沉默Nrf2基因的骨髓间充质干细胞移植对大鼠心肌梗死后心室重构和纤维化的影响
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国家自然科学基金资助项目(NSFC 81360021);贵州省科学技术基金资助项目(黔科合J字号LKZ[2012] 29号)


Effect of siRNA Silent Nrf2 Gene Modifying Mesenchymal Stem Cell Transplantation on the Ventricular Remodeling After Rat Myocardial Infarction
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    摘要:

    目的 探讨以siRNA为载体沉默骨髓间充质干细胞(MSC)中核因子E2相关因子2(Nrf2)基因后细胞移植对大鼠心肌梗死后心肌纤维化和心室重构的影响及可能机制。方法 建立心肌梗死大鼠模型,随机分为沉默Nrf2基因的MSC移植组(MSCNrf2-/-组)、过表达Nrf2基因的MSC移植组(MSCNrf2+/+组)和生理盐水转染MSC移植组(对照组),每组12只。细胞移植后28天,采用Masson染色检测心肌梗死边缘区胶原沉积含量和纤维化程度,Western blot检测梗死心肌Nrf2和血红素氧合酶1(HO-1)蛋白表达水平,超声心动图评价梗死后心功能。结果 siRNA-Nrf2转染MSC后,Nrf2蛋白表达明显减少。移植后第28天,MSCNrf2-/-组心肌组织纤维化程度较对照组加重,MSCNrf2+/+组心肌组织纤维化程度较对照组减轻(P<0.05);MSCNrf2-/-组梗死心肌中Nrf2、HO-1蛋白表达较对照组下降(P<0.05),而MSCNrf2+/+组梗死心肌中Nrf2、HO-1蛋白表达较对照组增加(P<0.05);超声心动图结果显示,与对照组比较,MSCNrf2-/-组左心室舒张期末内经(LVEDD)和左心室收缩期末内经(LVESD)增大,左心室射血分数(LVEF)下降(P<0.05),MSCNrf2+/+组LVEDD和LVESD均减小,LVEF无下降(P<0.05)。结论 siRNA-Nrf2可有效干扰MSC中Nrf2蛋白的表达,降低外源性MSC对梗死心脏的修复能力,增加心肌梗死区胶原沉积,进而促进心室重构,降低心功能。由此推测Nrf2信号通路在干细胞移植治疗心肌梗死后心肌重构和纤维化中起了关键作用。

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    Aim To explore the effect of Nrf2 gene in silent bone marrow mesenchymal stem cells (MSC) that take siRNA as the vector on the myocardial fibrosis and ventricular remodeling after the treatment of rat myocardial infarction (MI) with its transplantation as well as to investigate the potential mechanism of this process.Methods The established MI rat models were randomly divided into MSC transplantation group with silent Nrf2 gene (MSCNrf2-/-),MSC transplantation group with over expression of Nrf2 gene (MSCNrf2+/+),and MSC transplantation group with PBS (control group),12 rats in each group. At the 28 th day after cell transplantation,the collagen deposition and fibrosis degrees after MI were evaluated using myocardial tissue Masson staining,the expression levels of infarcted myocardium Nrf2 and heme oxygenase-1 (HO-1) proteins were detected using Western blot,LVEDD,LVESD and LVEF were evaluated using echocardiography.Results At the 28 th day after cell transplantation,Masson staining results showed that myocardial tissue fibrosis degree in MSCNrf2-/- group was severer than that in control group (P<0.05),but the MSCNrf2+/+group showed to decrease with control group (P<0.05). Western blot results showed that the Nrf2 and HO-1 protein expression decreased in MSCNrf2-/- group with a statistically significant difference compared with control group (P<0.05),however,the Nrf2 and HO-1 protein expression in MSCNrf2+/+ group significantly increased compared with control group (P<0.05). Echocardiography results showed that LVEDD and LVESD values increased and LVEF value decreased in MSCNrf2-/- group with a statistically significant difference compared with control group (P<0.05). While the comparison of control group,LVEDD and LVESD values decreased and LVEF value increased in MSCNrf2+/+ group.Conclusions Nrf2 siRNA can effectively interfere the expression of Nrf2 in MSC and reduce the repair ability of exogenous MSC for MI heart,which will increase the collagen deposition in infarcted area,thus contributing to ventricular remodeling and reducing cardiac function.

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龙仙萍,邓文文,赵然尊,郑小宇,石 蓓.沉默Nrf2基因的骨髓间充质干细胞移植对大鼠心肌梗死后心室重构和纤维化的影响[J].中国动脉硬化杂志,2015,23(05):469~474.

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  • 收稿日期:2015-01-19
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