血管紧张素转化酶与血管成形术后再狭窄的关系
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Correlation between Tissue Angiotensin Converting Enzyme and Restenosis after Experimental Angioplasty
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    摘要:

    为探讨组织血管紧张素转化酶在兔血管成形术后内膜增生中的作用及苯那普利对其的影响,建立了充血管再狭窄模型,每天用lmg/kg和10mg/kg的苯那普利饲养后进行HE染色、免疫组织化学分析、生物化学分析和酶活性测定。结果发现手术组组织血管紧张素转化酶活性显著增高(p<0.01),内膜损伤面积与组织血管紧张素转化酶活性呈非常显著相关(r=0.708,p<0.01);大剂量组组织血管紧素张转化酶活性下降59%,内膜捐伤面积减少43%(p<0.01);小剂量组组织血管紧张素转化酶活性轻度下降(p<0.05),内膜损伤面积无显著变化。提示血管组织血管紧张大转化酶过度表达可能在再狭窄形成过程中起重要作用,大剂量苯那普利可以通过抑制血管组织血管紧张素转化酶以减少内膜增生。

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    Aim To study the relation between vascular angiotensin converting enzyme (ACE) activity and intimal hyperplasia in rabbit restenotic model and the effects of different doses of benazepril.Methods Angioplasty was performed in the left artery of 28 New Zealand white rabbits. Benazepril was administrated to treatment groups in lowdose(n=9,1mg/kg) and high-dose (n= 9, 10 mg/kg)respectively. All animals were sacrificed 2 weeks after angioplasty. The vascular morphometry included intimal and medial areas,thus ratio of intimal area to medial area. Serum and vascular ACE activities were determined by fluorimetric assay.Results The vascular ACE activity of angioplasty subgroup was 2. 7 times higher than that of the nonangioplasty subgroup (p<0.01). The high-dose benazepril significantly reduced the vascular ACE activity and intimal area, compared with angioplasty subgroup (p<0.01). But the low-dose benazepril only moderately inhibited the vascular ACE activity (24% down,p<0.05), and the intimal area did not alter significantly. The significant positive correlation was displayed between vascular ACE activity and intimal area (r=0.708, p<0.01).Conclusion The excessive expression of vascular ACE may play a pontential role in restenosis. The high-dose benazepril could inhibited intimal hyperplasia by suppressing vascular tissue ACE.

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蒋利,陈万春,金立仁.血管紧张素转化酶与血管成形术后再狭窄的关系[J].中国动脉硬化杂志,1997,5(3):222~225.

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  • 收稿日期:1997-04-08
  • 最后修改日期:1997-08-21
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