摘要:
目的 初步探讨雷公藤甲素对C57BL/6-Ins2Akita小鼠的安全剂量和延缓糖尿病肾病的作用效果.方法 选择8周龄雄性C57BL/6-Ins2Akita小鼠和C57BL/6J野生鼠,每4周检测体血糖和体质量,每8周收集24 h尿液和血液,检测和对比糖尿病肾病相关指标,确定C57BL/6-Ins2Akita小鼠糖尿病肾病的评估和形成时机.另取8周龄C57BL/6-Ins2Akita小鼠以100、200、400、800 μg· kg-1· d-1分成4个剂量组灌胃14 d,观察急性毒性反应,通过改良寇氏法计算 LD50.以 25、50、100 μg· kg-1· d-1这 3 个剂量干预 24 周龄C57BL/6-Ins2Akita小鼠,并设置空白对照组和野生型对照组,干预8周,期间收集尿液检测24 h尿蛋白排泄率,处死后收集血液检测肌酐、尿素氮、血清清蛋白等指标,组织取材进行病理检查.结果 C57BL/6-Ins2Akita小鼠的24 h尿蛋白排泄率、血糖、三酰甘油在8周龄开始即高于C57BL/6J野生型小鼠(P<0.05),血清蛋白低于C57BL/6J野生型小鼠(P<0.05),且随周龄增加差距逐渐明显,但肌酐未出现升高趋势.急性毒性实验中改良寇氏法计算LD50值为356.45 μg· kg-1· d-1.雷公藤甲素干预高、中、低剂量组的24 h尿清蛋白排泄率均较对照降低,其中高剂量组与对照组差异有统计学意义(P<0.05).随蛋白尿的减少,血清清蛋白水平得到提高, HDG组较CON组血清清蛋白水平提高约2.5 g/L,差异有统计学意义(P<0.05).对于体质量、24 h尿量、肾脏重量、血糖、血肌酐、尿素氮、三酰甘油、胆固醇等指标,实验组与空白对照组之间未发现差异有统计学意义.与此同时,病理检查发现高剂量组的系膜面积/毛细血管襻面积和肾小球系膜扩张比例均明显低于空白对照组(P<0.05),中、低剂量组差异无统计学意义.结论 100 μg· kg-1· d-1的雷公藤甲素可减少C57BL/6-Ins2Akita小鼠的蛋白尿,提高血清蛋白水平,减少系膜区系膜基质的聚积,增大剂量可能引起毒性反应.%Objective To investigate the safe dosage of triptolide for C 57BL/6-Ins2Akita mice and its effect on delaying the progression of diabetic nephropathy.Methods The male C57BL/6-Ins2Akita mice and C57BL/6J mice were selected in this experient ,From 8weeks old they were examed blood glucose ,blood pressure every 4-5 weeks,24 hour urine albumin,serum creatinine,urea,lipids and liver function were checked every 8 weeks,in order to determine the time for the occurrence and assessment of diabetic nephropathy .At the same time,we intragastrically administrated 8-week-age C57BL/6-Ins2Akita mice with 100,200,400,800 μg· kg-1· d-1for 14 days.Observing the acute toxic reac-tions and calculating the LD50by bliss.Based on above experiments and references ,we decided to intervene 24-week-age C57BL/6-Ins2Akita mice with 25,50,100 μg· kg-1· d-1for 8 weeks.And set the blank control and wild control groups.Meanwhile,we collect urine to detect the urinary albumin excretion rate for 24 h,and urinary protein/creatinine, following by collecting the blood to detect some indexes such as the creatinine ,urea nitrogen and serum albumin after killing the mice.Results The level of urinary albumin excretion rate , blood sugar, triglyceride and Cholesterol in C57BL/6-Ins2Akita mice were higher than those in C57BL/6J mice at all ages(P<0.05),while the level of serum al-bumin was lower than that of C 57BL/6J wild mice.The gap was gradually drawn apart with age increasing.However,the creatinine did not show the ascendant tendency.The value of LD50is 356.45 μg· kg-1· d-1.Compared with the con-trol,the high,medium and low triptolide experiment groups have less urinary albumin excretion rate with a statistically significant difference in high dose group ( P<0.05).Serum albumin increased following the reduction of albuminuria. The serum albumin of HDG group increased by 2.5 g/L compared with CON group ,which is statistically significant (P<0.05).There was no statistically significant difference in body weight ,urine amount for 24h,kidney weight,blood sugar, blood creatinine,urea nitrogen,triglyceride and cholesterol etc between experiment and control group.Meanwhile,me-sangial area/capillary loop area as well as the glomerular mesangial membrane expansion rate in high dose group are ob -viously under the blank control group(P<0.05)while no statistically significant difference was observed in low and me-dium groups.Conclusion Within safe dosages,high dose triptolide can reduce the albuminuria ,alleviate accumulation of mesangial matrix and increase blood albumin in C57BL/6-Ins2Akita mice,toxic reactions are prone to occur with higher doses.