心房颤动患者血清TNF-α、TGF-β水平及其对心肌成纤维细胞趋化作用的影响
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Serum Levels of Tumor Necrosis Factor-alpha and Transforming Growth Factor-beta in Atrial Fibrillation and Its Chemotatic Effects on Cardiac Fubroblast
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    目的 研究心房颤动与非心房颤动患者血清中转化生长因子β(TGF-β)、肿瘤坏死因子α(TNF-α)的动态变化及其对心肌成纤维细胞趋化运动诱导能力的差异。方法 采用酶联免疫吸附法检测心房颤动与非心房颤动患者血清中TGF-β、TNF-α蛋白含量;培养新生SD大鼠的心肌成纤维细胞,取3~4代细胞采用Transwell装置检测不同浓度(1 μg/L、10 μg/L、50 μg/L)的TGF-β、TNF-α诱导成纤维细胞运动的能力差异。结果 血清中TGF-β、TNF-α含量各组均有明显差异,其中持续性心房颤动组最高,非心房颤动房性心律失常组明显高于阵发性心房颤动组,对照组最低;在不同浓度(1 μg/L、10 μg/L、50 μg/L)TGF-β、TNF-α的趋化诱导作用下,迁移至下室的细胞 50 μg/L组较其它浓度组明显增高,10 μg/L组次之,与其它各组比较均具有统计学意义。Logistic回归分析表明,迁移至滤膜下的细胞数与血清中TGF-β、TNF-α含量有相关性。结论 各组血清中TGF-β、TNF-α含量不同,说明心房颤动的发生与潜在的炎症状态有关;TGF-β、TNF-α对心肌成纤维细胞具有趋化作用,心房颤动患者心肌成纤维细胞的趋化作用部分是由TNF-α、TGF-β介导的;血清中TNF-α、TGF-β水平变化间接反映了心肌损伤的存在、范围和程度。

    Abstract:

    Aim To investigate the different serum levels of tumor necrosis factor-alpha(TNF-α) and transforming grouth factor-beta(TGF-β) between atrial fibrilliation and other control groups, and its chemotatic effects on cardiac fubroblast. Methods Serum concentrations of TNF-α and TGF-β were measured by enzyme-linked immune-absorbent assay(ELISA)Cardiac fibroblast were isolated from the venticles of 1~3 days Sprague-Dawley neonatal rats and passaged three to four generation, the transwell chamber assay were used to test the different chemotatic effects of the cardiac fibroblasts with the different concentration (1 μg/L, 10 μg/L, 50 μg/L) of TNF-α and TGF-β. Results Compared with control group, the serum of TNF-α and TGF-β in other groups were obviously increased. The group of persistent atrial fibrillation (per-Af) was the highest, the serum of TNF-α and TGF-β in non-Af atrial arrhythmia(AA) was higher than paroxysmal Af(per-Af), the control group was the least. In different concentration (1 μg/L,10 μg/L, 50 μg/L) of TNF-α and TGF-β chemotaxis induced, the number of cells that migrated through the polycarbonate membrane were different, 50 μg/L group were significantly increased compared with other concentrations, the number of migrated cell in 10 μg/L group was higher than 1 μg/L group. The multiple Logistic regression analysis showed that the migrated cells in the lower surface were related to the concentration of TNF-α and TGF-β. Conclusions The different concentration of TNF-α and TGF-β among each group show that the occurrence of atrial fibrillation is associated with the potential inflammatory state. TNF-α and TGF-β have chemotaxis effect on cardiac fibroblast,its level is correlated with chemotatic movement. The chemotaxis of the serum with atrial fibrillation patients is partly mediated by TNF-α and TGF-β and it plays an important role in atrial fibrosis. The concentration of TNF-α and TGF-β can be used to reflect indirectly the presence, severity, extent of the myocardial damage.

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段卡丹,谷云飞,张守彦,金 军,薛书峰.心房颤动患者血清TNF-α、TGF-β水平及其对心肌成纤维细胞趋化作用的影响[J].中国动脉硬化杂志,2015,23(12):1258~1262.

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  • 收稿日期:2014-12-31
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  • 在线发布日期: 2015-12-26