基于 Wnt / β-catenin 通路探究槲皮素对腹膜透析大鼠腹膜纤维化的影响及机制
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1.牡丹江医科大学附属红旗医院 肾脏内科,黑龙江 牡丹江 157011;2.牡丹江医科大学 第一临床医学院,黑龙江 牡丹江 157011;3.牡丹江医科大学 护理学院,黑龙江 牡丹江 157011

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R459. 5;R285. 5;R692

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Effect and mechanism of quercetin on peritoneal fibrosis in peritoneal dialysis rats based on the Wnt/ β-catenin pathway
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1. Department of Nephrology, Hongqi Hospital Affiliated to Mudanjiang Medical University, Mudanjiang 157011, China. 2. First Clinical Medical College, Mudanjiang Medical University, Mudanjiang 157011. 3. College of Nursing, Mudanjiang Medical University, Mudanjiang 157011

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    摘要:

    目的 基于 Wnt / β-连环蛋白(β-catenin)通路探究槲皮素(QCT)对腹膜透析(PD)大鼠腹膜纤维化(PF)的影响及机制。 方法 构建 PD 大鼠模型,将建模成功的大鼠随机分为 LiCl-N 组(0 mg / kg)、LiCl-L组(30 mg / kg)、LiCl-M 组(60 mg / kg)、LiCl-H 组(90 mg / kg)、PD 组、QCT-L 组(17. 5 mg / kg)、QCT-H 组(35 mg /kg)、QCT-H+LiCl-M 组(35 mg / kg 的 QCT+60 mg / kg LiCl)。 随机选取 12 只大鼠为 Ctrl 组,Ctrl 组和 PD 组在同一时间段、相同部位灌胃和腹腔注射等量的 0. 9%氯化钠溶液,每天 1 次,持续 4 周;腹膜平衡试验检测腹膜功能;HE 染色观察腹膜组织变化;Masson 染色观察腹膜组织纤维化;ELISA 法测定炎症因子(TNF-α、IL-1β、IL-6);IHC 检测大鼠 α-SMA、CoL-1、E-cadherin 蛋白表达;Western blot 检测大鼠 Wnt3a、LRP5、LEF-1、GSK-3β、β-catenin 蛋白表达水平。 结果 与 LiCl-N 组相比,LiCl-L 组 Scr、BUN、MTG、UF、Wnt3a、β-catenin 蛋白表达无显著性差异(P>0. 05);LiCl-M 组 Scr、BUN、MTG、UF 无显著性差异(P>0. 05),Wnt3a、β-catenin 蛋白表达显著升高(P<0. 05);LiCl-H 组 Scr、BUN、MTG、Wnt3a、β-catenin 蛋白表达显著升高,UF 显著下降(P<0. 05)。 因此选择 60 mg / kg 作为 LiCl 浓度。 与 Ctrl 组相比,PD 组大鼠腹膜组织间皮细胞脱落,炎症细胞数量、胶原纤维沉积相对面积、腹膜厚度、血清 Scr、BUN 水平、MTG、腹膜组织 TNF-α、IL-1β、IL-6 水平、α-SMA、CoL-1、Wnt3a、LRP5、LEF-1、β-catenin 蛋白表达水平升高(P<0. 05),UF、E-cadherin、GSK-3β 蛋白表达水平降低(P<0. 05);与 PD 组相比,QCT-L 组、QCT-H 组腹膜组织有少量间皮细胞脱落,炎症细胞数量、胶原纤维沉积相对面积、腹膜厚度、血清 Scr、BUN 水平、MTG、腹膜组织 TNF-α、IL-1β、IL-6 水平、α-SMA、CoL-1、Wnt3a、LRP5、LEF-1、β-catenin 蛋白表达水平降低(P< 0. 05),UF、E-cadherin、GSK-3β 蛋白表达水平升高(P<0. 05);与 QCT-H 组相比,QCT-H+LiCl-M 组腹膜组织破坏程度明显加重,炎症细胞数量、胶原纤维沉积相对面积、腹膜厚度、血清Scr、BUN 水平、MTG、腹膜组织 TNF-α、IL-1β、IL-6 水平、α-SMA、CoL-1、Wnt3a、LRP5、LEF-1、β-catenin 蛋白表达水平升高(P<0. 05),UF、E-cadherin、GSK-3β 蛋白表达水平降低(P<0. 05)。 结论 QCT 通过抑制炎症反应和腹膜间皮-间充质细胞分化进程,从而减轻 PD 大鼠 PF,其作用机制可能与抑制 Wnt / β-catenin 信号通路有关。

    Abstract:

    Objective To explore the effect and mechanism of quercetin (QCT) on peritoneal fibrosis (PF) in peritoneal dialysis (PD) rats based on the Wnt / β-catenin pathway. Methods PD rat model was constructed, and successfully modeled rats were stochastically classified into LiCl-N ( LiCl, 0 mg / kg), LiCl-L ( LiCl, 30 mg / kg)、LiCl-M (LiCl, 60 mg / kg), LiCl-H (LiCl, 90 mg / kg), PD, QCT-L (QCT, 17. 5 mg / kg), QCT-H (QCT, 35 mg /kg), and QCT-H+LiCl-M (QCT, 35 mg / kg+LiCl, 60 mg / kg) groups. Another 12 rats served as the Ctrl group.Rats in the Ctrl and PD groups were given an equal amount of 0. 9% sodium chloride solution at the same time and location by gavage once a day for 4 weeks. Peritoneal function was assessed using the peritoneal balance test. Changes in peritoneal tissue were observed by hematoxylin-eosin staining and peritoneal tissue fibrosis was detected by Masson staining. Levels of the inflammatory factors tumor necrosis factor ( TNF)-α, interleukin ( IL)-1β, and IL-6 were detected by enzyme-linked immunosorbent assay. α-smooth muscle actin (SMA), collagen type 1 (CoL-1), and Ecadherin protein levels were detected by immunohistochemistry, and Wnt3a, low-density lipoprotein receptor-related protein 5 (LRP5), lymphoid enhancer-binding factor 1 ( LEF-1), glycogen synthase kinase-(GSK)-3β, and β-catenin proteins were measured by Western blot. Results Compared with the LiCl-N group, rats in the LiCl-L groups showed no effects on serum creatinine ( Scr) and blood urea nitrogen ( BUN) levels, mass transfer of glucose (MTG), ultrafiltration volume (UF), Wnt3a, and β-catenin protein (P>0. 05), Rats in the LiCl-M groups showed same effects, while Wnt3a, β-catenin prote were increased (P<0. 05). Rats in the LiCl-H groups showed more Scr and BUN levels, mass transfer of glucose (MTG), and Wnt3a and β-catenin protein(P<0. 05), while UF were decreased (P<0. 05). Thus, 60 mg / kg was selected as the LiCl concentration. Rats in the PD group shed peritoneal mesothelial cells compared with the Ctrl group’ s number of inflammatory cells, relative area of collagen fiber deposition, peritoneal thickness, Scr and BUN levels, MTG, peritoneal tissue TNF-α, IL-1β, IL-6, α-SMA, CoL-1,Wnt3a, LRP5, LEF-1, and β-catenin were all increased (P<0. 05), while UF, E-cadherin, and GSK-3β proteins decreased (P<0. 05). Compared with the PD group, rats in the QCT-L and QCT-H groups showed less mesothelial cell shedding, number of inflammatory cells, relative area of collagen fiber deposition, peritoneal thickness, SCr,BUN, MTG, peritoneal tissue TNF-α, IL-1β, and IL-6 levels, and α-SMA, CoL-1, Wnt3a, LRP5, LEF-1, and β-catenin proteins were decreased ( P<0. 05), while UF, E-cadherin, and GSK-3β were increased ( P<0. 05).Compared with the QCT-H group, rats in the QCT-H + LiCl-M group showed increased peritoneal tissue damage,increased number of inflammatory cells, relative area of collagen fiber deposition, peritoneal thickness, Scr and BUN levels, MTG, peritoneal tissue TNF-α, IL-1β, and IL-6 levels, and α-SMA, CoL-1, Wnt3a, LRP5, LEF-1, β-catenin proteins (P<0. 05), and decreased UF, E-cadherin, and GSK-3β (P<0. 05). Conclusions QCT alleviates PF in PD rats by inhibiting the inflammatory response and peritoneal mesothelial cell mesenchymal transition process, possibly acting via inhibition of the Wnt / β-catenin signaling pathway.

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佀双双,孙源博,王莉莉,李 钰,陈博文,李 悦.基于 Wnt / β-catenin 通路探究槲皮素对腹膜透析大鼠腹膜纤维化的影响及机制[J].中国比较医学杂志,2026,36(5):51~60.

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  • 收稿日期:2025-06-30
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  • 在线发布日期: 2026-04-01
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