴胺对伴高同型半胱氨酸血症的2型糖尿病小鼠肾脏病变的影响

Effect of cyanocobalamin and methylcobalamin on renal disease of type 2 diabetic Kkay mice with hyperhomocysteinemia

  • 摘要: 目的: 观察并比较氰钴胺和甲钴胺(弥可保®,甲基B12)对高蛋氨酸喂养诱发的高同型半胱氨酸血症的2型糖尿病小鼠(Kkay mice)血清tHcy水平及糖尿病肾脏病变的影响。方法: 给予成模的65只4周龄的2型糖尿病小鼠喂养含3%蛋氨酸的高脂饲料8周,建立高同型半胱氨酸(hHcy)2型糖尿病小鼠模型。将小鼠随机分为3组:对照组(n=22)、氰钴胺组(n=22)、甲钴胺组(n=21),并继续给予高蛋氨酸高脂饮食。腹腔注射生理盐水、氰钴胺或甲钴胺0.2mg/kg,隔日1次。分别于注射药物后1、2、4、8周取血测定血清tHcy。治疗前和治疗后2、4、8周用代谢笼收集小鼠24h尿,测定尿白蛋白、尿NAG酶和肌酐。结果: 对照组血清tHcy治疗后继续升高;氰钴胺组和甲钴胺组血清tHcy治疗后均下降。3组治疗后UAE和尿NAG酶活性、均继续升高,但甲钴胺组于第4周、第8周UAE和尿NAG酶活性升高的幅度显著低于对照组和氰钴胺组。结论: 氰钴胺和甲钴胺注射治疗均能有效降低2型糖尿病小鼠tHcy水平。tHcy可能促进2型糖尿病小鼠肾脏病变的发生和发展;而氰钴胺和甲钴胺可能通过降低tHcy水平,减缓2型糖尿病小鼠肾脏病变的进展。

     

    Abstract: Objective: To observe and compare the effect of cyanocobalamin and methylcobalamin(methyl-B12) on renal disease of type 2 diabetic Kkay mice with hyperhomocysteimia induced by high methione food. Methods: Type 2 diabetic Kkay mice were fed with 3% methionine high fat diet until the level of serum homocysteine increased to 15 μmol/L.Then,the mice were randomly divided into control group,cyanocobalamin and methylcobalamin groups,respectively.Serum homocysteine was measured at weeks 0,1,2,4,8,and 24h urine was collected for detecting urine albumin and creatinine. Results: The level of homocysteine was progressively increased in control group,and decreased after treatment with cyanocobalamin and methylcobalamin.The UAE and urine NAG activity in all groups were increased without use of hypoglycemic agents,but the increased amplitude was lower than that in the other two groups. Conclusion: Both cyanocobalamin and methylcobalamin can effectively decrease the level of total homocysteine in type 2 diabetic mice with hyperhomocysteinemia,and delay the progression of renal disease of type 2 diabetic mice.

     

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