反复注射顺铂诱导小鼠慢性肾功能不全模型的建立
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国家自然科学基金项目(面上项目,重点项目,重大项目)


The establishment of mouse model of chronic renal insufficiency induced by repeated administration of cisplatin
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The National Natural Science Foundation of China (General Program, Key Program, Major Research Plan)

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    摘要:

    目的 构建慢性肾脏病(chronic kidney disease ,CKD)C57BL/6小鼠模型,探索其小管损伤指标和间质纤维化程度随顺铂造模剂量的改变,为研究从AKI到CKD进展过程提供动物实验依据。 方法 将24只8周龄雄性C57BL/6小鼠随机平均分为对照组和低、中、高剂量顺铂模型组。模型组小鼠按5mg/kg、7mg/kg和10 mg/kg顺铂腹腔注射给药,每周1次,连续注射4周构建模型。处死小鼠后,留取标本进行相关检测。检测血浆肌酐和24小时尿蛋白排泌量来评估小鼠肾功能;PAS染色观察肾脏病理学变化;免疫组化检测肾损伤分子1(KIM-1)和尿液检测N-乙酰-β-D氨基葡萄糖苷酶(NAG)水平以评估肾小管损伤情况;免疫组化法检测肾脏CD3阳性T细胞和免疫荧光法检测F4/80阳性巨噬细胞浸润情况;天狼星红染色、免疫组化法检测胶原I和α-平滑肌肌动蛋白(α-SMA)表达以评估肾脏纤维化情况。 结果 与正常对照组相比,随着注射顺铂浓度的升高,小鼠肾脏损伤越明显,其中10mg/kg顺铂高剂量组最为显著。与对照组相比,顺铂高剂量组小鼠肾功能下降,表现为血浆肌酐浓度和24小时尿蛋白排泌量显著升高(P<0.05和P<0.001);肾小管上皮细胞坏死、空泡变性等病理学改变显著,肾组织KIM-1表达显著上升(P<0.05),尿NAG水平升高;肾组织浸润的CD3阳性T细胞和F4/80阳性巨噬细胞增多;肾组织天狼星红染色阳性胶原纤维区域显著增多(P<0.001),胶原I和α-SMA表达也明显增多(P<0.01),肾脏发生纤维化。 结论 反复注射4周10mg/kg顺铂可诱导小鼠慢性肾功能不全模型,可为研究AKI向CKD的转化机制提供了新的实验模型。

    Abstract:

    Objective To observe the changes of renal tubules injury and interstitial fibrosis level in the C57BL/6 mouse models of chronic kidney disease (CKD), and provide animal experimental evidence for study the acute kidney injury (AKI) to chronic kidney disease progression as well as the mechanisms of this progression. Methods 24 male C57BL/6 mice (8-week aged) were randomly and averagely divided into control group, low-dose cisplatin group, medium-dose cisplatin group, and high-dose cisplatin group. Mice in cisplatin group were administrated with 5mg/kg or 7mg/kg or 10 mg/kg cisplatin by intraperitoneal injection once a week for 4 weeks. Then the mice were sacrificed, and plasma and kidney samples were collected for subsequent tests. Plasma creatinine and 24-hour proteinuria were detected to assess renal function. Pathological changes were observed by Periodic acid–Schiff (PAS) staining. To evaluate renal tubules injury, the expression of kidney injury molecule 1(KIM-1) were examined by immunohistochemistry and the level of urinary N-Acetyl-β-D-glucosaminidase were detected by commercial kit. In addition, the infiltration of CD3-positive T cells and F4/80-positive macrophages was explored by immunohistochemistry (IHC) and immunofluorescence. Finally, to assess renal fibrosis, the expression of collagen I and α-smooth muscle actin (α-SMA) were tested by immunohistochemistry, while total kidney collagen was detected by PicroSirius Red staining. Results In contrast to the normal control group, the kidney injury became more serious in mice with cisplatin treatment as cisplatin concentration increased. Particularly, the significant kidney damage was observed in high-dose cisplatin group. When compared with control group, renal function in high-dose cisplatin group was significantly impaired evidencing by a increase in plasma creatinine and 24-hour urinary protein (P<0.05 and P<0.001) . Morphologically, numerous clear vacuoles and necrosis are present in renal tubule epithelial cells in high-dose cisplatin group mice, meanwhile, the expression of KIM-1 was markedly up-regulated and the level of urinary NAG was elevated. Additionally, the infiltration of CD3-positive T cells and F4/80-positive macrophages was enhanced in mice with high-dose cisplatin injection when compared with control group. Furthermore, data from immunohistochemistry and PicroSirius Red staining have shown that in contrast to normal mice, mice administrated by high-dose cisplatin developed renal fibrosis evidenced by markedly up-regulated expression of collagen I and α-SMA. Conclusions Repeated administration of 4-week 10mg/kg cisplatin can induced mice chronic renal insufficiency, which as a novel model applies the research about mechanism underlying AKI to CKD.

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黄统生,郭赟,杨陈,安宁,叶霖,唐皓璇,黄希杰,许勇芝,潘庆军,刘华锋.反复注射顺铂诱导小鼠慢性肾功能不全模型的建立[J].中国实验动物学报,2018,26().

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  • 收稿日期:2017-08-07
  • 最后修改日期:2017-11-01
  • 录用日期:2017-11-02
  • 在线发布日期: 2018-08-16
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