L-精氨酸能改善血管内皮依赖性舒张和抗动脉粥样硬化的损伤
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湖南省卫生厅攻关项目


L-Arginine Improves Endothelium Dependent Vasorelaxation and Reduces the Development of Proliferative atherosclerotic lesions
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    摘要:

    内皮细胞功能不良、血小板和粒细胞的粘附和聚集、机械损伤的炎症反应、中膜平滑肌细胞向内膜下迁移增殖等在动脉粥样硬化发生中起重要作用,而内皮细胞持续产生释放的一氧化氮除介导血管内皮依赖性舒张作用外,补充L-精氨酸(一氧化氮的前体),将增加一氧化氮的产生和改进内皮依赖性舒张功能。本实验将24只新西兰兔分成4组:①未损伤组;②右侧髂动脉损伤+2%胆固醇组;③2%精氨酸组;④右侧髂动脉损伤+2%胆固醇+2%精氨酸组。结果发现,①、③和④组的内皮依赖性舒张功能值比②组大(p<0.01),但前三组之间没有明显差别(p>0.05)。同时,L-精氨酸还能部分地抑制内皮剥脱和高胆固醇所引起家兔髂动脉内膜增厚。结果提示:补充L-精氨酸可能通过一氧化氮的产生增加,从而改善血管内皮依赖性舒张功能和抗动脉粥样硬化损伤的作用。

    Abstract:

    Reductions in nitric oxide (NO)activity persist after arterial intimal injury and may be a factor in the development of atherosclerosis. NO inhibits in vitro or in vivo platelet aggregation,leukocyte adhesion,and smooth muscle cell growth,all of which are key components in the process of intimal hyperplasia. We hypothesised that supplementation with Larginine, the presursor of NO, would increase NO production and thereby improve endothelium-dependent vasorelaxation and inhibit the development of atherosclerosis. Twenty-four New zealand white male rabbits were divided to four groups: ①uninjury, ②unilateral iliac artery injury + 2% cholesterol, ③ LArginine, ④unilateral iliac artery injury + 2% cholesterole 2K L-arginine. The iliac arteries were harvested for functional and morphometric studies. Maximal endothelium-dependent vasorelaxation in group ①,③and ④ was significantly greater than in group ②, but there was no significant difference of endothelium-dependent vasorelaxation among group ①, ③ and ④, L-arginine could partly inhibit the development of atheroselerotic plaques. These data suggest that L-arginine supplementation enhances NO production at sites of vascular healing and may reduce the development of proliferative atherosclerotic lesions.

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杨爱莲,唐显庆,王小平,陈颜芳,万腊香,欧和生,黄宗之,彭建平,刘革修,张彤,杨和平. L-精氨酸能改善血管内皮依赖性舒张和抗动脉粥样硬化的损伤[J].中国动脉硬化杂志,1995,3(1):36~39.

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