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作 者:余金生[1] 梁扩寰[1] 田德安[1] 唐望先[2] 王天才[2]
机构地区:[1]同济医科大学同济医院消化内科,武汉430030 [2]同济医科大学肝病研究所,武汉430030
出 处:《中华肝脏病杂志》1999年第4期233-235,共3页Chinese Journal of Hepatology
摘 要:目的探讨肝硬化大鼠内脏血管组织中,内皮素(ET)及其基因表达量的变化在门静脉高压形成机制中的意义。方法用放射免疫法分别测定大鼠血浆以及门静脉(PV)和肠系膜上动脉(SMA)组织中ET含量,采用RT-PCR技术分析PV和SMA组织中ETmRNA表达量的变化。结果PV和SMA组织中ET及其mRNA表达量,肝硬化组均显著高于正常对照组(均为P<0.001);而肝硬化大鼠血管组织ET含量及ETmRNA表达量,则为PV明显高于SMA(<0.05),但正常对照组动静脉之间差异无显著性(P>005)。另外,内脏动静脉血管ET含量之差与门静脉压力呈显著的正相关。结论ET可能通过更多的收缩内脏静脉特别是门静脉,增加门静脉血流阻力而参与门静脉高压的形成。Objective To investigate the role of endothlin(ET) in the pathogenesis of portalhnyftension, ET-l level and its gene expression in splanchnic vessels from cirrhotic rats were oberved.Methods ET levels of both plasma and vascular tissues were determined by radioimmunoassay. ET mRNAin vascular tissues was plotal with RT-PCR technique expressed as optical density(OD) value from imageanalysis. Results ET peptide and mRNA in PV and SMA vessels were all significantly higher in cirrhoticrats than those in normal rats, while in cirrhotic rats, ET and its gene expression of PV was dramaticallyhigher than that of SMA(P<0.05). In addition, the positive correlation was oborved in difference betweenPV and SMA in ET concentration with portal pressure(r=0.737, p<0.0l). Conclusion ET may be involved in the machanisms of the formation of PObal hrmrt6nsion mainly due to constructing portal vein,increassing portal flow resistance.
分 类 号:R575.202[医药卫生—消化系统] R657.340.2[医药卫生—内科学]
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