钙卫蛋白在肾脏缺血再灌注损伤大鼠中的表达及其作用

目的:探讨钙卫蛋白(CALP)在肾脏缺血再灌注损伤(IRI)大鼠中的表达及其在炎症反应中的作用。方法:50只雄性SD大鼠随机分为IRI组和假手术组(sham组),每组25只。各组分别于缺血再灌注后6 h、12h、24 h、48 h和72 h观察肾脏病理改变,检测大鼠血清尿素氮(BUN)和肌酐(SCr)水平,ELISA法检测大鼠血清CALP、肿瘤坏死因子(TNF)-α和白细胞介素(IL)-6的含量,免疫组织化学法和Western blot法分别检测大鼠肾脏CALP、Toll样受体4(TLR4)和NF-κB p65蛋白表达水平。结果:IRI组大鼠肾脏呈现不同程度的肾小管上皮细胞和间质损伤,伴炎细胞浸润。血清BUN、SCr、CALP及促炎细胞因子TNF-α、IL-6的含量在各时点均显著高于sham组(P0.05)。CALP、TLR4和NF-κB p65主要表达于肾小管上皮细胞胞质中,在IRI组呈高表达,在各时点各因子的表达与sham组相比均显著增强(P0.05)。结论:肾脏IRI大鼠的血清CALP、TNF-α和IL-6水平升高,CALP、TLR4和NF-κB p65在肾组织中表达增强。CALP在大鼠肾脏IRI的炎症反应中可能起重要作用。

Expression of calprotectin in rats with renal ischemia-reperfusion injury

AIM: To investigate the expression of calprotectin(CALP) in the rats with renal ischemia-reperfusion injury(IRI). METHODS: Male Sprague-Dawley rats were randomly divided into sham operation and IRI group(n=25 in each group). Blood samples and the kidneys were obtained at 6 h, 12 h, 24 h, 48 h and 72 h after reperfusion. The pathological changes of the kidneys were observed. The serum concentrations of blood urea nitrogen(BUN) and serum creatinine(SCr) were measured. The serum levels of CALP, tumor necrosis factor-α(TNF-α) and interleukin-6(IL-6) were detected by ELISA, and the expression of CALP, Toll-like receptor 4(TLR4) and NF-κB p65 in the renal tissues were determined by the methods of immunohistochemistry and Western blot. RESULTS: Different serial ischemia changes were observed in the renal tissues, mainly in the renal tubular epithelial cells and the mesenchyma, with the infiltration of inflammatory cells. The serum levels of BUN, SCr, CALP, TNF-α and IL-6 in IRI group were markedly increased as compared with sham group(P<0.05). The protein expression of CALP, TLR4 and NF-κB p65 in the renal tubular epithelial cells in IRI group was greatly enhanced in comparison with that in sham group(P<0.05). CONCLUSION: The serum concentrations of CALP, TNF-α and IL-6, and the protein expression levels of CALP, TLR4 and NF-κB p65 in the renal tissue are significantly increased in the rats with IRI, suggesting that calprotectin plays an important role in the inflammation in rats with IRI.