阿托伐他汀对高血压大鼠心脏血管紧张素转换酶2表达的影响
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Effect of Atorvastatin on the Expression of Angiotensin-converting Enzyme 2 in the Heart of Hypertensive Rats
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    摘要:

    目的观察阿托伐他汀对两肾一夹高血压大鼠心脏血管紧张素转换酶2及心肌重构表达的影响,探讨阿托伐他汀改善心肌重构可能的新作用机制。方法40只雄性Wistar大鼠随机分为5组,每组8只:假手术组、血管紧张素转换酶2高血压组、缬沙坦组、阿托伐他汀10 mg/(kg.d)组和阿托伐他汀30 mg/(kg.d)组。测定药物干预后血压变化及全心重量、左心室重量、左心室重量指数;免疫组织化学法检测心脏血管紧张素转换酶2蛋白表达;放射免疫法测定心肌组织血管紧张素Ⅱ水平;逆转录聚合酶链反应法检测心脏血管紧张素转换酶2 mRNA表达。结果(1)高剂量阿托伐他汀组较高血压组血压降低显著(P<0.01)。(2)药物干预后高剂量阿托伐他汀组全心重量、左心室重量、左心室重量指数低于高血压组(P<0.05)。(3)高剂量阿托伐他汀组较高血压组降低心肌组织血管紧张素Ⅱ浓度显著(P<0.01)。(4)缬沙坦组、阿托伐他汀组心脏血管紧张素转换酶2蛋白表达较高血压组增强。(5)逆转录聚合酶链反应显示各组大鼠心脏组织中均有血管紧张素转换酶2 mRNA的表达,缬沙坦组,低剂量、高剂量阿托伐他汀组较高血压组不同程度增高(P<0.05)。结论阿托伐他汀在降低血压的同时,具有改善心肌重构作用,其可能是通过降低心肌组织血管紧张素Ⅱ浓度,增加心脏组织血管紧张素转换酶2蛋白表达,增加心脏组织血管紧张素转换酶2 mRNA表达来实现的。

    Abstract:

    Aim To observe the effect of atorvastatin on the expressions of angiotensin-converting enzyme 2(ACE2) within heart in two kidney and one-clip(2K1C) hypertensive rats.To discuss new possible mechanism of atorvastatin on improving myocard remodeling. Methods Fifty adult male Wistar rats were randomly divided into five groups(n=8): control group,2K1C hypertension group,valsartan group,atorvastatin 10 mg/(kg·d) group and atorvastatin 30 mg/(kg·d) group.SBP was measured before making 2K1C hypertension model,after drugs were given for 4 weeks and 8 weeks by tail-cuff method. After 8 weeks,entire heart,and left ventricle were weighed.The left ventricular weight index was calculated.The distribution and expression of ACE2 in heart were detected by immunohistochemistry and the expression of ACE2 mRNA was determined by RT-PCR.The myocardial angiotensinⅡlevel was measured by radioimmunoassay. Results The high dose atorvastatin and valsartan group could make SBP significantly decreased compared with the hypertension group(P<0.01).(2) Compared with the hypertension group,entire heart weight,left ventricular weight and left ventricular weight index were decreased in the control,high dose atorvastatin and valsartan group after all drugs were given for 8 weeks(P<0.05).(3)The level of angiotensinⅡin rat myocard tissue was decreased in high dose atorvastatin group compared with that of the hypertension group(P<0.01).(4)The expression of ACE2 protein was increased in the valsartanan,low and high dose atorvastatin group compared with that of the hypertension group.(5) ACE2 mRNA in heart was expressed in all rats.The levels of ACE2 mRNA expression increased differentially by valsartan,low and high dose atorvastatin treatment compared with that of the hypertensive group(P<0.05). Conclusion Atorvastatin can improve myocard remodeling along with SBP decreases.The myocard remodeling effect of atorvastatin may be ascribed to the increased ACE2 in heart,the decreased angiotensinⅡin myocard tissue.

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张林叶,邢文,王安才.阿托伐他汀对高血压大鼠心脏血管紧张素转换酶2表达的影响[J].中国动脉硬化杂志,2009,17(5):375~378.

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  • 收稿日期:2009-02-20
  • 最后修改日期:2009-04-20
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