Renal fibrosis is a failed regenerative process that facilitates chronic kidney disease progression. The current study was designed to study the effect of erlotinib, a receptor tyrosine kinase inhibitor, on the progression of renal fibrosis. The study included four groups of mice: control group; adenine group: received adenine (0.2% w/w) daily with food for 4 weeks; erlotinib group: received 80 mg/kg/day erlotinib orally (6 ml/kg/day, 1.3% w/v suspension in normal saline 0.9%) for 4 weeks; adenine + erlotinib group: received adenine and erlotinib concurrently. Kidney function and antioxidant biomarkers were measured. Renal expression of Bcl2 and p53 and histopathological changes (tubular injury and renal fibrosis) were scored. Renal tissue levels of transforming growth factor-β1, p-ERK1/2 and p-STAT3 were measured. Results obtained showed significant decrease (P < 0.001) in serum creatinine, urea and uric acid in erlotinib + adenine group. Level of malondialdehyde was decreased significantly (P < 0.001) while reduced glutathione and catalase levels were increased (P < 0.01) by erlotinib concurrent administration. Erlotinib markedly reduced fibrosis and tubular injury and decreased TGF-β1, p-ERK1/2 and p-STAT3 (P < 0.5). In addition, expression level of Bcl-2 was elevated (P < 0.001) while that of p53-was reduced compared to adenine alone. Erlotinib can attenuate renal fibrosis development and progression through anti-fibrotic, antioxidant and anti-apoptotic pathways.

译文

:肾纤维化是一个失败的再生过程,它促进了慢性肾脏疾病的进展。当前的研究旨在研究受体酪氨酸激酶抑制剂埃洛替尼对肾纤维化进展的影响。该研究包括四组小鼠:对照组;对照组。腺嘌呤组:每天接受腺嘌呤(0.2%w / w)并连续4周进食;厄洛替尼组:口服80毫克/千克/天的厄洛替尼(6毫升/千克/天,1.3%w / v在生理盐水中的悬浮液0.9%)4周;腺嘌呤厄洛替尼组:同时接受腺嘌呤和厄洛替尼。测量肾脏功能和抗氧化剂生物标志物。对Bcl2和p53的肾脏表达以及组织病理学变化(肾小管损伤和肾纤维化)进行评分。测量了肾脏组织中转化生长因子-β1,p-ERK1 / 2和p-STAT3的水平。厄洛替尼腺嘌呤组的血清肌酐,尿素和尿酸显着下降(P <0.001)。厄洛替尼同时给药可显着降低丙二醛水平(P <0.001),同时降低谷胱甘肽和过氧化氢酶水平(P <0.01)。厄洛替尼显着减少了纤维化和肾小管损伤,并降低了TGF-β1,p-ERK1 / 2和p-STAT3(P <0.5)。另外,与单独的腺嘌呤相比,Bcl-2的表达水平升高(P <0.001),而p53-的表达水平降低。厄洛替尼可通过抗纤维化,抗氧化剂和抗凋亡途径减弱肾纤维化的发展和进程。

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