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L-精氨酸对5/6肾大部切除大鼠残余肾代偿性增生的影响 被引量:4

The influence of L-arginine on the compensatory renal growth of remnant kidney in rats with 5/6 subtotal nephrectomy
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摘要 目的观察1%L-精氨酸(L-arg)饮食对5/6肾大部切除大鼠(SNx)残余肾代偿性增生(CRG)的影响。方法实验分组:(1)假手术(sham)组;(2)sham+L-arg组;(3)SNx组;(4)SNx+L-arg组。大鼠于术后30天处死,观察L-arg对残余肾湿重(KW)、肾重/体重比(KW/BW)、CRG、残余肾蛋白质、DNA含量、细胞增生以及平均肾小球体积(VG)的影响。结果L-arg明显增加KW(P<0.05)、KW/BW(P<0.05)、CRG(P<0.05)以及残余肾蛋白质、DNA含量(P分别<0.01,0.001)。免疫组化显示,残余肾小管、间质增殖细胞核抗原(PCNA)阳性细胞数明显增加(P<0.05)。此外,SNx+L-arg组VG较SNx组增加16%。结论L-精氨酸可能刺激残余肾代偿性增生。 Objective To observe the influence of L-arginine(L-arg)on the compensatory renal growth (CRG)in rats with 5/6 subtotal nephrectomy(SNx).Methods This experiment included four groups(n=5 per group):1.Sham,2 Sham+L-arg,3.SNx,4.SNx+L-arg.Rats were sacrificed at the end of one month experiment.The following parameters were studied:wet remnant kidney weight (KW),ratio of kidney weight/body weight(KW/BW),CRG,protein and DNA content of remnant kideny.The immunohistochemical staining for proliferative cell nuclear antigen(PCNA)and mean glomerular volume were also determined(VG).Results L-arg significantly increased KW (P<0.05),KW/BW(P<0.05),CRG(P<0.05)and the content of protein and DNA(P<0.01,0001 respectively)in rats with SNx compared to those without Larg treatment.Furthermore,immunostaining for PCNA showed that Larg treatment significantly increased the number of PCNA positive cells in the tubulointerstitium of remnant kidney(P<0.05).The VG was also increased 16% in L-arginine treated SNx rats.Conclusion L-arginine might potentiate the CRG of remnant kidney,which implied the potential therapeutic role of limiting L-arg supplementation on the progression of chronic renal scarring.
出处 《中华肾脏病杂志》 CAS CSCD 北大核心 1998年第4期243-246,共4页 Chinese Journal of Nephrology
关键词 肾脏硬化 代偿性增生 精氨酸 肾切除 残余肾 L-arginine Remnant kidney Compensatory renal growth
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  • 1侯凡凡,马志刚,梅长林,戎殳,黄颂敏,刘先蓉,袁伟杰,郭云珊,王莉,何强,王秀玲,桑晓红,栗霄立.中国五省市自治区慢性肾脏病患者心血管疾病的患病率调查[J].中华医学杂志,2005,85(7):458-463. 被引量:183
  • 2Foley RN,Parfrey PS, Sarnak MJ. Clinical epidemiology of cardiovascular disease[J]. Am J Kidney Dis,1998,32(suppl) : 112- 119.
  • 3Arema A,Pereira, Maek J,et al. Anemia as a risk factor for cardiovascular disease [J]. Kidney Int, 2003,64 ( suppl 87):32-39.
  • 4McClellan W, Aronoff SL, Bolton WK. The prevalence of anemia in patients with chronic kidney disease[J].Current Medical Research and Opinion,2004,20(9):1501 -1510.
  • 5El Nahas A M,Kidney Int,1996年,49卷,增54期,23页
  • 6Zhang G,Exp Nephrol,1995年,3期,308页
  • 7邬碧波,倪兆慧,钱家麒.慢性肾衰竭患者左心室肥厚相关因素的探讨[J].中国中西医结合肾病杂志,2003,4(2):97-99. 被引量:15

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