Abstract:
【Abstract】 Objective To determine the underlying mechanism of Gubentongluo Formula in the treatment of IgA nephropathy (IgAN). Methods C57BL/6 mice were randomly divided into four groups: normal group (
n =10), IgAN group (
n =10), control group (
n =10) and treatment group (
n =10). Mice in the normal and IgAN groups were intragastricly administered with normal saline for 12 weeks; while those in the control and treatment groups were given fenofibrate 〔30 mg/(kg·d) and Gubentongluo Formula 〔1.67 mL/(g·d)〕, respectively. Urinary albumin was detected at week 0 and 12. At week 12, protein expressions of peroxisome proliferstor activated receptor α (PPARα), liver fatty acid-binding proteins (L-FABP), 4-hydroxy-2-nonenal (4-HNE), and hemeoxygenase-1(HO-1) in renal tissues were determined by Western blot; mRNA expressions of PPARα and L-FABP in renal tissues were determined by florescent quantitative reverse transcription-polymerase chain reaction (qRT-PCR). Results At week 12, higher levels of urinary albumin, pathological injuries in glomerular mesangial area, and lower expressions of protein and mRNA of PPARα and L-FABP were found in mice in the IgAN group compared with those in the normal group (
P <0.01). The levels of those indicators decreased in those treated with fenofibrate and Gubentongluo Formule, but still higher than the normal controls (
P <0.01). The mice treated with Gubentongluo Formula had more significant improvement than those treated with fenofibrate (
P <0.05). Conclusion CM(155.3mmGubentongluo formula can improve proteinuria and pathological injuries in glomerular mesangial area of IgAN mice, due to reduction of oxidative stress in renal tissues through regulating the expressions of PPARα and L-FABP.