目的 观察基质金属蛋白酶1组织抑制剂(TIMP-1)过表达对肾小管间质炎症反应的影响。方法 采用人TIMP-1转基因小鼠和野生型小鼠(n=8)构建单侧输尿管梗阻(UUO)模型。以3d和14d为时间点,Masson染色观察肾组织形态学变化,间接免疫荧光法观察肾组织内F4/80阳性细胞的表达:Western印迹检测TIMP-1、TIMP-2、MMP-2、MMP-9和ICAM-1的蛋白表达.明胶酶谱法检测MMP-2和MMP-9的活性,反向酶谱法检测TIMP-1的活性。结果 UUO术后肾小管间质病理损伤加重[肾间质纤维化面积(46.24±6.58)%比野生型(36.33±5.12)%,P〈0.05],F4/80阳性细胞数目增加[(68.9±15.6)个/视野比野生型(52.4±13.3)个/视野,P〈0.05],ICAM-1蛋白表达显著上调,术后14d上述改变在转基因组中更为显著(P〈0.05)。UUO术后TIMP-1蛋白表达及活性上调,在术后14d达高峰,在转基因组中增加更为显著(P〈0.05)。MMP-2和MMP-9的蛋白表达及活性在术后逐渐下降,UUO术后14d转基因组降低更为显著(P〈0.05)。结论 TIMP-1过表达可通过增强炎症加重肾小管间质损伤。
Objective To observe the effects of TIMP-1 overexpression on renal tubulointerstitial inflammation. Methods Human TIMP-1 transgenic mice and wild-type mice were randomly divided into UUO groups and sham groups respectively and sacrificed at 3 and 14 days after UUO or sham operation (n=6, each group). Masson staining was applied to observe the renal tubulointerstitial pathological changes,and indirect immunofluorescence was applied to detect F4/80 positive cells. Westem blot was applied to analyze the protein expression of TIMP-1, TIMP-2, MMP-2, MMP-9 and ICAM-1. The activities of gelatinase and TIMP-1 were detected by gelatin zymography and reverse zymography respectively. Results The degree of renal tubulointerstitial fibrosis [ fibrosis area:trangenes (46.24±6.58)% vs wild-type (36.33±5.12)% ,P 〈 0.05], the number of positive F4/80 cells [trangenes(68.9±15.6) vs wild-type (52.4±13.3)cell/field,P 〈 0.05], and the protein expression of ICAM-1 were increased after UUO, which were more significant in transgenic group than in wildtype group at day 14 after UUO (P 〈 0.05). The protein expression and activity of TIMP-1 were increased significantly after UUO and with a maximum at day 14 after UUO, and were higher in transgenic group than in wild-type group(P 〈 0.05). The protein expression and activities of MMP-2 and MMP-9 were decreased after UUO, and were lower in transgenic group than in wild-type group at day 14 after UUO (P 〈 0.05). Conclusions Overexpression of TIMP-1 exacerbates renal tubulointerstitial injury by enhancing inflammation.