内皮型一氧化氮合酶基因转移预防移植血管狭窄
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Adenovirus-Mediated Endothelial Nitric Oxide Synthase Gene Transfer Prevents Restenosis of Vein Grafts
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    摘要:

    探讨内皮型一氧化氮合酶基因转移防治移植静脉血管桥再狭窄的可行性。构建带有内皮型一氧化氮合酶基因的复制缺陷型重组腺病毒载体和腺病毒空载体。采用山羊自体颈静脉作血管桥,在体外转染带有内皮型一氧化氮合酶基因的腺病毒载体(实验组)和腺病毒空载体(对照组) ,然后旁路移植法端—侧吻合到颈动脉上。术后30天,通过免疫组织化学染色,测定静脉桥3H TDR的掺入量和静脉桥内膜厚度及管腔狭窄面积百分比,观察内皮型一氧化氮合酶基因在静脉桥中的功能表达和静脉桥新生内膜的增生情况。结果发现,与对照组相比,转染后30天,实验组静脉桥中外源性内皮型一氧化氮合酶仍有功能表达,静脉桥3H TDR掺入量明显减少(P<0 .0 1) ;静脉桥平均内膜增生厚度和管腔狭窄面积百分比明显低于对照组(P<0 .0 1)。结果提示,内皮型一氧化氮合酶基因转移可以有效抑制移植血管新生内膜的增生,对预防移植血管狭窄有一定的作用。

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    Aim To explore the possibility of endothelial nitric oxide synthase (eNOS)gene transfer preventing restenosis of vein grafts. Methods We constructed the recombinant adenovirus vector that coding eNOS, AdCMV eNOS and adenovirus vector (AdCMV). Artery bypass animal model was constructed: we took jugulars of goat as grafts, infected AdCMV eNOS and AdCMV in vitro, then anastomosed the vein grafts between carotids of goats. The functional expression of eNOS in vein grafts was assessed using immunohistochemical staining and measurement of NO concentration. The inhibition of intimal hyperplasia in vein grafts transducted AdCMV eNOS was assessed using assay of 3 H-TDR incorporation, histologic analysis, measursment of intimal thickness and area percentage of stenosis of vein grafts. Results Expression of eNOS gene in vein grafts began on 48 h after transducted with AdCMV eNOS. Levels of NO in vein grafts: AdCMV eNOS transduced veins yielded 1724.1±312.2 μmol/(L·g ), whereas AdCMV yielded 245.8±17.4 μmol/(L·g) (p<0.001, n=3). Levels of 3 H-TDR Incorporation: Incorporation in AdCMV veins was 487.7±51.1 cmp/mg vessel, and 140.8±32.5 cmp/mg vessel in AdCMV eNOS veins (p<0.01, n=3). Mean thickness of intimal was 125.7±30.60 μm in AdCMV veins, and 28.8±5.24 μm in AdCMV eNOS veins; area percentage of stenosis was 52.18%±8.46% in AdCMV veins, and 23.6%±4.71% in AdCMV eNOS veins. Conclusions Adenovirus-mediated eNOS gene transfer could inhibit intimal hyperlasia effectively. This work lay a foundation in gene therapy of grafts restenosis after CABG.

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王晓明,吴树明,郭兰敏.内皮型一氧化氮合酶基因转移预防移植血管狭窄[J].中国动脉硬化杂志,2004,12(4):430~432.

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  • 收稿日期:2003-11-14
  • 最后修改日期:2004-04-01
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