缺血/再灌注损伤后心肌神经生长因子的变化  

Regulation of Nerve Growth Factor in Rat's hearts after ischemia and reperfusion

作　　者：施卫东[1] 石仲歧[2] 

机构地区：[1]江苏省南通市第二人民医院胸外科,南通226002 [2]南通大学附属医院胸外科

出　　处：《南通大学学报（医学版）》2005年第4期250-252,共3页Journal of Nantong University(Medical sciences)

摘　　要：目的:观察缺血/再灌注损伤后神经生长因子表达的变化,初步探讨神经生长因子在心肌缺血/再灌注损伤发生机理中的作用及对交感神经功能改变的影响。方法:选用SD大鼠随机分2组,每组各8只,分别为假手术组、缺血/再灌注损伤组(本组以非缺血/再灌注损伤区为自身对照)。通过阻断左冠状动脉左前降支建立在体大鼠工作心缺血/再灌注损伤模型,用免疫组化法检测神经生长因子在缺血/再灌注损伤组左心室缺血/再灌注损伤区、非缺血/再灌注损伤区及假手术组左心室心肌中表达的差别。结果:免疫组织化学法显示神经生长因子在假手术组的大鼠心肌、非缺血/再灌注损伤区心肌与缺血/再灌注损伤区心肌表达阳性率分别为34.34%、38.28%、51.05%,前两者之间差异无显著性(P>0.05),但缺血/再灌注损伤区神经生长因子的表达量明显增高,与前两组比较差异有显著性(P<0.01)。结论:神经生长因子在心肌缺血/再灌注损伤过程中明显增高,神经生长因子参与心肌缺血/再灌注损伤的发生发展及交感神经功能的改变。Objective： This study was to investigate the regulation of NGF after myocardial ischemia followed by reperfusion. Methods： 16 Sprague-Dawley rats were randomly devided into two groups ：a sham operation group used asa a control group and an ischemia-reperfusion group whose left ventricle was composed of ischemia-reperfusion area and no ischemia-reperfusion area used asa a self-control. The Model of ischemia /reperfusion was induced by 30-minute ligation of the left anterior descending coronary artery （LAD） and 3-hour reperfusion. Immunohis- tochemistry technique was used to detect the immunoreaction （IR） intensity of NGF in the ischemia-reperfusion area ,no ischemia-reperfusion area,and sham-operated hearts. Results：The percentage of myocardium displaying IR for NGF in sham-operated hearts was34.34% ,in no ischemia-reperfusion area was 38.28%. in ischemia-reperfusion area was 51.05 %. The difference was not statistically significant （P〉 0. 05 ）between sham-operated hearts and no ischemia-reperfusion area,but NGF was higher in the left ventricles subjected to ischemia and reperfusion than in those not subjected to ischemia and reperfusion and in sham- operated hearts （P〈 0. 01 ）. Conclusion：NGF in rat hearts is increased after myocardial ischemia and reperfusion. It suggests a role for NGF in the pathogenesis of reperfusion injury and in the alterations of cardiac sympathetic neuronal function after myocardial ischemia and reperfusion.

关 键 词：神经生长因子 心肌 缺血/再灌注 免疫组织化学法 大鼠 

分 类 号：R365.54[医药卫生—病理学]