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褪黑素和维生素E对早期糖尿病大鼠肾脏氧化应激的影响
作者:舒毅1 钟历勇2 石立1 
单位:1.东南大学附属中大医院,内分泌科,江苏,南京,210009; 2.首都医科大学附属天坛医院,内分泌科,北京,100050
关键词:糖尿病  褪黑素 维生素E 氧化应激 大鼠 Sparague-Dawley 
分类号:R587.02
出版年·卷·期(页码):2007·26·第四期(275-278)
摘要:

目的:探讨褪黑素和维生素E对早期糖尿病大鼠肾脏氧化应激的影响.方法:对四氧嘧啶诱导糖尿病模型大鼠给予褪黑素和维生素E治疗14 d后,检测各组大鼠肾功能及肾脏氧化应激相关指标的变化.结果:与糖尿病组大鼠相比,褪黑素治疗组肾质量、肾质量/体质量、血清尿素氮显著下降,血清肌酐无明显变化,而维生素E治疗组上述指标均无明显下降.褪黑素和维生素E可明显增加肾脏超氧化物歧化酶(SOD)活性,升高的谷胱甘肽过氧化物酶(GSH-Px)活性有所恢复,降低丙二醛(MDA)和一氧化氮(NO)含量,褪黑素组与维生素E组相比差异显著.结论:氧化应激在早期糖尿病大鼠肾脏损害过程中起了重要作用,褪黑素通过增加糖尿病大鼠肾组织抗氧化能力,抑制肾组织氧化应激,对糖尿病肾脏起保护作用,褪黑素抗氧化能力明显强于维生素E.

Objective To investigate the influence of melatonin and vitamin E on oxidative stress in kidneys of the early stage of diabetic rats.Methods Sparague-Dawley rats were randomly divided into normal control(NC) group,diabetic control(DMC) group,diabetic group treated with melatonin(DM+M) and diabetic group treated with vitamin E(DM+E).Melatonin(2 mg·kg-1) or vitamin E(100 mg·kg-1) was given intraperitoneally for 14 successive days after induction of diabetes with alloxan(200 mg·kg intraperitoneally).Blood glucose,blood lipid,kidney weight/body weight ratio,blood uria nitrogen,serum creatinine and malondialdehyde(MDA),nitric oxide(NO),the activity of antioxidant enzymes including superoxide dismutase(SOD),and glutathione peroxidase(GSH-Px) in the renal tissue were measured.Results Compared with NC group,DMC group showed a significant increase of blood glucose,total cholesterol,triglyceride,kidney weight/body weight ratio,blood urea nitrogen and serum creatinine.The contents of MDA and NO and the activity of GSH-Px were increased significantly,while the activity of SOD decreased significantly in renal tissues of DMC group than those in NC group.Compared with DMC group,melatonin and vitamin E caused a significant decrease of total cholesterol and triglyceride,but no significant difference of blood glucose and serum creatinine.Elevated kidney weight,kidney/body weight ratio,blood uria nitrogen were reduced by melatonin,but not in DM+E group.Furthermore,in kidney tissue of diabetic rats treated with melatonin or vitamin E,SOD activity was increased significantly,and the increased GSH-Px activity reversed,while MDA and NO decreased significantly.The antioxidant effects of melatonin were greater than that of vitamin E.Conclusion These results confirm the role of oxidative stress in the development of early diabetic nephropathy and point to the possible antioxidative mechanism of the nephroprotective action of melatonin.Moreover,melatonin may be a more powerful antioxidant than vitamin E.

参考文献:

[1] OKTEM F, OZGUNER F, YILMAZ H R. Melatonin reduces urinary excretion of N-acetyl-beta-D-glucosaminidase,albumin and renal oxidative markers in diabetic rats. 2006(1-2). doi:10.1111/j.1440-1681.2006.04330.x
[2] OPARA E C. Oxidative stress,micmnutrients,diabetes mellitus and its complications, 2002(1)
[3] CAM M, YAVUZ O, GUVEN A. Protective effects of chronic melatonin treatment against renal injury in streptozotocin-induced diabetic rats. 2003(3). doi:10.1034/j.1600-079X.2003.00082.x
[4] 舒毅, 钟历勇, 石立. 褪黑素、维生素E和还原型谷胱甘肽对四氧嘧啶糖尿病大鼠氧化应激影响的比较研究. 东南大学学报(医学版)2006(2). doi:10.3969/j.issn.1671-6264.2006.02.004
[5] RAMACHANDRAN B, RAVI K, NARAYANAN V. Protective effect of macrocyclic binuclear oxovanadium complex on oxidative stress in pancreas of streptozotoein induced diabetic rats. 2004(1). doi:10.1016/j.cbi.2004.06.007
[6] 钟历勇, 金晖, 高峰. 褪黑素抑制四氧嘧啶糖尿病大鼠垂体-肾上腺轴功能. 中华内分泌代谢杂志2003(2)

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