Key result
Nephropathy Prescription I significantly decreased the urinary protein/creatinine ratio and blood lipid levels, and increased serum albumin in mice with adriamycin-induced nephropathy (P<0.05).
Why the study?
This study aimed to investigate the effects of Nephropathy Prescription I on the expression of angptl3, nephrin, and podocin, as well as its protective effects on podocytes in mice with adriamycin-induced nephropathy.
Does Nephropathy Prescription I improve renal outcomes and podocyte-associated protein expression in mice with adriamycin-induced nephropathy?
RCT
randomly divided
Does Nephropathy Prescription I improve renal outcomes and podocyte-associated protein expression in mice with adriamycin-induced nephropathy?
p-value: p=<0.05
Nephropathy Prescription I exerts protective effects on podocytes in adriamycin-induced nephropathy by modulating the expression of Angptl3, nephrin, and podocin.
Objective. This study aimed to investigate the effects of Nephropathy Prescription I on the expression of angptl3, nephrin, and podocin, in addition to its protective effects on podocytes in mice with adriamycin-induced nephropathy. Methods. BALB/c mice were randomly divided into the control (C), adriamycin (Model or M), adriamycin + Nephropathy Prescription I (M + Z), adriamycin + prednisone acetate (M + S), and adriamycin + Nephropathy Prescription I + prednisone acetate groups (M + Z + S). All mice except those in the C group in the experimental groups were treated with a single tail vein injection of adriamycin. The urine albumin-creatinine ratio was measured before model establishment and on the 7th day, 14th day, 21st day, and 28th day of doxorubicin injection. All the mice were sacrificed on the 29th day. Blood samples were collected to observe biochemical indicators in the serum. The morphological structure and podocyte ultrastructure in the kidney were observed using light and electron microscopy, respectively. The expression of angptl3, nephrin, and podocin at the mRNA and protein levels was detected by real-time PCR and western blotting, respectively. Results. Following modeling with adriamycin, albuminuria was observed in urine samples in the first week, and the urinary protein/creatinine ratio increased maximally in the fourth week in the M group ( P < 0.05 ). In contrast, the urinary protein/creatinine ratio significantly decreased ( P < 0.05 ) in the third week in the (M + Z) group compared to that in the M group. Similarly, this ratio decreased in the (M + S) and (M + Z + S) groups compared to that in the M group throughout the experiment. Compared with the C group, serum albumin content and the expression of nephrin and podocin decreased ( P < 0.05 ), whereas blood lipid level and the expression of angptl3 increased ( P < 0.05 ) in the M group. Glomerular foot process fusion was observed in this group using electron microscopy. In all the intervention groups, serum albumin content and the expression of nephrin and podocin increased ( P < 0.05 ), whereas blood lipid level and the expression of angptl3 decreased ( P < 0.05 ), with alleviated glomerular foot process injury observed particularly in the (M + Z + S) group. Conclusion. The Nephropathy Prescription I can alleviate albuminuria, increase serum albumin levels, lower blood lipid levels, and reduce the fusion of foot processes of podocytes in mice with adriamycin-induced nephropathy. The protective effects of the Nephropathy Prescription I may function by reducing Angptl3 expression and increasing nephrin and podocin expression.
No takes yet. Share an insight, caveat, or question.
Zhang et al. (2022) conducted an RCT in Adriamycin-induced nephropathy. Nephropathy Prescription I vs. Adriamycin alone (Model group) was evaluated on Urinary protein/creatinine ratio (p=<0.05). Nephropathy Prescription I significantly decreased the urinary protein/creatinine ratio and blood lipid levels, and increased serum albumin in mice with adriamycin-induced nephropathy (P<0.05).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: