机构地区:[1]武警后勤学院解剖教研室,民政部101研究所遗体防腐整容重点实验室,天津300162 [2]武警后勤学院教育技术中心,天津300162 [3]武警后勤学院附属医院,天津300162 [4]武警后勤学院研究生处,天津300162
出 处:《中国中西医结合急救杂志》2012年第6期333-335,共3页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基 金:“十一五”国家科技支撑计划(2007BAK38805)
摘 要:目的探讨红景天苷(Sa)对大鼠心肌缺血/再灌注(I/R)损伤后内皮素-1(ET-1)的影响及其保护机制。方法将60只Wistar大鼠按随机数字表法均分为假手术组、缺血组、I/R1h组、I/R2h组、Sa预处理1h组和Sa预处理2h组。采用结扎冠状动脉(冠脉)前降支30min后恢复血流灌注复制I/R损伤大鼠模型。Sa组于术前20min舌下静脉给予Sa 25mg/kg预处理。相应时间点观察假手术组、缺血组、I/R组心电图ST段抬高幅度;采用酶联免疫吸附试验(ELISA)测定各组血清肌酸激酶(CK)、乳酸脱氢酶(LDH)的活性,放射免疫试验测定血清内皮素-1(ET-1)水平,逆转录-聚合酶链反应(RT-PCR)、蛋白质免疫印迹法(Western blotting)检测各组心肌组织ET-1 mRNA及蛋白表达。结果缺血组和I/R组ST段抬高幅度及血清CK、LDH均较假手术组显著升高;I/R组ST段抬高幅度较缺血组显著降低,CK、LDH则较缺血组显著升高。与假手术组比较,缺血组、I/R1h组、I/R2h组、Sa预处理1h组、Sa预处理2h组血清ET-1(μg/L)水平均明显升高(66.49±8.61、104.60±6.64、108.82±6.22、71.30±12.22、69.60±7.40比24.58±3.41,均P〈0.05);心肌ET-1蛋白表达(灰度值)明显升高(0.51±0.07、0.76±0.08、0.77±0.06、0.53±0.09、0.58±0.04比0.34±0.10,均P〈0.05);I/R1h组、I/R2h组、Sa预处理1h组、Sa预处理2h组ET-1mRNA表达[吸光度似)值]均明显升高(0.73±0.04、0.78±0.02、0.51±0.06、0.55±0.03比0.31±0.07,均P〈0.05),而缺血组则差异无统计学意义(P〉0.05)。与缺血组比较,I/R1h组、I/R2h组血清ET-1水平、心肌组织ET-1 mRNA和蛋白表达均明显升高(均P〈0.05);Sa预处理1h组、Sa预处理2h组血清ET水平及心肌组织ET-1 mRNA和蛋白表达均较I/R1h组、I/R2h组明显下降(均P〈0.05)。结论ETObjective To investigate the effect of Salidroside (Sa) on changes of endothelin-1 (ET-1) in rats after myocardial ischemia/reperfusion (I/R) injury and its protective mechanism. Methods Sixty Wistar rats were grouped randomly into sham group (S), ischemic 30 minutes group (I), ischemic 30 minutes + reperfusion 1-hour group (I/R 1 h), ischemic 30 minutes + reperfusion 2-hour group (I/R 2 h), Sa + ischemic 30 minutes + reperfusion 1-hour group (Sa+I/R 1 h) and Sa + ischemic 30 minutes + reperfusion 2-hour group (Sa+I/R 2 h). Myocardial I/R injury model was reproduced by 30-minute ligation of the left anterior descending branch, followed by reperfusion after ischemia. In Sa + I/R groups, 25 mg/kg Sa was given in sublingual vein 20 minutes before surgery. The ST-segments amplitude of electrocardiogram (ECG)in S, I and various I/R groups was observed at different time points. The activities of creatine kinase (CK)and lactate dehydrogenase (LDH) were examined by enzyme-linked immunosorbent assay (ELISA). The changes of ET-1 were evaluated by radioimmunoassay, cardiac tissue ET-1 mRNA was determined by reverse transcriptase-polymerase chain reaction (RT-PCR)and its protein was measured by Western blotting. Results The ST-segments amplitude of ECG, CK and LDH in serum in I and I/R groups were increased significantly compared with those in S group. The magnitude of ST-segment elevation was lower significantly in I/R groups than that in I group, while CK and LDH in serum in I/R groups were obviously higher than those in I group. Compared with S group, the serum levels of ET-1 (μg/L) were increased in groups of I, I/R 1 h, I/R 2 h, Sa + I/R 1 h and Sa + I/R 2 h (66.49±8.61,104.60±6.64,108.82±6.22,71.30±12.22,69.60±7.40 vs. 24.58±3.41,all P〈0.05), the protein expression of ET-1 (gray scale)in myocardial tissue was increased significantly (0.51±0.07, 0.76±0.08, 0.77±0.06,0.53±0.09,0.58±0.04 vs. 0.34±0.10, all P〈0.05�
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