儿科用药专栏
ZOU Minshu;NIE Guoming;YU Jian;HE Weixun;LUO Liman;XU Hongtao
2008, 27(5): 530-533.
ObjectiveTo investigate the influence of 1,25dihydroxyvitamin D3[1,25(OH)2D3] on the activation of the renin angiotensin aldosterone system(RAAS) in rats with diabetes mellitus(DM), and the protection on podocyt.MethodsSD rats were divided into four groups, normal control group(group A), DM group(group B), angiotensin Ⅱ(Ang Ⅱ)group (group C), and AngⅡcombined with 1,25(OH)2D3(group D) group. DM rats were induced by i.p. streptozotocin(STZ). Group C was embedded with the osmotic minipump for giving 400 ng8226;kg18226;min1AngⅡ. Group D was given 400 ng8226;kg18226;min1AngⅡand 450 ng8226;kg18226;min11,25(OH)2D3 by two osmotic minipumps. Blood glucose(BG),contractive pressure(SBP),24 h total proteinuria (TP),the activation of renin, the level of AngⅡand aldosterone(Ald) were measured after 10 week’s treatment. The podocalyxin(PCX, podocytespecific marker) was detected to identity the urinary podocytes(UPC) and the distribution of glomerular epithelial cell membrane protein1(GLEPP1) was observed by immunofluorescene. ResultsBG,SBP,UPC,TP,PRA,AngII and Ald in group B were significantly higher than those in group A. SBP,UPC,TP,PRA,AngⅡand Ald in group C were significantly raised compared with those in group B (P<0.05 or P<0.01). SBP,UPC,TP,AngⅡand Ald in group D were significantly lower than those in group C. AngⅡin group D was significantly lower than that in group B. Histologically, the distribution of GLEPP1 in glomeruli was normal in group A by immunofluorescene, obviously absence in group C, and absence in group B and D. The positive correlations were found between the levels of UPC with TP(rs=0.51,P<0.01) and AngⅡ (rs=0.35,P<0.05). Conclusion1,25(OH)2D3 may be a negative regulator for the reninangiotensin system by downregulating the activity of RAAS to prevent the defluvium and excretion of podocyte, which mediating its renal protective effects.