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邓聪,魏连波,黄丽雯,李玉明,龚春水.肾衰养真胶囊对慢性肾衰竭营养不良大鼠Leptin-下丘脑NPY、POMC轴的影响[J].,2010,30(9):952-956
肾衰养真胶囊对慢性肾衰竭营养不良大鼠Leptin-下丘脑NPY、POMC轴的影响
Effects of Shenshuai Yangzhen Capsule on Hypothalamic Leptin-Neuropeptide and Proopiomelanocortin Axes in Chronic Renal Failure Rats with Malnutrition
  
DOI:
中文关键词:  肾衰养真胶囊  慢性肾衰竭  营养不良  瘦素  神经肽Y  阿片-促黑素细胞皮质素原
英文关键词:Shenshuai Yangzhen Capsule  chronic renal failure  malnutrition  leptin  neuropeptide Y  proopiomelanocortin
基金项目:国家自然科学基金资助项目(No.30672768);广东省自然科学基金资助项目(No.06024428);广州市科技基金资助项目(No.2006Z3-E5051-1);南方医科大学开发基金资助项目(No.200601);珠江医院院长基金资助项目(No.200302)
Author NameAffiliation
DENG Cong 广州市南沙中心医院 
WEI Lian-bo 南方医科大学珠江医院中西医结合肾病中心国家中医药管理局肾病重点学科 
HUANG Li-wen 广州市南沙中心医院 
李玉明 广州市南沙中心医院 
龚春水 广州市南沙中心医院 
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中文摘要:
      目的观察肾衰养真胶囊对慢性肾衰竭(chronic renal failure,CRF)营养不良大鼠瘦素(leptin,LP)-下丘脑神经肽Y(neusropeptide Y,NPY)及阿片-促黑素细胞皮质素原(proopiomelanocortin,POMC)轴的影响。方法 42只SD雄性SPF级大鼠,随机选取正常组8只,其余大鼠采用5/6肾切除同时予4%酪蛋白饮食制作CRF营养不良大鼠模型,观察其营养不良发生时间,随机分为肾衰养真胶囊组(SSYZC组)11只、复方α-酮酸组(对照组)11只、模型组12只。治疗4周后,检测肌酐(serum creatinine,Scr)、尿素氮(blood urea nitrogen,BUN)、24小时尿蛋白(24 hour urine protein,24 h Upr)、白蛋白(albumin,ALB)、血红蛋白(haemoglobin,Hb)、胰岛素样生长因子-1(type-1 insulin like growth factor,IGF-1)、总胆固醇(total cholesterol,TC)、甘油三脂(triglyeride,TG),动态观察摄食量及体重变化,应用放射免疫法检测血浆瘦素(leptin,LP)、下丘脑神经肽Y(neusopeptide Y,NPY)和RT-PCR法检测下丘脑OB-Rb mRNA、NPYmRNA和POMCmRNA表达水平。结果 CRF大鼠在术后10周末出现营养不良,SSYZC组大鼠摄食量、体重显著增高(P<0.05),肾功能及营养状况明显改善(P<0.05),肾衰养真胶囊可降低血浆LP、NPY水平(P<0.05);可上调下丘脑NPY mRNA表达(P<0.01)及下调OB-Rb mRNA、POMC mRNA表达(P<0.01)。结论肾衰养真胶囊可能通过上调下丘脑NPY mRNA表达及下调OB-Rb mRNA、POMC mRNA表达,从而促进大鼠摄食,改善CRF营养不良。
英文摘要:
      Objective To investigate the effect of Shenshuai Yangzhen Capsule(SYC) on hypothalamic leptin-neuropeptide Y(NPY) and proopiomelanocortin(POMC) axes in chronic renal failure(CRF) rats with malnutrition(MN).Methods Forty-two male SD rats of SPF grade were established into CRF-MN model by 5/6 nephrectomy and 4%casein diet,the happening time of MN in them was recorded.Rats successfully modeled were randomized into three groups,11 rats in Group A treated with SYC,11 in group B treated with compositeα-keto acid and 12 in Group C was untreated.Besides,a normal control group was set up with 8 healthy rats.After being treated for 4 weeks,the renal function related indices,including serum creatinine(Scr),blood urea nitrogen (BUN),24 hour urine protein(24 h Upro),albumin(ALB),haemoglobin(Hb) insulin like growth factor-1 (IGF-1),total cholesterol(TC) and triglyeride(TG) were measured,and body weight,food intake in rats were observed dynamically,blood leptin and NPY level in rats were determined by radioimmunoassay;mRNA expressions of OB-Rb,NPY and POMC in hypothalamus were detected with RT-PCR.Results CRF rats revealed MN at the end of 10th week after modeling.Compared with Group C,the condition of MN in Group A was significantly improved,showing increase of food intake and body weight(P<0.05),marked improvement of renal function (P<0.05),decrease of LP and NPY levels in plasma(P<0.05),as well as up-regulated NPY mRNA expression and down-regulated mRNA expressions of OB-Rb and POMC in hypothalamus(P<0.01 ). Conclusion SYC can improve the malnutrition condition in rats with CRF,which is possibly by way of depressing OB-Rb and POMC mRNA expression and upgrading NPY mRNA expression in hypothalamus.
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