肝X受体β基因敲除加重小鼠心肌梗死后心力衰竭
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(1.上海交通大学附属第一人民医院心内科,上海市 200080;2.上海交通大学附属仁济医院肝脏外科,上海市 200127;3.盐城市第一人民医院心内科,江苏省盐城市 224005)

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刘晓强,在读硕士研究生,主治医师,研究方向为核受体在小鼠心肌梗死中的作用机制,E-mail为lxq010436@163.com。陆天飞,硕士,主治医师,研究方向为肝脏缺血再灌注机制

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Liver X Receptor-β Gene Knock-out Aggravates Heart Failure After Myocardial Infarction in Mice
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1.Department of Cardiology, Affiliated Shanghai First People’s Hospital, Shanghai Jiaotong University, Shanghai 200080, China;2.Department of Transplantation and Hepatic Surgery, Affiliated Renji Hospital, Shanghai Jiaotong University, Shanghai 200127, China;3.Department of Cardiology, Yancheng First People’s Hospital, Fourth Affiliated Hospital of Nantong University, Yancheng, Jiangsu 224005, China)

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    摘要:

    目的 探讨肝X受体β(LXRβ)对小鼠心肌梗死(MI)后慢性心力衰竭的影响。方法 野生型(WT)小鼠和LXRβ基因敲除(LXRβ-/-)小鼠通过结扎左冠状动脉前降支建立MI模型。MI后3天,用Western blot检测Cleaved Caspase-3及TUNEL染色评价心肌细胞凋亡,定量实时聚合酶链反应(qRT-PCR)检测促炎细胞因子肿瘤坏死因子α和白细胞介素6的表达。MI后4周,采用超声心动图评价左心室功能,氯化三苯四唑染色评价梗死面积,心肌组织Masson三色染色和α-平滑肌肌动蛋白染色观察纤维化程度,qRT-PCR检测基质金属蛋白酶9及Ⅰ型胶原蛋白进一步评估心肌纤维化。结果 与WT小鼠相比,MI后3天LXRβ-/-小鼠在梗死区显示出更多的的心肌细胞凋亡和炎症;MI后4周,LXRβ-/-小鼠显示出显著增加的梗死面积、减少的射血分数、加重的左心室扩张和增强的心肌纤维化。结论 LXRβ基因敲除加重了MI后病理损伤和左心室重构,LXRβ作为靶向药物节点可能有助于治疗MI。

    Abstract:

    Aim To explore the effect of liver X receptor-β(LXRβ) on chronic heart failure after myocardial infarction(MI) in mice. Methods The MI model was established by ligation of left anterior descending coronary artery in wild type(WT) mice and LXRβ gene knock-out(LXRβ-/-) mice. Third day after MI, cleaved caspase-3 was detected by Western blot, apoptosis of cardiac muscle cells was evaluated by terminal dUTP nick end labling(TUNEL) staining, and expressions of proinflammatory cytokines tumor necrosis factor α and interleukin-6 were detected by quantitative real-time polymerase chain reaction(qRT-PCR). Fourth week after MI, left ventricular function was assessed with ultrasonic echocardiography, myocardial infarct size was evaluated by triphenyl tetrazolium chloride(TTC) staining, myocardial fibrosis was observed by using Masson trichrome staining and α-smooth muscle actin(α-SMA) staining, and matrix metalloproteinase-9 and type Ⅰ collagen were detected by qRT-PCR to further assess myocardial fibrosis. Results Compared with WT mice, third day after MI, LXRβ-/- mice exhibited more myocardial cell apoptosis and inflammation in the infarct area; Fourth week after MI, LXRβ-/- mice showed a significant increase in infarct size, reduced ejection fraction and aggravated left ventricular dilation and enhanced myocardial fibrosis. Conclusions LXRβ gene knock-out aggravates the pathological damage and left ventricular remodeling after MI. As a targeted drug node, LXRβ may contribute to the treatment of MI.

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刘晓强,陆天飞,高见书,汪芳.肝X受体β基因敲除加重小鼠心肌梗死后心力衰竭[J].中国动脉硬化杂志,2016,24(4):368~374.

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  • 收稿日期:2015-11-17
  • 最后修改日期:2016-01-21
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  • 在线发布日期: 2016-06-30