Skip to main content

Advertisement

Log in

Effects of Huanshuai Recipe Oral Liquid (缓衰口服液) on restructuring glomerular microvasculature and expression of vascular endothelial growth factor in subtotal nephrectomized rats

  • Experimental Research
  • Published:
Chinese Journal of Integrative Medicine Aims and scope Submit manuscript

Abstract

Objectives

To explore the effects and significance of Huanshuai Recipe Oral Liquid (缓衰口服液, HSR), a formula with supplementing qi, nourishing blood and activating blood on restructuring glomerular microvasculature and expression of vascular endothelial growth factor (VEGF) in subtotal nephrectomized (SNX) rats.

Methods

A total of 76 male Wistar rats were randomly divided into four groups: 16 in the sham-operated group and fed with tap water 10 mL/kg per day; 20 in the model group were operated with 5/6 SNX and fed with tap water 10 mL/ kg per day; 20 SNX rats in the HSR group were treated with HSR 10 mL/kg per day; 20 SNX rats in the losartan group were treated with losartan 40 mg/kg per day. Serum creatinine (SCr) and urinary protein excretion (Upro) were examined at the 2nd, 4th, 8th, and 12th weeks of the treatment, and the remnant kidneys were harvested. Changes in histological microstructure were evaluated using light microscopy, and the expression of VEGF was detected by using ELISA.

Results

Upro, microvasculature injury and glomerulosclerosis were found to be alleviated in HSR and Losartan groups, respectively. The change of VEGF expression showed positive correlation with glomerular capillary area and peritubular capillary number (r=0.448, r=0.422, P<0.01), but negative correlation with that of SCr and Upro (r=−0.592, r=−0.481, P<0.01).

Conclusions

HSR could regulate the VEGF expression, reduce the loss of microvasculature, which demonstrated similar renal protective effects to losartan in SNX rats. Examination of Chinese herbal medicine influence on VEGF signaling and restructuring renal microvasculature may elucidate the molecular mechanism of renal protection to a certain degree.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. El-Nahas AM. Plasticity of kidney cells: role in kidney remodeling and scarring. Kidney Int 2003;64:1553–1563.

    Article  CAS  PubMed  Google Scholar 

  2. Fogo AB. Progression versus regression of chronic kidney disease. Nephrol Dial Transplant 2006;21:281–284.

    Article  PubMed  Google Scholar 

  3. Kretzler M, Schröppel B, Merkle M, Huber S, Mundel P, Horster M, et al. Detection of multiple vascular endothelial growth factor splice isoforms in single glomerular podocytes. Kidney Int Suppl 1998;67:159–161.

    Article  Google Scholar 

  4. Eremina V, Quaggin SE. The role of VEGF-A in glomerular development and function. Curr Opin Nephrol Hypertens 2004;13:9–15.

    Article  CAS  PubMed  Google Scholar 

  5. Advani A, Kelly DJ, Advani SL, Cox AJ, Thai K, Zhang Y, et al. Role of VEGF in maintaining renal structure and function under normotensive and hypertensive conditions. Proc Natl Acad Sci USA 2007;104:14448–14453.

    Article  CAS  PubMed  Google Scholar 

  6. Futrakul N, Butthep P, Futrakul P. Altered vascular homeostasis in chronic kidney disease. Clin Hemorheol Microcirc 2008;38:201–207.

    CAS  PubMed  Google Scholar 

  7. Kang DH, Joly AH, Oh SW, Hugo C, Kerjaschki D, Gordon KL, et al. Impaired angiogenesis in the remnant kidney model: I. Potential role of vascular endothelial growth factor and thrombospondin-1. J Am Soc Nephrol 2001;12:1434–1447.

    CAS  PubMed  Google Scholar 

  8. Yin DH, Dai XW, Rao XR. Yishen Huanshuai Recipe retard progression of chronic renal failure. Chin J Integr Tradit West Med (Chin) 1998;18:402–404.

    CAS  Google Scholar 

  9. Li S, Rao XR, Dai XW. Long-term effect of Yishen Huanshuai Recipes in 35 cases of chronic renal failure. J Tradit Chin Med (Chin) 2001;42:164–166.

    Google Scholar 

  10. Rao XR, Li S, Dai XW, Li J. Effect of Huanshuai recipes on expression of extracellular matrix in 5/6 nephrectomized rats. Chin J Integr Med 2000;6:295–298.

    CAS  Google Scholar 

  11. Li S, Rao XR, Li J, Wang L, Dai XW. Effect of Huanshuai Recipes on renal tubular-interstitial lesion in 5/6 nephrectomized rats. Chin J Exp Tradit Med Formul (Chin) 2001;7:36–38.

    Google Scholar 

  12. Fujihara CK, Velho M, Malheiros DM, Zatz R. An extremely high dose of losartan affords superior renoprotection in the remnant model. Kidney Int 2005;67:1913–1924.

    Article  CAS  PubMed  Google Scholar 

  13. Boffa JJ, Lu Y, Placier S, Stefanski A, Dussaule JC, Chatziantoniou C. Regression of renal vascular and glomerular fibrosis: role of angiotensin II receptor antagonism and matrix metalloproteinases. J Am Soc Nephrol 2003;14:1132–1144.

    Article  CAS  PubMed  Google Scholar 

  14. Faraj AH, Morley AR. Remnant kidney pathology after five-sixth nephrectomy in rat. II. Electron microscopy study. APMIS 1993;101:83–90.

    Article  CAS  PubMed  Google Scholar 

  15. EL-Nahas AM, Bassett AH, Cope GH, Le Carpentier JE. Role of growth hormone in the development of experimental renal scarring. Kidney Int 1991;40:29–34.

    Article  CAS  PubMed  Google Scholar 

  16. Rennke HG, Klein PS. Pathogenesis and significance of nonprimary focal and segmental glomerulosclerosis. Am J Kidney Dis 1989;13:443–456.

    CAS  PubMed  Google Scholar 

  17. Bohle A, Mackensen-Haen S, Wehrmann M. Significance of postglomerular capillaries in the pathogenesis of chronic renal failure. Kidney Blood Press Res 1996;19:191–195.

    Article  CAS  PubMed  Google Scholar 

  18. Cooper ME, Vranes D, Youssef S, Stacker SA, Cox AJ, Rizkalla B, et al. Increased renal expression of vascular endothelial growth factor (VEGF) and its receptor VEGFR-2 in experimental diabetes. Diabetes 1999;48:2229–2239.

    Article  CAS  PubMed  Google Scholar 

  19. de Vriese AS, Tilton RG, Elger M, Stephan CC, Kriz W, Lameire NH. Antibodies against vascular endothelial growth factor improve early renal dysfunction in experimental diabetes. J Am Soc Nephrol 2001;12:993–1000.

    PubMed  Google Scholar 

  20. Kang DH, Hughes J, Mazzali M, Schreiner GF, Johnson RJ. Impaired angiogenesis in the remnant kidney model: II. Vascular endothelial growth factor administration reduces renal fibrosis and stabilizes renal function. J Am Soc Nephrol 2 2001;12:1448–1457.

    CAS  Google Scholar 

  21. Lee GS, Nast CC, Peng SC, Artishevsky A, Ihm CG, Guillermo R, et al. Differential response of glomerular epithelial and mesangial cells after subtotal nephrectomy. Kidney Int 1998;53:1389–1398.

    Article  CAS  PubMed  Google Scholar 

  22. Amemiya T, Sasamura H, Mifune M, Kitamura Y, Hirahashi J, Hayashi M, et al. Vascular endothelial growth factor activates MAP kinase and enhances collagen synthesis in human mesangial cells. Kidney Int 1999;56:2055–2063.

    Article  CAS  PubMed  Google Scholar 

  23. Barry M. Brenner, ed, Brenner and rector’s the kidney. 7th ed. Saldnders; 2008:784–790.

  24. Flyvbjerg A, Dagnaes Hansen F, De Vriese AS, Schrijvers BF, Tilton RG, Rasch R. Amelioration of long-term renal changes in obese type 2 diabetic mice by a neutralizing vascular endothelial growth factor antibody. Diabetes 2002;51:3090–3094.

    Article  CAS  PubMed  Google Scholar 

  25. Horita Y, Miyazaki M, Koji T, Kobayashi N, Shibuya M, Razzaque MS, et al. Expression of vascular endothelial growth factor and its receptors in rats with protein-overload nephrosis. Nephrol Dial Transplant 1998;13:2519–2528.

    Article  CAS  PubMed  Google Scholar 

  26. Masuda Y, Shimizu A, Mori T, Ishiwata T, Kitamura H, Ohashi R, et al. Vascular endothelial growth factor enhances glomerular capillary repair and accelerates resolution of experimentally induced glomerulonephritis. Am J Pathol 2001;159:599–608.

    CAS  PubMed  Google Scholar 

  27. Yang L, Li XM, Wang SX, Wang HY. Peritubular capillary injury in Chinese herb guan-mu-tong-induced acute tubular necrosis. Chin J Intern Med (Chin) 2005;44:525–529.

    CAS  Google Scholar 

  28. Lei Y, Gao Q, Li YS, Chen KJ. Study on effects of Astragalus, Angelica and their combination on vascular endothelial cell proliferation in vitro. Chin J Integr Tradit West Med (Chin) 2003;23:753–756.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shen Li  (李 深).

Additional information

Supported by Special Projects of Chinese Medicine Science and Technology Research, State Administration of Traditional Chinese Medicine (No. 04-05JQ07)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Li, S., Rao, Xr., Song, Jy. et al. Effects of Huanshuai Recipe Oral Liquid (缓衰口服液) on restructuring glomerular microvasculature and expression of vascular endothelial growth factor in subtotal nephrectomized rats. Chin. J. Integr. Med. 16, 239–246 (2010). https://doi.org/10.1007/s11655-010-0239-4

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11655-010-0239-4

Keywords

Navigation