辛伐他汀、丙丁酚和卡托普利在动脉粥样硬化斑块消退中的作用及与金属蛋白酶1和组织抑制物1基因表达的关系
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山东省卫生厅“九·五”攻关项目(9711);卫生部临床学科重点项目


The Role of Simvastatin, Probucol and Captopril on the Regression of Atherosclerotic Plaque and the Possible Mechanisms Related to Matrix Metalloproteinase-1 and Tissue Inhibitor of Metalloproteinase-1
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    摘要:

    观察药物消退和稳定动脉粥样硬化的作用并探讨基质金属蛋白酶1及基质金属蛋白酶组织抑制物1的表达。对实验性动脉粥样硬化兔,分别给予辛伐他汀、丙丁酚和卡托普利治疗12周。结果发现,3种药物均可显著降低血脂,以丙丁酚和辛伐他汀效果较强;在停止喂胆固醇后,自然消退组内中膜进一步增厚,3种药物均可显著消退动脉粥样硬化;药物治疗组的胶原Ⅰ、基质金属蛋白酶1及基质金属蛋白酶组织抑制物1的mRNA表达水平均下降,其中丙丁酚组金属蛋白酶1的表达下降有统计学意义。3种药物均有消退动脉粥样硬化的作用,以辛伐他汀最佳;而药物通过减少基质金属蛋白酶1表达,相对减少基质金属蛋白酶1/基质金属蛋白酶组织抑制物1的表达比例,起到稳定斑块的作用。

    Abstract:

    Aim To study the effects of simvastatin,probucol and captopril on regression and stabilization of atherosclerosis, and to explore the expression of matrix metalloproteinase-1 (MMP-1) and tissue inhibitor of metalloproteinases-1 (TIMP-1). Methods 50 rabbits were induced to atherosclerosis by feeding cholesterol and then treated with simvastatin, probucol, captopril respectively for 12 weeks. The tissues of abdominal aorta were studied by reverse transcription polymerase chain reaction (RT-PCR), pathology and immunohistochemistry staining. Results The lipids were decreased in the drug-therapy groups significantly (p<0.05), especially in probucol and simvastatin groups. The atherosclerosis regressed significantly in the drug-therapy groups (p<0.05), and simvastatin had the best result. The expression of mRNA level of collagen Ⅰ, MMP-1 and TIMP-1 was decreased in drug-therapy groups, but was statistically significant only in the probucol group (p<0.01). Conclusion Simvastatin, probucol and captopril could regress the atherosclerosis and stabilize the plaque by reducing the expression of MMP-1.

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张园园,张运,张梅,高月花,李秀昌,方永奇.辛伐他汀、丙丁酚和卡托普利在动脉粥样硬化斑块消退中的作用及与金属蛋白酶1和组织抑制物1基因表达的关系[J].中国动脉硬化杂志,2003,11(5):401~404.

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  • 收稿日期:2002-11-19
  • 最后修改日期:2003-04-15
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