压力超负荷致心肌细胞增殖细胞核抗原和周期素D1的表达变化及其与心肌肥大的关系
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Expressional Changes of Proliferating Cell Nuclear Antigen and Cyclin D1 in Cardiomyocytes Induced by Pressure Overload and the Relationship between these Changes and Myocardial Hypertrophy
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    摘要:

    目的观察压力超负荷所致肥大心肌中增殖细胞核抗原和周期素D1的表达变化,探讨其与心肌肥大的相互关系。方法采用腹主动脉缩窄法建立大鼠心肌肥大模型,在术后不同时间点用颈总动脉插管法动态测定心功能并观察左心室体重比及心肌细胞横径的变化,用免疫组织化学方法检测心肌细胞增殖细胞核抗原和周期素D1表达变化,分别计算其阳性细胞占总心肌细胞数的比率。结果腹主动脉缩窄术后各时间点左心室体重比及心肌细胞横径进行性增高(p<0.05),同时心功能也进行性增强(p<0.05)。增殖细胞核抗原和周期素D1阳性率术后1周时显著增高(p<0.01),随后逐步回降,6周时同对照组相比差异无显著性。结论心肌肥大中不仅有心肌细胞体积的增大而且早期伴有增殖指标高表达,这种增殖指标的高表达随着心脏对负荷的适应逐步回降至正常水平,而心肌细胞体积仍进行性增大。

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    Aim To observe expressional change of proliferating cell nuclear antigen(PCNA) and cyclin D1 of cardiomyocytes in hypertrophic myocardium induced by pressure overload and investigate the relationship between cardiomyocytes hyperplasia and myocardial hypertrophy. Methods Rat models of pressure overload were produced by aorta constriction(AC). Myocardial mechanics were measured by carotid artery canal connected with pressure transducer and the changes of LV/Bwt and myocardium transverse diameter(TDM) were determined. The expressions of PCNA and cyclin D1 were detected by immunohistochemical method and the ratio of positive cardiomyocytes nuclear and total cardiomyocytes nuclear were then calculated. Result Myocardial mechanics and left ventricular mass index of AC group were significantly higher than that of matchable SO group (p<0.05), and progressively increased in 1, 3, 6 weeks after AC. A significant increase of positive ratios of PCNA and cyclin D1 followed by a gradual decline from it peak in the 1st week to normal in 6th week after AC were observed. Conclusion There were not only the enlarging of cellular size but also the higher expression of proliferation marker in early stage of myocardial hypertrophy. This expression of proliferation marker gradually fall to normal level along with the adaption of heart to pressure overload, while the cardiomyocytes size remained progressive enlargement.

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刘进军,王晓虹,苏兴利,周娟,刘瑞,林元喜,高广道.压力超负荷致心肌细胞增殖细胞核抗原和周期素D1的表达变化及其与心肌肥大的关系[J].中国动脉硬化杂志,2005,13(4):467~470.

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  • 收稿日期:2004-10-11
  • 最后修改日期:2005-05-16
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