The purpose of this
study was to explore the repair effect of carboxymethyl-modified corn
silk polysaccharide (CSP) on oxidatively damaged renal epithelial
cells and the difference in adhesion between cells and calcium oxalate
crystals. The CSP was degraded and modified through carboxymethylation.
An oxidatively damaged cell model was constructed by oxalate damage
to human kidney proximal tubular epithelial (HK-2) cells. Then, the
damaged cells were repaired by modified polysaccharides, and the changes
in biochemical indexes and adhesion ability between cells and crystals
before and after repair were detected. Four modified polysaccharides
with carboxyl group (−COOH) contents of 3.92% (CSP0), 7.75%
(CCSP1), 12.90% (CCSP2), and 16.38% (CCSP3) were obtained. Compared
with CSP0, CCSPs had stronger antioxidant activity, could repair damaged
HK-2 cells, and could reduce phosphorylated serine eversion on the
cell membrane, the expression of osteopontin (OPN) and Annexin A1,
and crystal adhesion. However, its effect on the expression of hyaluronic
acid synthase was not substantial. The carboxymethyl modification
of the CSP can improve its ability to repair cells and inhibit crystal
adhesion and aggregation. A high carboxymethylation degree results in strong polysaccharide activity.
CCSPs are expected to reduce the risk of kidney stone formation and
recurrence.