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特异性环氧化酶-2抑制剂对MRL/lpr小鼠狼疮性肾炎的治疗作用
作者:钟清 甘华 
单位:重庆医科大学附属第一医院,肾内科,重庆,400016
关键词:环氧化酶-2抑制剂 狼疮性肾炎 转化生长因子β1 小鼠 
分类号:R593.24
出版年·卷·期(页码):2006·25·第四期(278-281)
摘要:

目的:探讨特异性环氧化酶(COX)-2抑制剂rofecoxib对MRL/lpr小鼠狼疮性肾炎的治疗作用及其机制.方法:将12只3月龄MRL/lpr自发狼疮小鼠随机均分为rofecoxib组和无药物干预的对照组,rofecoxib组予以rofecoxib 10mg·kg-1·d-1.12周后分别测定各组小鼠尿蛋白排泄量、血肌酐水平;放射免疫法测定血清抗ds-DNA抗体结合率、AngⅡ,尿TXB2、6-Ket-F1α的变化;肾组织病理学检查及免疫组化测定肾组织COX-2、TGF-β1蛋白的表达.结果: 12周后,rofecoxib组尿蛋白排泄量、血肌酐水平降低(P<0.05);肾小球细胞外基质明显减少(P<0.05);免疫组化结果表明,rofecoxib组肾组织内COX-2、TGF-β1表达较对照组减少 (P<0.05).rofecoxib组尿TXB2及血AngⅡ水平较对照组明显降低(P<0.05),但两组血清抗ds-DNA抗体结合率和尿6-Ket-Fla水平均无显著性差异(P>0.05).结论:COX-2抑制剂对自发狼疮小鼠肾损害有良好的治疗作用,能减少细胞外基质的聚积,降低蛋白尿,稳定肾功能,具有保护肾脏的作用.

Objective To observe the therapeutical effect and explore the underlying molecular mechamisms of specific cyclooxygenase-2 inhibitor(rofecoxib) on MRL/lpr mice.Methods 12-week female MRL/lpr mice were randomly assigned into following groups: the rofecoxib(10()mg·kg^{-1}·d^{-1}) for 12 weeks and the control group.Suppressive effect of the drugs on conjugate rate of serum anti-dsDNA antibody,serum angiotensin Ⅱ,thromboxanc B_2 and 6-keton-prostaglandin-F_{1α}levels were determined by using radio-immunological assay.The changes of proteinuria,serum creatinine and pathology in renal were also observed.Immunohistochemistry was used to examine the expression of TGF-β_1 and COX-2 in the kidney of MRL/lpr mice.Results Compared to the ones in the control group,mice treated with rofecoxib had lower levels of proteinuria(P&lt;0.05),serum creatinine(P&lt;0.05),the extracellular matrix reduced significantly(P&lt;0.05),the expression of the positive of TGF-β_1 and COX-2 in renal tissue significantly decreased.Compared to the ones in the control group,mice treated with rofecoxib had lower levels of serum angiotensin II and thromboxanc B_2(P&lt;0.05),while the levels of 6-keton-prostaglandin-F_{1α,}conjugate rate of serum anti-dsDNA antibody did not change(P&gt;0.05).Conclusions Rofecoxib reduces proteinuria and relieves renal injuries in lupus MRL/lpr mice.This protective effect might be explained by its immunosuppressive action,which leads to reduced expression of TGF-β_1 and COX2 in the kidney of MRL/lpr mice,decreases the deposition of extracellular matrix.Specific COX-2 inhibitor has a renoprotective effect on MRL-lpr/lpr mice.

参考文献:

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