Objective:To observe the effect of astragaloside IV on PERK pathway in rats with passive Heymann nephritis.Methods:The rat model of passive Heymann nephritis was established by tail intravenous injection of anti-Fx1A serum.Forty SD rats were randomly divided into the normal control group,the model group,the low-dose astragaloside IV group,the high-dose astragaloside IV group and the benazepril group.After the success of model establishment,each treatment group received intragastric administration for 4 weeks.Detected 24-h urinary protein quantification periodically.After 4 weeks,sacrificed all the rats,collected blood to detect serum albumin,observed the renal pathological changes by PASM,detected the expression of phosphorylated protein kinase R-like ER kinase(p-PERK)and phosphorylated eukaryotic translation initiation factor 2α(p-eIF2α)in renal tissues by immunehistochemistry,and detected the expression of glucose-regulated protein 78(GRP78)in renal tissues by Western blot.Results:24-h urinary protein quantification of rats in the model group was significantly higher than that in the normal control group(P < 0.05),and the urine protein was gradually increased as time went by,which reached its peak after 4 weeks.After administration for 4 weeks,comparing with the normal control group,the expression of p-PERK,p-eIF2α and GRP78 in the renal tissues of rats in the model group was evidently higher,serum albumin was decreased evidently,differences being significant(P < 0.05).Comparing with the model group,24-h urinary protein quantification of rats in the high-dose astragaloside IV group and the benazepril group were significantly decreased,the expression of p-PERK,p-eIF2α and GRP78 in the renal tissues was significantly decreased,and serum albumin was significantly increased,differences being significant(P< 0.05).Conclusion:Astragaloside IV may relieve the renal damage resulting from passive Heymann nephritison by inhibiting PERK pathway in endoplasmic reticulum stress(ERS).