国际麻醉学与复苏杂志   2013, Issue (1): 4-4
    
蛋白质氧位N-乙酰葡萄糖胺修饰对脓毒症大鼠肾脏的保护作用
陆新健, 王瑾, 郑康, 景亮1()
1.东南大学附属中大医院麻醉科
Effect of O-GlcNAc pathway in the Rats acute renal injury induced by CLP
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摘要:

【摘要】目的 探讨应用谷氨酰胺(Gln)增加蛋白质氧位N-乙酰葡萄糖胺(O-GlcNAc)修饰对脓毒症大鼠肾脏保护中的作用。方法 雄性SD大鼠,体重180~240g完全随机法分为五组:对照组(S组,行开关腹手术,n=12);脓毒症组[C组,行盲肠结扎穿孔(CLP)术,n=16];谷氨酰胺治疗组(G组,行CLP术,术后即刻Gln 0.75g•kg-1微量泵注1 h, n=16);槲皮素+谷氨酰胺干预组(Q组,行CLP术,术毕时腹腔注射槲皮素0.4g•kg-1,继予Gln微量泵注,n=16);四氧嘧啶+谷氨酰胺干预组(A组,行CLP术,术毕时腹腔注射四氧嘧啶90mg•kg-1后,继予Gln微量泵注,n=16)。维持麻醉并记录CLP术后16h血压。24h测动脉血气分析,血浆Cr、尿液肾损伤分子-1(KIM—1)含量,肾组织匀浆热休克蛋白70(HSP70)、O-GlcNAc表达水平。结果 CLP术后16h,C组 MAP下降幅度超过基础值30%,G、Q、A三组大鼠MAP下降明显, 24h动脉血乳酸浓度C、G、Q、A四组较S组明显升高(P<0.05)。CLP术后24h,C组血Cr为57.4±4.9mmol/l,尿KIM-1为66.3±8.8ng/l,较S组的血Cr(35.7±5.9mmol/l)、尿KIM-1(47.0±3.7ng/l)明显升高,G组血Cr为42.2±5.4mmol/l,尿KIM-1为53.7±3.0ng/l,较C组明显降低, Q、A两组血Cr分别为51.4±2.9mmol/l、57.4±2.6mmol/l,尿KIM-1分别为70.9±17.7ng/l、75.3±10.9ng/l,较G组明显身高,均有统计学差异(P<0.05)。肾组织蛋白质O-GlcNAc修饰水平G组较C组明显升高, A组较G组明显降低(P<0.05);肾组织HSP70表达C组较S组明显升高,G组较C组明显升高,Q、A组较G组明显下降(P<0.05)。结论 谷氨酰胺通过增加细胞蛋白质O-GlcNAc修饰调节炎症反应,减轻脓毒症大鼠的肾损伤。

关键词: 脓毒症;急性肾损伤;谷氨酰胺;O-GlcNAc修饰
Abstract:

【Abstract】Objective To observe the protection effect of increasing activity of O-GlcNAc pathway by glutamine treatment in the Rats acute renal injury induced by CLP. Methods seventy six healthy Sprague—Dawley rats were randomly divided into five groups:the CLP group (group C n=16) received cecal ligation and puncture(CLP) ; Sham-operation group (group S n=12);the glutamine group(group G n=16)received CLP and intravenous injection of 0.75g•kg-1 glutamine in 1 hour;the quercetin and glutamine treatment group (group Q n=16 ) received peritoneal injection of 0.4g/kg quercetin before glutamine treatment and all the the procedure in the group G;the alloxan and glutamine treatment group (group A n=16) received peritoneal injection of 90mg•kg-1 alloxan before glutamine treatment and all the the procedure in the group G.All groups have general anaesthesia and MAP monitoring for 16h ,then return to cage.After 24h,all the rats survival were anesthetized again to draw blood for arterial blood gas analysis and detection of Cr ,and urine for kidney injury molecule-1 (KIM-1).The kidney was reserved to detect the expression of O-GlcNAc and HSP70 by Western Blotting after the rats were sacrificed. Result The MAP was stable,and the lactic acid at 24h was nomal in the group S.The descent of MAP exceeded 30% in the group C at 16h after CLP,and was obvious in group G、Q and A ,and the lactic acid increased at 24h compared to which in the group S(P<0.05).As compared to Cr(35.7±5.9mmol/l)and KIM-1(47.0±3.7ng/l) in group S,the Cr(57.4±4.9mmol/l)and KIM-1(66.3±8.8ng/l) increased in the group C(P<0.05).After treatment with glutamine in the group G ,the Cr(42.2±5.4mmol/l)and KIM-1(53.7±3.0ng/l)decreased accompanied by the increasing expression of O-GlcNAc and HSP70 as compared to which in group C(P<0.05).After pretreatment with quercetin in group Q,and alloxan in group A,the Cr(51.4±2.9mmol/l、57.4±2.6mmol/l)and KIM-1(70.9±17.7ng/l、75.3±10.9ng/l)increased as compared to which in group G(P<0.05).The expression of O-GlcNAc in the group A ,and HSP in the two groups decreased as compared to which in group G(P<0.05). Conclusion Glutamine may induces the expression of HSP70 in rats by increasing the activities of O-GlcNAc pathway,then to ameliorate Inflammation,protest the kidney.

Key words: glutamine;O-GlcNAc ;AKI;CLP