Objective To investigate the mechanism of lipid-lowering effect of the Astr
agalus mongholicus and Angelica sinensis compound (A&A) on nephrotic hyperl
ipidemia in rats.
Methods Rats with nephrotic syndrome from accelerated nephrotoxic serum nep
hritis were used. They were divided into two groups: A&A treatment group an
d nephrotic control group. Normal rats were used as a normal control group.
Serum lipids, serum lipoprotein lipase ( LPL) and lecithin-cholesterol acy
ltransferase (LCAT) were assayed biochemically and enzymatically. mRNAs of
hepatic hydroxy-methyl glutaryl-CoA reductase (HMG-CoA-R) and low-density l
ipoprotein receptor (LDL-R) were assessed by Northern blot.
Results In nephrotic control group hyperlipidemia was found. The activities
of serum LPL and LCAT were low. Hepatic HMG-CoA-R mRNA increased temporari
ly at the early stage while LDL-R mRNA decreased group, serum total (TG), l
ow-density lipoproteins (LDL and very low-density lipoproteins (VLDL) were
significantly lower than those in nephrotic control group. There was no cha
nge in the amount of hepatic HMG-CoA-R mRNA, but hepatic LDL-R mRNA and act
ivities of serum LPL and LCAT increased significantly.
Conclusions A&A alleviates hyperlipidemia considerably in nephrotic rats. A
&A improves disorders of lipid metabolism perhaps through up-regulating the
expression of hepatic LDL-R gene and through increasing the activities of
serum LPL and LCAT.