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作 者:刘延华[1] 王帅[2] 马迪[2] 许晓英[2] 张秀静[2] 赵海滨[2]
机构地区:[1]中华中医药学会,北京100029 [2]北京中医药大学第三附属医院,北京100029
出 处:《中医学报》2015年第2期241-244,共4页Acta Chinese Medicine
基 金:国家中医药特色优势病种的防治和重大疾病中医药科技攻关专题(2012-JGH-089)
摘 要:目的:观察祛瘀生新中药对急性心肌梗死后基质细胞衍生因子-1/配体CXC型趋化因子受体4(stromal cel1 derived factor-1/CXC chemokine receptor 4,SDF-1/CXCR4)轴的影响,探讨活血化瘀法对心肌梗死后骨髓间充质干细胞(bone mesenchymal stem cells,BMSCs)"归巢"的动员效应机制。方法:清洁级Wistar大鼠50只随机分为正常组、模型组、假手术组、中药组、西药组,每组10只。中药组大鼠术前3 d给药,1次·d-1。7 d后,检测外周血BMSCs含量,免疫组织化学检测各组大鼠心肌组织SDF-1、CXCR4表达水平及心肌c-kit细胞数,并观察心肌组织HE染色结果。结果:与假手术组比较,模型组心肌组织SDF-1、CXCR4表达均增加(P<0.05)。与模型组比较,中药组、西药组SDF-1、CXCR4表达水平及c-kit细胞数均增加,并能减轻心肌组织的病理损伤。结论:祛瘀生新法有动员BMSCs"归巢"的作用。Objective:To observe the effect of removing stasis and promoting new Chinese medicine on stroma cell derived factor-1/CXC chemokine receptor 4(SDF-1/CXCR4)after acute myocardial infarction(AMI)in rats,and to investigate the mechanism of method of promoting blood circulation and removing blood-stasis on bone mesenchymal stem cells( BMSCs)〝homing〝 after AMI. Methods:50 clean Wistar rats were randomly divided into five groups:normal group,model group,sham-operated group,Chinese medicine group, western medicine group. Each group was 10 rats. The Chinese medicine group was given administered 3 days before the operation,once a day. The rats were sacrificed 7 days later. Detected peripheral blood BMSCs and each rat myocardial tissue SDF-1 and CXCR4 expres- sion level and myocardial c-kit cell number by immunohistochemical and observed H-E staining results in colon. Results:The expres- sions of SDF-1 and CXCR4 in the model group were more than the sham group(P﹤0. 05). Compared with the model group,The ex- pressions of SDF-1 and CXCR4 and c-kit cell number in the western medicine group and Chinese medicine group were all increased, and which can reduce the pathological damage of myocardial tissue. Conclusion:removing stasis and promoting new method can effec- tively mobilize the role of BMSCs〝Homing〝.
关 键 词:祛瘀生新法 急性心肌梗死 BMSCs“归巢” SDF-1/CXCR4 大鼠
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