局部应用雷帕霉素在预防移植静脉再狭窄中的作用
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Local Application of Rapamycin Inhibiting Restenosis in Experimental Vein Graft
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    摘要:

    目的探讨局部应用雷帕霉素对移植静脉内膜增生及平滑肌细胞增殖的抑制作用。方法30只Wistar大鼠随机分为对照组和雷帕霉素干预组,建立大鼠颈外静脉与颈内动脉间移植模型,干预组将200μg雷帕霉素应用到移植静脉周围,对照组只移植静脉不给予雷帕霉素,于术后4周提取移植静脉,进行形态学分析测定内膜和中膜厚度及内膜中膜厚度比,行bcl-2和bax免疫组织化学染色测定新生内膜阳性细胞百分比。结果形态学分析可见雷帕霉素组平均静脉内膜厚度为13.8±0.6μm,较对照组36.4±1.6μm明显降低(p<0.05)。雷帕霉素组平均中膜厚度为53.4±2.2μm,对照组为76.2±2.6μm,雷帕霉素组内膜中膜厚度比为0.258±0.031,显著低于对照组0.478±0.015(p<0.05),免疫组织化学染色提示应用雷帕霉素后bcl-2阳性率为16.6%±2.2%,明显低于对照组51.3%±3.4%,雷帕霉素组bax阳性率为63.3%±3.2%,而对照组阳性率为16.3%±1.3%,说明雷帕霉素可以抑制bcl-2蛋白的表达,增强bax蛋白的表达。结论在移植静脉周围局部应用雷帕霉素可以减少静脉移植术后再狭窄的发生。

    Abstract:

    Aim To examine the effect of rapamycin on reducing neointima formation and the proliferition of vascular smooth muscle cell(VSMC) after local application of rapamycin in a mouse model of vein graft. Methods Vein graft model was established in 30 Wistar mice which were randomly divided into two groups: rapamycin group and control group.In the rapamycin group,200 μg of rapamycin was applied locally.The control group did not receive local treatment.Graft veins were harvested 4 weeks later and underwent morphometric analysis as well as immunohistochemical analysis. Results Morphometric analysis indicate that the thickness of neointima in rapamycin group is obviously less than that in control group(13.8±0.6 μm vs 36.4±1.6 μm,p<0.05).Immunohistochemical analysis shows that the reduction of bcl-2 positive cells in vascular smooth muscle of rapamycin group was 16.6%±2.2% vs 51.3%±3.4%(p<0.05) and the decreased amount of bax positive cell was 63.3%±3.2% vs 16.3%±1.3%(p<0.05). Conclusion Local application of rapamycin can inhibits restenosis in experimental vein graft.

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范萌,谷天祥,姜春力,李卓.局部应用雷帕霉素在预防移植静脉再狭窄中的作用[J].中国动脉硬化杂志,2006,14(11):956~958.

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  • 收稿日期:2006-07-06
  • 最后修改日期:2006-11-30
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