前列地尔对慢性心衰大鼠心肌基质金属蛋白酶表达及纤维化的影响
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Effects of Alprostadil on the Expressions of Matrix Metalloproteinases and Fibrosis in Myocardial Tissues of Rats with Chronic Heart Failure
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    摘要:

    目的 探讨前列地尔对慢性心衰大鼠心肌组织基质金属蛋白酶2(MMP-2)、基质金属蛋白酶9(MMP-9)的表达及心肌纤维化的影响。方法 70只雄性SD大鼠随机分成假手术组和模型组。模型制备采用腹主动脉缩窄法,4周后模型组大鼠死亡7只。根据前列地尔给药浓度,将存活的51只模型大鼠随机分为未治疗组、低剂量组、中剂量组和高剂量组,给药2周。Masson染色于光镜下观察心肌间质胶原纤维沉积情况,测定胶原容积分数(CVF)、羟脯氨酸(HYP)水平及胶原总含量。实时荧光定量PCR检测各组心肌组织MMP-2、MMP-9 mRNA表达,明胶酶谱法检测其活性变化。结果 低、中、高剂量组大鼠心肌CVF、HYP水平及胶原总含量明显低于未治疗组(P<0.05或P<0.01)。与未治疗组比较,低、中、高剂量组大鼠心肌MMP-2、MMP-9 mRNA表达和活性水平均下调(P<0.05或P<0.01),低、中剂量组间MMP-2、MMP-9 mRNA表达无统计学差异(P>0.05),高剂量组MMP-2、MMP-9 mRNA表达明显低于低、中剂量组,差异有统计学意义(P<0.05);随前列地尔剂量增加,低、中、高剂量组间MMP-2、MMP-9活性水平逐渐下降,三组间差异有统计学意义(P<0.05)。前列地尔剂量与大鼠心肌CVF、HYP水平、胶原总含量、MMP-2和MMP-9 mRNA表达及活性水平均存在负相关(P<0.05或P<0.01)。结论 前列地尔可能通过抑制基质金属蛋白酶的表达及活性而减轻心肌纤维化,限制慢性心衰大鼠心室重塑和心衰进展,改善慢性心衰的预后。

    Abstract:

    Aim To observe the effects of alprostadil on the expressions of metalloproteinase-2 (MMP-2) and metalloproteinase-9 (MMP-9) and fibrosis in myocardial tissues of rats with chronic heart failure. Methods Seventy male SD rats were randomly divided into sham operation group and model group. Rats in model group were made by abdominal aorta coarctation. Four weeks later,the model rats were randomly divided into four groups according to different concentrations of alprostadil: untreated group,low dose group,medium dose group and high dose group. After two weeks,myocardial collagen fibers were evaluated through Masson staining and collagen volume fraction (CVF) was measured. The contents of hydroxyproline (HYP) and the total collagen in myocardium were tested. The mRNA expressions of MMP-2 and MMP-9 in myocardial tissues were detected by real-time fluorescence quantitative polymerase chain reaction and activities of MMP were assayed by zemography. Results Compared with untreated group,CVF,HYP and the total collagen contents in myocardial tissues of rats were decreased significantly (P<0.05 or P<0.01) in all drug-treated groups. The mRNA expression levels and activites of MMP-2 and MMP-9 were significantly lower in drug-treated groups than in untreated group (P<0.05 or P<0.01). There was no statistically signicant difference of the mRNA expression between low dose group and medium dose group (P>0.05). The mRNA contents of MMP-2 and MMP-9 were decreased significantly in high dose group compared with low dose group and medium dose group (P<0.05). The levels of MMP-2 and MMP-9 activates were significantly decreased with the concentration of alprostadil (P<0.05 or P<0.01). Concentrations of alprostadil are inversely correlated with CVF,HYP,total collagen contents,mRNA expressions and activates of MMP-2 and MMP-9 in myocardial tissues of rats (P<0.05 or P<0.01). Conclusions Alprostadil can decrease the expressions and activition of MMP-2 and MMP-9 in myocardial tissue of rats with chronic heart failure,which may be the important mechanism in delaying the myocardial fibrosis progression,preventing cardiac remodeling and delaying the progress of chronic heart failure.

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杨 薪,刘映峰,王世祥,陈 安,汪新良.前列地尔对慢性心衰大鼠心肌基质金属蛋白酶表达及纤维化的影响[J].中国动脉硬化杂志,2015,23(03):266~270.

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  • 收稿日期:2014-10-13
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