目的观察缺血再灌注损伤后小鼠肾脏缺氧诱导因子(HIF)-1a及其靶基因miR-210、血管内皮生长因子的表达变化,探讨。肾缺血再灌注损伤后血管新生的调控机制。方法将20只成年BALB/C系雄性小鼠随机分为假手术(Sham)组、肾缺血再灌注(IR)4h、1d、3d组,每组5只。各组分别在IR4h、1d、3d后收集血清检测肌酐(Cr)和尿素氮(BUN)的水平,取肾组织标本采用实时定量逆转录-聚合酶链反应(RT—PCR)检测HIF-1amRNA、miR-210、血管内皮生长因子(VEGF)mRNA的表达变化,采用Westernblot检测HIF-1a蛋白的表达变化。结果Cr、BUN和HIF-1amRNA在IR4h、1d组表达水平均明显高于Sham组,分别为(40.20±3.50)、(90.00±3.81)umol/L、(16.88±1.31)、(38.86±5.11)mmol/L,(4.57±0.52)、(3.15±0.46)倍(P〈0.05);VEGFmRNA、miR-210和HIF—1a蛋白在IR4h、1d、3d组表达水平均明显高于Sham组,分别为[(4.33±0.22)、(3.35±0.22)、(2.51±0.20)倍,(1.29±0.06)、(2.55±0.15)、(1.80±0.13)倍,(1.54±0.08)、(3.08±0.23)、(1.69±0.08)倍,P〈0.05]。结论肾缺血再灌注损伤明显影响HIF—1a及其靶基因miR-210、VEGF的表达,该表达变化可能与肾缺血再灌注损伤血管新生的调控有关。
Objective To Observe the expression of hypoxia inducible factor (HIF)-1a and target genes miR-210, vascular endothelial growth factor (VEGF) and explore the regulatory mechanism of the angiogenesis after ischemia-reperfusion (IR) injury. Methods Twenty BALB/C mice were randomly divided into 4 groups: IR 4 h, 1 day, 3 days groups (IR groups) and sham operation group (sham group). Four h, 1 day and 3 days after the operation, mice were sacrificed and blood samples were obtained to examine the levels of creatinine (Cr) and urea nitrogen (BUN). Kidney samples were examined for HIF-1a mRNA, miR-210 and VEGF mRNA by quantitative Real-time reverse transcription-polymerase chain reaction (RT-PCR) , HIF-1 a protein by Western blotting. Results The levels of Cr, BUN and HIF-1 a mRNA in IR 4 h and 1 day groups were significantly increased compared to sham group [ (40. 20± 3.50) and (90.00±3.81) umol/L, (16.88±1.31) and (38.86±5.11) mmol/L, (4.57±0.52) and (3. 15± 0. 46) fold,P 〈 0.05 ]. The levels of miR-210, VEGF mRNA and HIF-1 a protein in IR 4 h, 1 day and 3 days groups were increased apparently compared to sham group [ (4. 33 ± 0. 22 ), (3.35 ± 0. 22 ), (2.51 ±0.20) fold, (1.29 ±0.06), (2.55±0.15), (1.80±0.13) fold, (1.54 ±0.08), (3.08 ± 0. 23 ) , ( 1.69 ± 0. 08 ) fold, P 〈 0. 05 ]. Conclusion The renal IR injury can obviously influence the expression of HIF-1 a and target genes miR-210, VEGF, which may be associated with the regulation of the angiogenesis after renal IR injury.