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机构地区:[1]安徽医科大学第一附属医院心内科,合肥230022
出 处:《临床心血管病杂志》2012年第1期70-73,共4页Journal of Clinical Cardiology
基 金:安徽省自然科学基金(No:070413103);安徽省高等学校省级自然科学研究重点项目(No:KJ2009A036Z)
摘 要:目的:探讨卡维地洛对急性心肌梗死(MI)大鼠非梗死区心肌组织中β-arrestin 2的影响。方法:30只大鼠随机分成假手术组、模型组和卡维地洛组。建立MI模型,术前3d至术后4d给予药物及0.9%氯化钠,实验结束后测量心功能和非梗死区心肌组织中β-arrestin 2的表达。结果:与假手术组相比,模型组大鼠左室收缩末期压(110.72±13.27)mmHg(1mmHg=0.133kPa)、左室压力最大上升速率(2.62±0.83)和下降速率(-2.11±0.57)明显降低(P<0.05)。与模型组比较,卡维地洛对心功能有明显改善作用,可使左室收缩末期压(130.78±7.94)mmHg明显升高(P<0.05)、左室舒张末期压[(12.34±5.55)mmHg]明显降低(P<0.05),并升高了左室压力最大上升速率和下降速率(P<0.05)。模型组大鼠非梗死区心肌β-arrestin 2蛋白表达增加(P<0.05),卡维地洛可进一步增加非梗死区心肌β-arrestin 2蛋白表达(P<0.05)。结论:卡维地洛可明显改善大鼠MI后左室功能,其机制可能与其增加MI后非梗死区心肌组织中β-arrestin 2的表达有关。Objective:To study the effect of carvedilol on cardiac function and the expression of β-arrestin 2 in rats with acute myocardial infarction(MI).Method:All rats were randomized to the following groups : sham gro-up,MI group and carvedilol group.All rats were given vehicle or carvedilol by direct gastric gavage for 7 days.Four days after MI,infarct size,ventricular weight/body weight ratio,LV function,non-infarcted myocardial collagen volume fraction and β-arrestin 2 protein expression were examined.Result:Infarct size and left ventricular weight/body weight ratio had no significant difference between MI and carvedilol groups.Compared with sham group,LVESP,positive and negative LV dP/dt were reduced(P0.05),and non-infarcted myocardial β-arrestin 2 protein level and non-infarcted myocardial collagen volume fraction were increased(P0.05) in MI group.Compared with MI group,carvedilol treatment increased LVESP,reduced LVEDP(P0.05) and improved positive and negative LV dP/dt after MI(P0.05).Carvedilol treatment also increased non-infarcted myocardial β-arrestin 2 protein levels(P0.05).Non-infarcted myocardial collagen volume fraction was no differences between MI and carvedilol groups.Conclusion:Carvedilol can improve hemodynamics after MI in rats,probably due to the effect of increase non-infarcted myocardium β-arrestin 2 protein expression.
关 键 词:心肌梗死 卡维地洛 Β-ARRESTIN 2
分 类 号:R542.2[医药卫生—心血管疾病]
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