内科理论与实践 ›› 2026, Vol. 21 ›› Issue (02): 124-131.doi: 10.16138/j.1673-6087.2026.02.04
孙羽斐1,*(
), 刘爽1,*, 李慧凛2(
), 蒋更如1,3(
)
收稿日期:2025-03-31
修回日期:2026-04-02
出版日期:2026-04-25
发布日期:2026-06-15
通讯作者:
李慧凛 E-mail:medlhl@163.com; 蒋更如 E-mail:jianggengru@xinhuamed.com.cn
作者简介:作者贡献/Authors’ Contributions孙羽斐负责课题设计、分子及动物实验的实施、文稿撰写;刘爽负责课题设计、分子及动物实验的实施;李慧凛负责课题设计、文章撰写指导;蒋更如负责课题设计、文章撰写指导。基金资助:
SUN Yufei1,*(
), LIU Shuang1,*, LI Huilin2(
), JIANG Gengru1,3(
)
Received:2025-03-31
Revised:2026-04-02
Online:2026-04-25
Published:2026-06-15
摘要:
目的:探究用于人类局灶节段性肾小球硬化(focal segmental glomerulosclerosis,FSGS)研究的多柔比星诱导的小鼠慢性肾脏病模型的最佳方案。方法:将C57BL/6J和C57BL/6N小鼠分别按照随机数字序列进行随机分组,分为对照组(J0组和N0组,各24只)和FSGS造模组(J1组、J2组、N1组、N2组,各24只)。J1组和N1组小鼠尾静脉注射多柔比星15 mg/kg 1次,J2组和N2组注射2次(间隔2周),J0组和N0组注射等量0.9%氯化钠注射液。观察小鼠状态及体重变化,记录一般情况;收集尿液检测尿蛋白和尿肌酐,评估蛋白尿;提取肾组织蛋白行免疫印迹实验,检测足细胞标志蛋白表达。通过苏木精-伊红染色、过碘酸-希夫染色及透射电子显微镜观察各组小鼠肾组织病理表现。结果:C57BL/6N小鼠造模后一般情况较C57BL/6J小鼠差,体重下降更显著(P<0.001)。两种品系小鼠经2次注射多柔比星后,一般情况更差,体重下降更明显(P<0.001)。C57BL/6J和C57BL/6N多柔比星注射组各时间段尿蛋白/肌酐比值均高于对照组(P<0.05)。C57BL/6J单次注射组部分足细胞标志蛋白[突触足蛋白、肾母细胞瘤蛋白1(Wilms tumor protein 1,WT1)]表达无显著变化,2次注射组足细胞标志蛋白(肾病蛋白、突触足蛋白、足萼蛋白、WT1、α微管蛋白、足蛋白)表达量均较对照组降低。C57BL/6N单次及2次注射组足细胞标志蛋白表达量均较对照组降低,2次注射组下降更明显(P<0.05)。光镜和电镜均显示C57BL/6N单次及2次注射组造模成功,2次注射组病理改变更显著。结论:在多柔比星诱导的C57BL/6小鼠FSGS模型中,C57BL/6N品系造模效果优于C57BL/6J品系。推荐FSGS适宜造模方案为C57BL/6N小鼠尾静脉单次注射15 mg/kg多柔比星。
孙羽斐, 刘爽, 李慧凛, 蒋更如. C57BL/6亚品系在多柔比星诱导FSGS模型中的差异研究[J]. 内科理论与实践, 2026, 21(02): 124-131.
SUN Yufei, LIU Shuang, LI Huilin, JIANG Gengru. Comparison of doxorubicin-induced FSGS models across C57BL/6 substrains[J]. Journal of Internal Medicine Concepts & Practice, 2026, 21(02): 124-131.
表1
各小组小鼠造模过程中尿蛋白/肌酐值比值
| 小鼠 | 组别 | 尿蛋白/肌酐(mg/g) | F时间/P | F交互/P | F组间/P | |||
| 0周 | 2周 | 4周 | 6周 | |||||
| C57BL/6J | J0 | 19.63±4.73 | 24.53±3.80 | 25.43±2.91 | 29.94±5.53 | 781.60/ P< | 267.90/ P< | 759.60/ P< |
| J1 | 23.70±2.92 | 89.88±4.64 | 211.53±12.77 | 440.66±13.86 | ||||
| J2 | 23.32±2.48 | 90.05±4.90 | 423.95±35.00 | 895.40±72.83 | ||||
| C57BL/6N | N0 | 11.21±2.13 | 11.43±0.74 | 12.53±1.83 | 11.49±1.36 | 637.10/ P< | 166.10/ P< | 553.10/ P< |
| N1 | 10.94±1.75 | 230.84±22.48 | 917.65±66.94 | |||||
| N2 | 10.27±1.34 | 234.44±6.30 | ||||||
表2
各小组小鼠造模后足细胞标志蛋白表达水平
| 足细胞相关标志蛋白 (相对表达量) | J0 | J1 | J2 | N0 | N1 | N2 | F | P |
| 与J0相比,1):P<0.05; 与J1相比,2):P<0.05;与N0相比,3):P<0.05;与N1相比,4):P<0.05。 | ||||||||
| 肾病蛋白 | 0.99±0.02 | 0.38±0.011) | 0.13±0.011)2) | 1.21±0.04 | 0.67±0.033) | 0.28±0.033)4) | 712.0 | < |
| 足萼蛋白 | 1.26±0.14 | 0.85±0.161) | 0.60±0.051) | 1.21±0.10 | 0.77±0.133) | 0.42±0.083)4) | 25.05 | < |
| 微管蛋白 | 0.98±0.04 | 0.69±0.021) | 0.44±0.171) | 1.11±0.13 | 0.73±0.063) | 0.42±0.023)4) | 27.45 | < |
| 足蛋白 | 1.04±0.16 | 0.73±0.081) | 0.58±0.151) | 1.16±0.11 | 0.75±0.063) | 0.44±0.133)4) | 15.99 | < |
| 突触足蛋白 | 1.26±0.14 | 0.85±0.16 | 0.60±0.051) | 1.21±0.10 | 0.77±0.133) | 0.42±0.083)4) | 10.34 | <0.001 |
| WT1 | 0.98±0.05 | 0.75±0.28 | 0.38±0.191)2) | 1.12±0.10 | 0.68±0.063) | 0.32±0.013)4) | 14.60 | < |
| [1] |
Liu G, He L. Epigallocatechin-3-gallate attenuates adriamycin-induced focal segmental glomerulosclerosis via suppression of oxidant stress and apoptosis by targeting hypoxia-inducible factor-1α/ angiopoietin-like 4 pathway[J]. Pharmacology,2019,103(5-6):303-314.
doi: 10.1159/000496799 |
| [2] |
Wei M, Qiu Z, Li H, et al. Integrating network pharmacology approach and experimental validation to reveal the alleviation of Shenkangning capsule on chronic nephritis[J]. J Ethnopharmacol,2022,299:115676.
doi: 10.1016/j.jep.2022.115676 |
| [3] |
Qi H, Fu J, Luan J, et al. miR-150 inhibitor ameliorates adriamycin-induced focal segmental glomerulosclerosis[J]. Biochem Biophys Res Commun,2020,522(3):618-625.
doi: 10.1016/j.bbrc.2019.11.096 |
| [4] |
Qiu Y, Zhou J, Zhang H, et al. Rhodojaponin Ⅱ attenuates kidney injury by regulating TGF-β1/Smad pathway in mice with adriamycin nephropathy[J]. J Ethnopharmacol,2019,243:112078.
doi: 10.1016/j.jep.2019.112078 |
| [5] |
Hu SW, Wang YH, Huang JS, et al. The PDE5 inhibitor, vardenafil, ameliorates progressive pathological changes in a focal segmental glomerulosclerosis mouse model[J]. Life Sci,2022,309:120992.
doi: 10.1016/j.lfs.2022.120992 |
| [6] |
de Mik SM, Hoogduijn MJ, de Bruin RW, et al. Pathophysiology and treatment of focal segmental glomerulosclerosis: the role of animal models[J]. BMC Nephrol,2013,14:74.
doi: 10.1186/1471-2369-14-74 |
| [7] |
Yang JW, Dettmar AK, Kronbichler A, et al. Recent advances of animal model of focal segmental glomerulosclerosis[J]. Clin Exp Nephrol,2018,22(4):752-763.
doi: 10.1007/s10157-018-1552-8 |
| [8] | Weiss RB. The anthracyclines: will we ever find a better doxorubicin?[J]. Semin Oncol,1992,19(6):670-686. |
| [9] |
Nemoto S, Kubota T, Ohno H. Metabolic differences and differentially expressed genes between C57BL/6J and C57BL/6N mice substrains[J]. PLoS One,2022,17(12):e0271651.
doi: 10.1371/journal.pone.0271651 |
| [10] |
Mekada K, Yoshiki A. Substrains matter in phenotyping of C57BL/6 mice[J]. Exp Anim,2021,70(2):145-160.
doi: 10.1538/expanim.20-0158 |
| [11] |
Watanabe M, Kakutani M, Hiura K, et al. Differences in susceptibility to ADR nephropathy among C57BL/6 substrains[J]. Exp Anim,2023,72(4):520-525.
doi: 10.1538/expanim.23-0003 |
| [12] |
Bryant C, Cianciolo R, Govindarajan R, et al. Adriamycin-induced nephropathy is robust in N and modest in J substrain of C57BL/6[J]. Front Cell Dev Biol,2022,10:924751.
doi: 10.3389/fcell.2022.924751 |
| [13] |
Arif E, Solanki AK, Nihalani D. Adriamycin susceptibility among C57BL/6 substrains[J]. Kidney Int,2016,89(3):721-723.
doi: 10.1016/j.kint.2015.10.019 |
| [14] |
Pippin JW, Brinkkoetter PT, Cormack-Aboud FC, et al. Inducible rodent models of acquired podocyte diseases[J]. Am J Physiol Renal Physiol,2009,296(2):F213-F229.
doi: 10.1152/ajprenal.90421.2008 |
| [15] |
Qiu Y, Lei C, Zeng J, et al. Asparagine endopeptidase protects podocytes in adriamycin-induced nephropathy by regulating actin dynamics through cleaving transgelin[J]. Mol Ther,2023,31(11):3337-3354.
doi: 10.1016/j.ymthe.2023.09.003 |
| [16] |
Wu H, Liu Y, Jia Z, et al. Inhibition of RAC attenuates adriamycin-induced podocyte injury[J]. Biochem Biophys Res Commun,2024,709:149807.
doi: 10.1016/j.bbrc.2024.149807 |
| [17] |
Shao G, Xu J, Hu C, et al. Podocyte YAP ablation decreases podocyte adhesion and exacerbates FSGS progression through α3β1 integrin[J]. J Pathol,2025,265(1):84-98.
doi: 10.1002/path.6370 |
| [18] | Ni Y, Wang X, Yin X, et al. Plectin protects podocytes from adriamycin-induced apoptosis and F-actin cytoskeletal disruption through the integrin α6β4/FAK/p38 MAPK pathway[J]. J Cell Mol Med,2018,22(11):5450-5467. |
| [19] |
Liu L, Li Q, Zhang G. Systemic inflammation accelerates the development of focal segmental glomerulosclerosis in a mouse model of adriamycin induced nephrosis[J]. Sci Rep,2025,15(1):14304.
doi: 10.1038/s41598-025-96125-0 |
| [20] |
Cui X, Fu J, Luan J, et al. CircZNF609 is involved in the pathogenesis of focal segmental glomerulosclerosis by sponging miR-615-5p[J]. Biochem Biophys Res Commun,2020,531(3):341-349.
doi: 10.1016/j.bbrc.2020.07.066 |
| [21] |
Ji B, Liu J, Yin Y, et al. Minnelide combined with anti-ANGPTL3-FLD monoclonal antibody completely protects mice with adriamycin nephropathy by promoting autophagy and inhibiting apoptosis[J]. Cell Death Dis,2023,14(9):601.
doi: 10.1038/s41419-023-06124-0 |
| [22] |
Zhuang Q, Li F, Liu J, et al. Nuclear exclusion of YAP exacerbates podocyte apoptosis and disease progression in adriamycin-induced focal segmental glomerulosclerosis[J]. Lab Invest,2021,101(2):258-270.
doi: 10.1038/s41374-020-00503-3 |
| [23] |
Barutta F, Kimura S, Hase K, et al. Protective role of the M-Sec-tunneling nanotube system in podocytes[J]. J Am Soc Nephrol,2021,32(5):1114-1130.
doi: 10.1681/ASN.2020071076 |
| [24] |
Mekada K, Abe K, Murakami A, et al. Genetic differences among C57BL/6 substrains[J]. Exp Anim,2009,58(2):141-149.
doi: 10.1538/expanim.58.141 |
| [25] |
Simon MM, Greenaway S, White JK, et al. A comparative phenotypic and genomic analysis of C57BL/6J and C57BL/6N mouse strains[J]. Genome Biol,2013,14(7):R82.
doi: 10.1186/gb-2013-14-7-r82 |
| [26] | Freeman HC, Hugill A, Dear NT, et al. Deletion of nicotinamide nucleotide transhydrogenase: a new quantitative trait locus accounting for glucose intolerance in C57BL/6J mice[J]. Diabetes,2006,55(7):2153-2156. |
| [27] |
Ronchi JA, Figueira TR, Ravagnani FG, et al. A spontaneous mutation in the nicotinamide nucleotide transhydrogenase gene of C57BL/6J mice results in mitochondrial redox abnormalities[J]. Free Radic Biol Med,2013,63:446-456.
doi: 10.1016/j.freeradbiomed.2013.05.049 |
| [28] |
Williams JL, Hall CL, Meimaridou E, et al. Loss of Nnt increases expression of oxidative phosphorylation complexes in C57BL/6J hearts[J]. Int J Mol Sci,2021,22(11):6101.
doi: 10.3390/ijms22116101 |
| [29] |
Williams JL, Paudyal A, Awad S, et al. Mylk3 null C57BL/6N mice develop cardiomyopathy, whereas Nnt null C57BL/6J mice do not[J]. Life Sci Alliance,2020,3(4):e201900593.
doi: 10.26508/lsa.201900593 |
| [30] |
Ma Q, Grigorescu M, Schreiber A, et al. Genetic background but not intestinal microbiota after co-housing determines hyperoxaluria-related nephrocalcinosis in common inbred mouse strains[J]. Front Immunol,2021,12:673423.
doi: 10.3389/fimmu.2021.673423 |
| [31] |
Bufi R, Korstanje R. The impact of genetic background on mouse models of kidney disease[J]. Kidney Int,2022,102(1):38-44.
doi: 10.1016/j.kint.2022.03.020 |
| [32] |
叶秋萍, 陈思慧, 熊云峰, 等. C57BL/6不同亚型对阿霉素肾毒性的易感性[J]. 中华高血压杂志,2024,32(10):941-947.
doi: 10.16439/j.issn.1673-7245.2024.10.008 |
|
Ye QP, Chen SH, Xiong YF, et al. The susceptibility of C57BL/6 substrains to adriamycin nephropathy[J]. Chin J Hypertens,2024,32(10):941-947.
doi: 10.16439/j.issn.1673-7245.2024.10.008 |
|
| [33] | Simons M, Hartleben B, Huber TB. Podocyte polarity signaling[J]. Curr Opin Nephrol Hypertens,2009,18(4):324-330. |
| [34] |
Jeansson M, Björck K, Tenstad O, et al. Adriamycin alters glomerular endothelium to induce proteinuria[J]. J Am Soc Nephrol,2009,20(1):114-122.
doi: 10.1681/asn.2007111205 |
| [35] |
Dai R, Liu H, Han X, et al. Angiopoietin-like-3 knockout protects against glomerulosclerosis in murine adriamycin-induced nephropathy by attenuating podocyte loss[J]. BMC Nephrol,2019,20(1):185.
doi: 10.1186/s12882-019-1383-1 |
| [36] |
Ji B, Liu J, Ma Y, et al. Minnelide combined with ANGPTL3 knockout completely protects mice with adriamycin nephropathy via suppression of TGF-β1-Smad2 and p53 pathways[J]. Int Immunopharmacol,2023,115:109656.
doi: 10.1016/j.intimp.2022.109656 |
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