PMID- 25509269 OWN - NLM STAT- MEDLINE DCOM- 20150423 LR - 20161018 IS - 1003-5370 (Print) IS - 1003-5370 (Linking) VI - 34 IP - 10 DP - 2014 Oct TI - [Effect of shenluotong decoction on renal interstitial fibrosis in rats with obstructive nephropathy]. PG - 1238-44 AB - OBJECTIVE: To observe the effect of Shenluotong Decoction (SD) on serum levels of aldosterone, monocyte chemoattractant protein-1 (MCP-1), alpha-smooth muscle protein (alpha-SMA), and nuclear factor-KB (NF-kappaB) in obstructive nephropathy rats, and to explore the initial mechanism of SD for inhibiting renal interstitial fibrosis. METHODS: Totally 48 healthy Wistar rats were randomly divided into the sham-operation group (n =12) and the model group (n =36). Renal interstitial fibrosis rat model was established by unilateral ureteral obstruction (UUO). After successful modeling, 36 rats were randomly divided into the model group, the Chinese medicine group, and the Western medicine group, 12 in each group. Eplerenone was added in the forage at the daily dose of 100 mg/kg for rats in the Western medicine group. Chinese medicine was added in the forage at the daily dose of 26 g/kg for rats in the Chinese medicine group. Equal volume of normal saline was administered to rats in the sham-operation group and the model group. All medication was performed once daily. The obstructive kidneys were extracted ten days after medication. The pathomorphological changes were observed. The contents of serum aldosterone and MCP-1, and the protein or mRNA expression of MCP-1, alpha-SMA, and NF-KB were detected. RESULTS: Compared with the sham-operation group, infiltration of a large amount of inflammatory cells and collagen deposition significantly increased, serum contents of aldosterone and MCP-1 obviously increased (P < 0.01), the expression of MCP-1 mRNA and protein were significantly up-regulated (P <0.01), the protein expression of alpha-SMA and NF-KB were significantly enhanced in the model group (P <0.01). Com- pared with the model group, infiltration of inflammatory cells and renal collagen deposition were attenua- ted in the Chinese medicine group and the Western medicine group, the serum MCP-1 level were reduced, and the mRNA and protein expression of MCP-1 were significantly down-regulated (P <0.01), the protein expression of alpha-SMA and NF-KB were obviously inhibited (P <0. 01). At the same time, serum aldosterone level was reduced in the Chinese medicine group (P <0.01). CONCLUSIONS: inflammatory lesions of the renal tissue could promote the progress of interstitial fibrosis in rats with obstructive nephropathy. SD could attenuate interstitial fibrosis through reducing serum contents of aldosterone and MCP-1, down-regulating MCP-1/ NF-KB, and inhibiting the expression of alpha-SMA. FAU - Wang, Zheng AU - Wang Z FAU - Liang, Li-juan AU - Liang LJ FAU - Wang, Cong-hui AU - Wang CH FAU - Wang, Rui AU - Wang R FAU - Jiang, Guo-wang AU - Jiang GW FAU - Zhang, Xiao-man AU - Zhang XM FAU - An, Ya-juan AU - An YJ FAU - Xu, Qing-you AU - Xu QY LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhongguo Zhong Xi Yi Jie He Za Zhi JT - Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine JID - 9211576 RN - 0 (Chemokine CCL2) RN - 0 (Drugs, Chinese Herbal) RN - 0 (NF-kappa B) RN - 0 (RNA, Messenger) SB - IM MH - Animals MH - Chemokine CCL2/drug effects/metabolism MH - Down-Regulation/drug effects MH - Drugs, Chinese Herbal/*pharmacology MH - Fibrosis MH - Kidney/drug effects MH - Kidney Diseases/*drug therapy/genetics MH - NF-kappa B/drug effects/metabolism MH - RNA, Messenger/biosynthesis MH - Rats, Sprague-Dawley MH - Ureteral Obstruction/*drug therapy/genetics EDAT- 2014/12/17 06:00 MHDA- 2015/04/24 06:00 CRDT- 2014/12/17 06:00 PHST- 2014/12/17 06:00 [entrez] PHST- 2014/12/17 06:00 [pubmed] PHST- 2015/04/24 06:00 [medline] PST - ppublish SO - Zhongguo Zhong Xi Yi Jie He Za Zhi. 2014 Oct;34(10):1238-44.