叶酸和Vit-B12对高同型半胱氨酸性糖尿病肾病小鼠的防治作用

Role of folic acid and vitamin B12 in prevention and treatment of diabetic nephropathy in Kkay mice

  • 摘要: 目的: 观察降低Hcy对糖尿病肾病(DN)的预防作用,探讨基质金属蛋白酶MMP-9在DN预防中的变化。方法: Kkay糖尿病鼠随机分3组:糖尿病组(KA)、高蛋氨酸组(KB)和叶酸、维生素B12组(KC),C57BL/6鼠为对照(C57),以相应饲料喂养4个月后取材,测定血糖、血同型半胱氨酸(Hcy)、叶酸和维生素B12,以PAS、六氨银染色法光镜下及超微电镜观察各组DN病变,比较各组肾小球硬化指数(GI);以免疫组化和半定量图像分析肾小球MMP-9蛋白表达,并以RT-PCR检测肾脏MMP-9mRNA水平。结果: 与C57组相比,Kkay各组均有不同程度DN病变,其中KC组病变较KB组明显减轻,与KA组类似;免疫组化显示KC组MMP-9阳性着色面积(11.49%)低于KB组(15.90%)(P<0.01),与KA组(11.14%)类似,KC组MMP-9mRNA水平亦低于KB组(P<0.01)。结论: 饮食加叶酸和维生素B12可有效降低Kkay糖尿病小鼠血Hcy水平,并减轻DN,此作用可能与下调MMP-9表达水平有关。

     

    Abstract: Objective: To observe the role of homocysteine(Hcy) and MMP-9 in prevention of diabetic nephropathy(DN). Methods: Twenty-four Kkay mice were divided into three groups(n=8):diabetes group(KA),methionine-diet group(KB),folic acid and vitamin B12 treatment group(KC).C57Bl/6 mice were used as controls(C57).Four months later,the mice were sacrificed and their serum levels of Hcy,folic acid and vitamin B12 were measured by fluorescence polarization immunoassay.Pathological changes in kidneys were examined with the periodic acid schiff(PAS) method with periodic acid-silver methenamine staining under electron microscope.Expression of MMP-9 protein or mRNA was detected by RT-PCR with immunohistochemical staining. Results: Different morphological changes of DN were found in Kkay mice.High Hcy levels induced by a diet enriched in methionine aggravated diabetic nephropathy and increased the expression level of MMP-9 protein and mRNA in glomerulus.The mean positive area of MMP-9 in KC group was lower than that in KB group(11.49% vs 15.90%,P<0.05),but had no difference between KC and KA groups(11.49% vs 11.14%,P<0.05). Conclusion: High levels of Hcy can worsen nephropathy,which can be effectively prevented by treatment with folic acid and vitamin B12 to reduce the enhanced expression of MMP-9.

     

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