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Objective To explore the changes of detection of urine a1-MG and KNG1 in simple type 2 diabetes mellitus and diabetic nephropathy patients.Methods 66 cases of diabetic patients in General Hospital of Ningxia Medical University from September 2016 to March 2017 were recruited,and the patients were divided into two groups,as follows:the diabetic nephropathy (DN) group 34 cases as experimental group,and the simple type 2 diabetes mellitus (DM) group 32 cases as control group.Than DN group was divided into two groups according to HbAlc,A groups 19 cases HbAlc was less than 10％,B groups 15 cases HbAlc was greater than or equal to 10％.The urine α1-MG,urine KNG1 and other biochemical indicators were mearured for all subjects.Results Compared with the DM group,the urine α1-MG in DN group was significantly lower (t=9.972,P＜0.01),but the result of the urine KNG1 was the opposite (t=-3.356,P＜0.01).The urine α1-MG and serum GLU in B group were significantly higher than those of the A group (t=-2.092,-3.464,all P＜0.05),but the result of the serum Cr was the opposite (t=2.181,P＜0.05).The level of urine α1-MG in DN group were positively correlated with HbAlc and urine KNG1 (r=0.33,0.355,all P＜0.05).Conclusion There were some changes in the expression of urine α1-MG and KNG1 in the occurrence and development of diabetic nephropathy,which provide the basis for the clinical diagnosis of diabetic nephropathy.
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O plasma da serpente Bothrops jararaca é rico em inibidores de proteases, alguns dos quais com atividade inibitória sobre toxinas presentes no veneno de serpentes da mesma espécie. Um desses inibidores apresenta massa molecular de 110 kDa, é um potente inibidor de cisteíno-peptidase e libera um peptídeo que induz contração de musculatura lisa homóloga. Por estas características, essa proteína, denominada BjHK (Bothrops jararaca High Molecular Weight Kininogen), foi correlacionada ao cininogênio de alta massa molecular de mamíferos. Além dessas propriedades, verificou-se que essa proteína inibe metaloproteases presentes no veneno de B. jararaca. Esse efeito também foi observado no cininogênio de alta massa molecular humano e correlacionado a porções do domínio 5 dessa proteína. O objetivo do presente projeto é procurar possíveis homologias entre a BjHK e o cininogênio humano, além de possíveis atividades inibitórias sobre agregação plaquetária e adesão celular, atividades estas também descritas no cininogênio de alta massa molecular humano...
The Bothrops jararaca snake plasma is rich in protease inhibitors, some of which have inhibitory activity on toxins from its own venom. One of these, which has a molecular mass of 110 kDa, is a potent inhibitor of cysteine-peptidase and releases a peptide that induces contraction of homologous smooth musculature. For these characteristics this protein, named BjHK (Bothrops jararaca High Molecular Weight Kininogen) was correlated to mammalian high molecular weight kininogens. Moreover, it was found that this protein inhibits metalloproteases present in the B. jararaca venom. This effect was also observed in human high molecular weight kininogen and correlated to portions of the domain 5 of this protein. The aim of this project is to search for homologies between BjHK and the human kininogen, as well as a possible inhibitory activity of this protein on platelet aggregation and cells adhesion. These activities were also described in human high molecular weight kininogen...
Assuntos
Animais , Bothrops , Serpentes , Venenos de Serpentes/imunologia , Venenos de Serpentes/toxicidade , Enzimas , Mamíferos/imunologiaRESUMO
The plasma kallikrein-kinin system (KKS) participates in the pathogenesis of inflammatory reactions involved in cellular injury, coagulation, fibrinolysis, kinin formation, complement activation, cytokine secretion and release of proteases. It has been shown that KKS activation in the systemic inflammatory response syndrome results in decrease of its component plasma proteins. Similar changes have been documented in diabetes, sepsis, children with vasculitis, allograft rejection, disseminated intravascular coagulation, patients with recurrent pregnancy losses, hereditary angioedema, adult respiratory distress syndrome and coronary artery disease. Direct involvement of the KKS in the pathogenesis of experimental acute arthritis and acute and chronic enterocolitis has been documented by previous studies from our laboratory using experimental animal models. It has been found that in HK deficient Lewis rats, experimental IBD was much less severe. We showed a genetic difference in kininogen structure between resistant Buffalo and susceptible Lewis rats, which results in accelerated cleavage of HK and it is responsible for the susceptibility to the inflammatory process in the Lewis rats. It has been demostrated that therapy with a specific plasma kallikrein inhibitor (P8720) modulated the experimental enterocolitis, arthritis and systemic inflammation. Furthermore, it has been shown that a bradykinin 2 receptor (B2R) antagonist attenuates the inflammatory changes in the same animal model. We have showed that a monoclonal antibody targeting HK decreases angiogénesis and arrests tumor growth in a syngeneic animal model. In summary, these results indicate that the plasma KKS plays a central role in the pathogenesis of chronic intestinal inflammation, arthritis and angiogenesis.
Se ha demostrado la participación del sistema plasmático de kalikreína-kininas (KKS) en el proceso inflamatorio, el cual incluye reacciones de daño celular, coagulación y fibrinólisis, formación de kininas, activación del complemento, secreción de citoquinas y liberación de proteasas. El KKS se encuentra activado en el síndrome de respuesta inflamatoria sistémica con una disminución en la concentración plasmática de las proteínas que lo constituyen. También se ha demostrado una activación similar en la diabetes, choque séptico, vasculitis en infantes, enfermedad injerto-huésped, coagulación intravascular diseminada, pacientes con abortos de repetición, angioedema hereditario, el síndrome de estrés respiratorio del adulto y enfermedad coronaria arterial. Mediante el uso de modelos animales experimentales, nuestro laboratorio ha demostrado una participación directa del KKS en la patogénesis de la artritis experimental aguda y la enterocolitis aguda y crónica. Se ha demostrado que en la rata tipo Lewis, cuando es deficiente de kininógeno de alto peso molecular (HK), la enfermedad inflamatoria intestinal es menos severa comparada con la presentada en ratas con niveles normales de HK como la Buffalo. Nosotros mostramos una diferencia entre el gene que codifica la molécula del kininógeno de la rata tipo Buffalo (resistentes) y Lewis (susceptibles), que resulta en un incremento de la actividad proteolítica de kalikreína sobre su substrato HK, lo cual predispone a las ratas Lewis al desarrollo de la enfermedad inflamatoria crónica. Se ha demostrado una disminución en las manifestaciones inflamatorias sistémicas de la enterocolitis y artritis experimental mediante el uso de un inhibidor específico de la kalikreína (P8720). Además, el antagonista del receptor 2 de la bradikinina (BR2) atenuó los cambios inflamatorios en el mismo modelo animal. Asimismo, se ha demostrado que las ratas Lewis deficientes de kininógeno desarrollaron inflamación intestinal sistémica menos severa. Mediante el uso del anticuerpo monoclonal C11C1 contra HK se logró una disminución de la angiogenesis y, consecuentemente, el crecimiento tumoral. En conclusión, los resultados demuestran que el sistema plasmático de KKS desempeña un papel preponderante en la patogénesis de la artritis reumatoide, la enfermedad intestinal crónica y en el proceso angiogénico.