人白细胞DR抗原在冠状动脉粥样硬化早期病变中的表达及与CS-PG的关系
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国家八·五攻关课题


Human Leukocyte Antigen-DR Expression and Relationship with Chondroitin Sulfate Proteoglycan in the Earlier Lesion of Coronary Atherosclerosis
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    摘要:

    为研究人白细胞DR抗原(humanleukocyteantigen-DR,HLADR-DR)和硫酸软骨素蛋白聚糖(chondroitinsulfateproteoglycan,CS-PG)在人冠状动脉中的表达,将13例年轻人(15岁~39岁)的冠状动脉(左旋支或左前降支)用福尔马林固定后,进行石蜡包理,其中6例为对照组(正常组),7例为病变组(脂纹组)。连续切片后,应用微波炉对两组各例进行HLA-DR和CS-PG免疫组织化学染色。切片经图象分析仪定量后,所得结果显示,病变组内膜HLA-DR阳性细胞数密度和CS-PG阳性细胞面密度都分别明显高于对照组(p<0.01),并且对照组和病变组内膜HLA-DR数密度和CS-PG面密度都呈显著正相关(p<0.01)。从脂纹组中任取一例进行CD68、增殖细胞核抗原的免疾组织化学染色,经镜下观察发现,CD68阳性细胞同时也是HLA-DR阳性;HLA-DR阳性细胞大部分是增殖细胞核抗原阳性。提示冠状动脉粥样硬化早期病变中HLADR表达与泡沫细胞的形成、平滑肌细胞的增殖、SCPG增多有密切关系。

    Abstract:

    In order to study expression of human leukocyte antigen-DR (HLA-DR) and chondroitin sulfate proteoglycan (CS-PG) in human coronary artery , 13 coronary arieries including normal group (n=6) and lesion group (n=7),which were fixed with formalin, embedded in paraffin and slided successively (4μm ), were stained with HLA-DR and CS-PG microwave immunohistochemistry. Then the slides were quantitated with image analyzer. Results indicated that the numerical density of HLA-DR positive cells and the area density of CS-PG in the intima of lesion group were evidently higher than that of normal group, and were significantly correlative with that of normal group. One of lesion group was stained with proliferative cell nuclear antigen (PCNA) and CD68. Similar localization of CD68 and HLA-DR was found in intima. Menatime, positive cells of HLA-DR mostly were positive ones of PCNA. These results indicated that expression HLADR in earlier As lesion was closely related with formation of foam cells, proliferation of SMC and increase of CS-PG.

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韩晓男,赵培真,杨方,杨瑞彪,陈忠,梁凤玲.人白细胞DR抗原在冠状动脉粥样硬化早期病变中的表达及与CS-PG的关系[J].中国动脉硬化杂志,1995,3(3):232~235.

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