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肾脏病与透析肾移植杂志 ›› 2015, Vol. 24 ›› Issue (1): 38-43.

• 论文 • 上一篇    下一篇

二甲苯诱导大鼠肾损伤模型的建立

  

  • 出版日期:2015-02-28 发布日期:2015-03-07

The model of renal injury by inhaling Xylene in rats

  • Online:2015-02-28 Published:2015-03-07

摘要:

摘 要 目的:建立二甲苯诱导肾损伤的大鼠模型,观察吸入二甲苯对大鼠肾脏损伤的病理特点。 方法:选择雄性SD大鼠,吸入二甲苯2次/d,3h/次。分别收集吸入二甲苯4、6、8、10、12周各个时间点大鼠的尿液、血清和肾组织,检测24h尿蛋白、生化指标和尿NAG/肌酐;行肾组织光镜和电镜观察肾小管和肾小球病变,免疫荧光染色观察足细胞裂孔膜蛋白podocin和骨架蛋白synaptopodin表达和分布变化。 结果:(1)大鼠吸入二甲苯3周开始出现蛋白尿,8-9周尿中蛋白量达到最高(34.78±2.91mg/24h),此后蛋白尿维持在一个相对恒定的水平;(2)实验大鼠尿NAG酶在吸入二甲苯2周后开始升高,第4周增高最为显著,并且达最高水平(25.03±4.88u/gScr)。(3)吸入二甲苯的大鼠总蛋白、白蛋白、肌酐和谷丙转氨酶与正常对照组相比没有显著差异,大鼠谷草转氨酶较正常对照组明显升高;吸入二甲苯12周,血清尿素氮与正常对照组相比增高。(4)光镜下观察可见肾小管上皮细胞空泡变性,肾小管细胞刷状缘脱落、扁平,部分小管上皮细胞崩解,脱落至管腔中。肾小球未见明显异常。超微结构观察可见多处肾小管上皮细胞刷状缘脱落,上皮细胞崩解,线粒体肿胀,基质电子密度降低,嵴移向周围,变短及数量减少。足细胞节段足突融合。(5)大鼠吸入二甲苯肾组织免疫荧光染色,可见肾小球足细胞裂孔膜蛋白podocin和骨架蛋白synaptopodin荧光强度减弱,表达呈现不连续颗粒样分布。 结论:成功建立了大鼠吸入二甲苯的肾损害模型,初步证实吸入二甲苯能够导致肾脏损伤,大鼠出现蛋白尿,肾小管上皮细胞损伤明显,肾小球足细胞节段损伤,肾小管损伤程度明显重于肾小球。

关键词: 二甲苯, 大鼠, 蛋白尿, 肾小管, 肾小球

Abstract:

ABSTRACT Objective: To build a model to observe the characteristics of renal injury in rats by exposure to xylene. Methodology: Male Sprague-Dawley rats (n=57), weighing 140-160g, 4-6 week old, were used in this study. They were randomly divided into two groups: control group (n=7) and xylene exposure group (n=50), who were exposed to xylene six hours per day for twelve weeks. The 24h urinary protein excretion and urinary NAG levels were measured. In addition, serum total protein (TP), albumin (Alb), urea (BUN), creatinine (Scr), aspartate amino transferase (AST) and alanine amino transferase (ALT) levels were examined. The tubular and glomerular morphology were observed by light microscopy and transmission electronmicroscopy. The podocin and synaptopodin expression and distribution change were determined by indirect immunofluorescence staining. Results: Compared with the control rats, the proteinuria was observed in rats after xylene exposure of 3 weeks, and the amount of urinary protein excretion was increased to 34.78±2.91mg/24h at 8 weeks. The level of urinary NAG was increased obviously after the xylene exposure of 4weeks. After xylene exposure of 12 weeks, the urinary NAG in experiment and control rats was 25.03±4.88 u/gScr and 14.36±2.05 u/gScr, respectively. No significant differences were found in the levels of TP, Alb, Scr and ALT. The levels of serum urea was increased in xylene exposed rats at 12 weeks (P<0.05) and AST was increased significantly. The histological examination by microscopy showed that there were remarkable injuries in proximal renal tubule, including loss of brush border and vacuolar degeneration of the epithelial cells. Ultra structural study demonstrated that brush border and cytoplasm of tubular epithelial cell were dropped and some epithelial cells were disintegrated. The mitochondria of tubular epithelial cells was swollen and the electron density was decreased in matrix. The results by immunofluorescence staining showed that distribution of podocin and synaptopodin along GBM was discontinuous and granular after xylene exposure of 12 weeks. Conclusion: The present study indicates the renal injury by exposure to xylene. The severity of tubular epithelial cell damage was significantly heavier than that of podocytes.

Key words: xylene, rats, proteinuria, tubule, glomerulus