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J Cell Mol Med:自噬在长期腹膜透析中促进腹膜纤维化和凋亡。

2017-11-03 fengxiangxin MedSci原创

长期腹膜透析伴随着腹膜的功能和组织病理学改变。在腹膜透析的长期过程中,高糖腹膜透析液(HGPDS)会加重腹膜纤维化,导致腹膜透析效果下降和超滤失败。

长期腹膜透析伴随着腹膜的功能和组织病理学改变。在腹膜透析的长期过程中,高糖腹膜透析液(HGPDS)会加重腹膜纤维化,导致腹膜透析效果下降和超滤失败。

本研究中,研究者发现腹膜透析患者腹膜中TGF-β1表达升高,自噬水平升高,细胞凋亡和纤维化增加同时发生。

首先采用免疫细胞化学和透射电镜采集患者腹膜相应组织和细胞。然后,研究者将人腹膜间皮细胞用1.5%,2.5%和4.25%HGPDS处理24小时;分别用4.25%HGPDS处理TGF-β1(10ng / ml)预处理过的人腹膜间皮细胞24h,siRNA Beclin1转染人腹膜间皮细胞24小时。之后,研究者进一步检测了TGF-β1的产生,TGF-β1/ Smad2 / 3信号的激活,自噬的诱导,EMT,纤维化和凋亡。研究者还探讨了Beclin 1 siRNA抑制自噬后是否能减少人腹膜间皮细胞的EMT,纤维化和凋亡。

结果,HGPDS增加了TGF-β1的产生,激活了TGF-β1/ Smad2 / 3信号,并且诱导人腹膜间皮细胞发生自噬,纤维化和凋亡的特征; HGPDS诱导了人腹膜间皮细胞中Beclin 1依赖性自噬; siRNA Beclin 1抑制自噬后,人腹膜间皮细胞的EMT,纤维化和凋亡水平均下降。

综上所述,这些研究有望为更好的理解腹膜纤维化做出出贡献,可能指导我们探索靶向自噬并改善PD治疗策略的药物。

原始出处:

Wu J, Xing C, Zhang L.et al.Autophagy promotes fibrosis and apoptosis in the peritoneum during long-term peritoneal dialysis.J Cell Mol Med. 2017 Oct 27. doi: 10.1111/jcmm.13393.

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    2017-12-28 维他命
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    2017-11-05 xuyong530
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    2017-11-03 惠映实验室

    学习了.谢谢.

    0

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