Page 69 - 《中国药房》2024年2期
P. 69

GBE 对 DN 模型小鼠的干预效果。结果显示,经低、高                            leaves extract EGB761 on renal tubular injury and endo‐
          剂量GBE干预后,DN模型小鼠的空腹血糖和24 h摄食                             plasmic  reticulum  stress  in  mice  with  diabetic  kidney
          量、尿量均有不同程度改善,体重有所增加;同时,GBE                              disease[J]. Tradit Chin Drug Res Clin Pharmacol,2020,31
                                                                 (8):879-886.
          能降低小鼠血清 BUN、Scr 水平和双侧肾脏质量与体重
                                                             [ 8 ]  JIN X,YAO T Q,ZHOU Z E,et al. Advanced glycation
          的比值,还能降低小鼠血清AGEs水平和促炎因子IL-12
                                                                  end  products  enhance  macrophages  polarization  into  M1
          水平,升高血清抗炎因子IL-10水平并降低MCP-1水平,
                                                                  phenotype  through  activating  RAGE/NF- κB  pathway[J].
          提示GBE可改善DN模型小鼠的肾功能,并可有效减轻                               Biomed Res Int,2015,2015:732450.
          其炎症反应。HE、Masson 染色结果显示,DN 模型小鼠                     [ 9 ]  LIU Y,CHEN W H,MINZE L J,et al. Dissonant response
          的肾小球结构不完整,并可见空泡增多、系膜基质增生、                               of M0/M2 and M1 bone-marrow-derived macrophages to
          炎症细胞浸润等现象,存在明显的肾损伤和肾间质纤维                                RhoA pathway interference[J]. Cell Tissue Res,2016,366
          化;而 GBE 可明显改善 DN 小鼠的上述病理改变,显著                          (3):707-720.
          降低其肾损伤评分和肾间质纤维化比例。Western blot                     [10]  王威,富莹雪,陈璟,等 . 梓醇对 AGEs 刺激巨噬细胞介
          实验结果显示,GBE 可显著下调模型小鼠肾皮质中 M1                             导肾系膜细胞损伤的影响[J]. 中国药理学通报,2020,36
                                                                 (1):110-114.
          型巨噬细胞标志蛋白iNOS的表达,上调M2型巨噬细胞
                                                                  WANG W,FU Y X,CHEN J,et al. Effect of catalpol on
          标志蛋白 Arg-1 的表达,并显著降低通路相关蛋白
                                                                  AGEs-stimulated  RAW264.7  macrophage  mediated
          RAGE、RhoA、ROCK1的表达水平。
                                                                  mouse  mesangial  cell  injury[J].  Chin  Pharmacol  Bull,
              综上所述,GBE 可改善 DN 模型小鼠的肾损伤,并                          2020,36(1):110-114.
          减 轻 其 炎 症 反 应 ,其 机 制 可 能 与 抑 制 AGEs-RAGE/          [11]  束安梅,高雨嫣,朱逸晖,等 . 梓醇抑制 AGEs 刺激肾内
          RhoA/ROCK信号通路、调节巨噬细胞极化有关。                               皮细胞介导巨噬细胞活化的作用研究[J]. 中国药理学通
          参考文献                                                    报,2020,36(11):1513-1519.

          [ 1 ]  WOLF  G.  New  insights  into  the  pathophysiology  of        SHU A M,GAO Y Y,ZHU Y H,et al. Inhibitory effect of
              diabetic  nephropathy:from  haemodynamics  to  molecular   catalpol  on  macrophage  activation  mediated  by  AGEs-
              pathology[J]. Eur J Clin Invest,2004,34(12):785-796.  stimulated  mouse  glomerular  endothelial  cells[J].  Chin
          [ 2 ]  SUSZTAK K,BÖTTINGER E P. Diabetic nephropathy:a   Pharmacol Bull,2020,36(11):1513-1519.
              frontier for personalized medicine[J]. J Am Soc Nephrol,  [12]  SHU A  M,DU  Q,CHEN  J,et  al.  Catalpol  ameliorates
              2006,17(2):361-367.                                 endothelial  dysfunction  and  inflammation  in  diabetic
          [ 3 ]  CUCAK H,FINK L N,PEDERSEN M H,et al. Enalapril   nephropathy via suppression of RAGE/RhoA/ROCK signa-
              treatment increases T cell number and promotes polariza‐  ling pathway[J]. Chem Biol Interact,2021,348:109625.
                                                             [13]  BETZ B,CONWAY B R. An update on the use of animal
              tion  towards  M1-like  macrophages  locally  in  diabetic
                                                                  models  in  diabetic  nephropathy  research[J].  Curr  Diab
              nephropathy[J].  Int  Immunopharmacol,2015,25(1):
                                                                  Rep,2016,16(2):18.
              30-42.
                                                             [14]  CHEN J,OU Z J,GAO T T,et al. Ginkgolide B alleviates
          [ 4 ]  LU J Y,CAO Q,ZHENG D,et al. Discrete functions of
                                                                  oxidative stress and ferroptosis by inhibiting GPX4 ubiqui‐
              M2a and M2c macrophage subsets determine their relative
                                                                  tination to improve diabetic nephropathy[J]. Biomedicine
              efficacy in treating chronic kidney disease[J]. Kidney Int,
                                                                  Pharmacother,2022,156:113953.
              2013,84(4):745-755.
                                                             [15]  SAKAI H,ABE K,KOBAYASHI Y,et al. Clinical guide‐
          [ 5 ]  徐艳芬,张丽娟,宋新波 . 银杏叶提取物的研究进展[J].
                                                                  lines  of  IgA  nephropathy[J].  Nihon  Jinzo  Gakkai  Shi,
              药物评价研究,2010,33(6):452-456.
                                                                  1995,37(8):417-421.
              XU Y F,ZHANG L J,SONG X B. Advances in research
                                                             [16]  KUMAR PASUPULATI A,CHITRA P S,REDDY G B.
              on  extract  of  Ginkgo  biloba  leaves[J].  Drug  Eval  Res,
                                                                  Advanced  glycation  end  products  mediated  cellular  and
              2010,33(6):452-456.
                                                                  molecular events in the pathology of diabetic nephropathy
          [ 6 ]  LU Q,ZUO W Z,JI X J,et al. Ethanolic Ginkgo biloba   [J]. Biomol Concepts,2016,7(5/6):293-309.
              leaf  extract  prevents  renal  fibrosis  through  Akt/mTOR    [17]  RAO J L,YE Z C,TANG H,et al. The RhoA/ROCK path‐
              signaling  in  diabetic  nephropathy[J].  Phytomedicine,  way  ameliorates  adhesion  and  inflammatory  infiltration
              2015,22(12):1071-1078.                              induced  by AGEs  in  glomerular  endothelial  cells[J].  Sci
          [ 7 ]  庞欣欣,石秀杰,张雅歌,等 . 银杏叶提取物 EGB761 对                  Rep,2017,7:39727.
              糖尿病肾病小鼠肾小管损伤及内质网应激的影响[J]. 中                                   (收稿日期:2023-06-28  修回日期:2023-09-21)
              药新药与临床药理,2020,31(8):879-886.                                                        (编辑:张元媛)
              PANG X X,SHI X J,ZHANG Y G,et al. Effect of ginkgo


          中国药房  2024年第35卷第2期                                                 China Pharmacy  2024 Vol. 35  No. 2    · 191 ·
   64   65   66   67   68   69   70   71   72   73   74