【摘要】 目的 连续观察急性马兜铃酸Ⅰ（AAⅠ）中毒小鼠肾损伤的病理改变和Wnt通路相关蛋白的表达，探讨Wnt7b信号通路参与马兜铃酸肾病（AAN）损伤修复的机制。方法 观察小鼠暴露于AAⅠ后不同时间肾功能的变化，HE和Masson染色观察肾脏病理改变及纤维化情况，免疫组化和电镜观察Wnt7b信号通路相关蛋白的组织和亚细胞的定位和表达。结果 小鼠暴露于AAⅠ后血肌酐和尿素氮增多；肾近端小管上皮细胞（PCTEC）刷状缘绒毛脱落、细胞水肿、坏死，小管基底膜裸露、纤维化加重；免疫组化和电镜结果显示，小鼠暴露于AAⅠ后，Wnt7b蛋白在PCTEC的刷状缘聚集，β-catenin的表达从细胞膜下转移至胞质和细胞核内，基质金属蛋白酶-7 (MMP-7)表达增多，改变呈时间依赖性（P <0.05）。结论 小鼠暴露于AAⅠ后肾脏生理功能异常，PCTEC坏死脱落，在此过程中Wnt7b信号通路被启动，β-catenin和MMP-7蛋白表达量增高。更多还原

【Abstract】 Objective To explore the mechanism of Wnt7b signaling pathway in the repair of aristolochic acidⅠ （AAⅠ）-induced acute kidney injury by observing the pathological changes in the kidney and the expression of Wnt pathway-related proteins in mice.Methods Alterations in renal function in mice at different times after exposure to AAⅠ were monitored,the pathological and fibrosis conditions of the kidney were visualized through HE and Masson staining,and the tissue and subcellular localization,and expression of proteins associated with the Wnt7b signaling pathway were analyzed via immunohistochemistry and electron microscopy. Results Mice exposed to AAⅠ showed increased levels of serum creatinine and urea nitrogen,along with shedding of the brush border villi in renal proximal tubular epithelial cells(PCTEC),cellular edema,necrosis,exposure of the tubular basement membrane,and aggravated fibrosis.Immunohistochemical and electron microscopy results revealed accumulation of Wnt7b protein in the brush border of PCTEC after exposure to AAⅠ,a shift in β-catenin expression from the subcellular membrane to the cytoplasm and nucleus,and a time-dependent increase in MMP-7 expression(P < 0.05). Conclusion After exposure to AAⅠ,the renal physiological function of mice was impaired,and proximal tubular epithelial cells underwent necrosis and abscission. At this point,the Wnt7b signaling pathway was initiated,and the expression of β-catenin and MMP-7 proteins increased.更多还原