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;2.牡丹江医科大学 护理学院

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黑龙江省省属高等学校基本科研业务费科研项目(编号:2023-KYYWF-0920);牡丹江医学院护理学院强基科研计划项目(编号:HLQJ-202412)


Exploring the 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;2.College of Nursing,Mudanjiang Medical University

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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(quercetin,QCT)对腹膜透析(peritoneal dialysis,PD)大鼠腹膜纤维化(peritoneal fibrosis,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PD组、QCT-L组、QCT-H组(灌胃17.5 mg/kg、35 mg/kg的QCT)、QCT-H+LiCl组(灌胃35 mg/kg的QCT+腹腔注射60 mg/kg的Wnt/β-catenin信号通路激活剂LiCl)。随机选取12只大鼠为Ctrl组,Ctrl组和PD组灌胃和腹腔注射等量的生理盐水,每日1次,持续4 w;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0 mg/kg LiCl组相比,30、60 mg/kg LiCl组肾功能和腹膜功能无显著影响(P>0.05),90 mg/kg LiCl组Scr、BUN、MTG显著升高,UF显著下降(P<0.05);与0 mg/kg LiCl组相比,30 mg/kg LiCl组Wnt3a、β-catenin蛋白表达无显著影响(P>0.05),60、90 mg/kg LiCl组Wnt3a、β-catenin蛋白表达显著升高(P<0.05)。因此选择60 mg/kg作为Wnt/β-catenin信号通路激活剂LiCl浓度。与Ctrl组相比,PD组大鼠腹膜组织间皮细胞脱落,伴有胶原纤维沉积和炎症细胞浸润,血清Scr、BUN水平、MTG、腹膜厚度、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,胶原纤维沉积减少,有少量炎症细胞浸润,血清Scr、BUN水平、MTG、腹膜厚度、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组腹膜组织破坏程度明显加重,血清Scr、BUN水平、MTG、腹膜厚度、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细胞间充质转分化进程,进而减轻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 (quercetin, QCT) on peritoneal fibrosis (peritoneal fibrosis, PF) in peritoneal dialysis (peritoneal dialysis,PD) rats based on the Wnt/β-catenin pathway. Methods: A PD rat model was constructed, and successfully modeled rats were stochastically classified into PD group, QCT-L group, QCT-H group (gavage of 17.5 mg/kg, 35 mg/kg QCT), and QCT-H+LiCl group (gavage of 35 mg/kg QCT+intraperitoneal injection of 60 mg/kg Wnt/β-catenin signaling pathway activator LiCl). Another 12 rats were stochastically served as the Ctrl group. The Ctrl group and PD group were given an equal amount of physiological saline by gavage once a day for 4 weeks. The peritoneal balance test was used to assess peritoneal function. HE staining was performed to observe changes in peritoneal tissue. Masson staining was performed to observe peritoneal tissue fibrosis. ELISA method was performed to measure inflammatory factors (TNF-α, IL-1β, IL-6). IHC was used to detect the α-SMA, CoL-1, and E-cadherin proteins in rats. Western blot was performed to detect the Wnt3a, LRP5, LEF-1, GSK-3β and β-catenin proteins in rats. Results: Compared with the 0 mg/kg LiCl group, the 30 and 60 mg/kg LiCl groups showed no significant effects on renal and peritoneal functions (P>0.05), the levels of Scr, BUN, and MTG In the 90 mg/kg LiCl group significantly increased, while UF significantly decreased (P<0.05). In addition, the 30 mg/kg LiCl group exhibited no significant impact on Wnt3a, β-catenin protein expression (P>0.05), whereas the 60 and 90 mg/kg LiCl groups showed significant upregulation of Wnt3a and β-catenin protein expression (P<0.05). Therefore, 60 mg/kg was selected as the concentration of LiCl for activating the Wnt/β-catenin signaling pathway. Compared with the Ctrl group, the peritoneal mesothelial cells of rats in the PD group shed, with a large amount of collagen fiber deposition and prominent infiltration of inflammatory cells. The serum Scr, BUN levels, MTG, peritoneal thickness, peritoneal tissue TNF-α, IL-1β, IL-6 levels, α-SMA, CoL-1, Wnt3a, LRP5, LEF-1, β-catenin proteins increased (P<0.05), while UF, E-cadherin and GSK-3β protein decreased (P<0.05). Compared with the PD group, the QCT-L and QCT-H groups showed a small amount of mesothelial cell shedding, reduced collagen fiber deposition, and infiltration of inflammatory cells in the peritoneal tissue. The serum Scr, BUN levels, MTG, peritoneal thickness, peritoneal tissue TNF-α, IL-1β, IL-6 levels, α-SMA, CoL-1, Wnt3a, LRP5, LEF-1, β-catenin proteins decreased (P<0.05), while UF, E-cadherin, and GSK-3β protein increased (P<0.05). Compared with the QCT-H group, the QCT-H+LiCl group showed a prominently increased degree of peritoneal tissue damage. The serum Scr, BUN levels, MTG, peritoneal thickness, peritoneal tissue TNF-α, IL-1β, IL-6 levels, α-SMA, CoL-1, Wnt3a, LRP5, LEF-1, β-catenin proteins increased (P<0.05), while UF, E-cadherin and GSK-3β protein decreased (P<0.05). Conclusion: QCT alleviates PF in PD rats by inhibiting inflammatory response and peritoneal mesothelial cell mesenchymal transition process, and its mechanism of action may be related to the inhibition of Wnt/β-catenin signaling pathway.

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  • 收稿日期:2025-06-30
  • 最后修改日期:2025-10-15
  • 录用日期:2025-11-19
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