野百合碱肺动脉高压大鼠SIRT3和Warburg效应关键酶的变化  

Expression of Warburg effect relative key enzymes and SIRT3 in pulmonary arterial hypertension rats induced by monocrotaline

作　　者：肖云彬[1] 彭虹艳 阳芳[3] 刘倩君 李文凤 曾云红 王野峰[1] 陈智[1] XIAO Yunbin;PENG Hongyan;YANG Fang;LIU Qianjun;LI Wenfeng;ZENG Yunhong;WANG Yefeng;CHEN Zhi(Department of Cardiology, Hunan Children′s Hospital,Hunan 410007;Hunan Pediatrics Research Institute,Hunan Children′s Hospital,Hunan 410007;Institute of Pharmacy and Pharmacology,University of South China,Hunan 421001;Department of Ultrasound,Hunan Children′s Hospital,Hunan 410007;Academy of Pediatrics,University of South China,Hunan 421001,China)

机构地区：[1]湖南省儿童医院心血管内科,长沙410007 [2]湖南省儿童医院儿科医学研究所,长沙410007 [3]南华大学药理研究所,衡阳421001 [4]湖南省儿童医院超声科,长沙410007 [5]南华大学儿科学院,衡阳421001

出　　处：《国际心血管病杂志》2019年第1期41-46,共6页International Journal of Cardiovascular Disease

基　　金：国家自然科学基金(81500041);湖南省卫生和计划生育委员会基金(B2013-106)

摘　　要：目的:研究野百合碱(MCT)肺动脉高压大鼠沉默信息调节因子3(SIRT3)和Warburg效应关键酶的表达变化。方法:16只SD大鼠随机分为对照组和MCT组,每组8只,MCT组大鼠腹腔注射MCT1次,对照组腹腔注射等体积生理盐水,常规饲养28 d,超声检测肺动脉血流动力学、右心功能相关指标,右心导管测定右心室收缩压,称重并计算右心室/(左心室+室间隔)的比值,苏木素伊红染色检测肺动脉重构,Western blot和免疫组织化学法检测SIRT3和Warburg效应关键酶的表达。结果:与对照组相比,MCT组肺动脉血流加速时间缩短[(22.33±1.53)ms对(33.67±5.51)ms,P<0.05],右心室内径增大[(3.33±0.22)mm对(2.29±0.21)mm,P<0.05],右心室收缩压明显升高[(30.90±4.28)mmHg对(7.83±0.67)mmHg,P<0.05],三尖瓣收缩期位移缩短[(2.01±0.09)mm对(2.59±0.19)mm,P<0.05],右心室/(左心室+室间隔)的比值增加(0.63±0.10对0.29±0.02,P<0.05)。苏木素伊红染色显示MCT组大鼠肺动脉中膜较对照组明显增厚[(378.47±129.97)μm对(105.16±61.17)μm,P<0.05]。Western blot结果显示,MCT组大鼠肺组织中的葡萄糖转运体1(Glut1,1.61±0.96对1.13±0.65,P<0.05)、葡萄糖转运体4(Glut4,0.98±0.63对0.69±0.47,P<0.05)、乳酸脱氢酶(LDH,1.14±0.12对0.66±0.12,P<0.05)、单羧酸转运蛋白4(MCT4,1.01±0.23对0.62±0.11,P<0.05)的蛋白表达水平明显高于对照组,丙酮酸脱氢酶(PDH,0.77±0.30对0.92±0.36,P<0.05)和SIRT3(0.91±0.11对1.44±0.11,P<0.05)的蛋白表达水平明显低于对照组。免疫组织化学染色结果显示,MCT组大鼠肺小动脉中Glut1 (0.24±0.07对0.20±0.04,P<0.05)、Glut4(0.26±0.02对0.23±0.02,P<0.05)、LDH (0.50±0.07对0.24±0.06,P<0.05)、MCT4(0.22±0.02对0.16±0.02,P<0.05)的蛋白表达水平明显高于对照组,PDH(0.13±0.01对0.22±0.01,P<0.05)和SIRT3(0.13±0.01对0.21±0.02,P<0.05)的蛋白表达水平明显低于对照组。结论:MCT肺动脉高压大鼠模型中存在肺动脉重构,重构肺动脉中存在Warburg效应增强�Objective:To study the expression of key enzymes of Warburg effect and SIRT3 in rats with pulmonary arterial hypertension induced by monocrotaline(MCT). Methods:Sixteen SD rats were randomly divided into the control and MCT groups,each group of eight.MCT group rats were intraperitoneal injected with 1% MCT solution,while control group rats were intraperitoneal injected with saline solution.MCT and control group rats were conventional bred for 28 d and performed with hematoxylin eosin(HE)stain for detecting the pathological changes of pulmonary artery remodeling, echocardiography for detection of pulmonary artery hemodynamics and right ventricular function,right cardiac catheter for measurement of right ventricular systolic pressure and calculation of the weight ratio of right ventricle/(left ventricle+interventricular septum).The key enzymes of Warburg effect and SIRT3 were assessed by western blot and immunohistochemistry,respectively. Results:MCT group rats significantly shortened pulmonary artery acceleration time [(22.33±1.53)ms vs.(33.67± 5.51)ms,P<0.05],increased right ventricular internal dimension[(3.33±0.22)mm vs.(2.29± 0.21)mm,P<0.05],increased right ventricular systolic pressure[(30.90±4.28)mmHg vs.(7.83± 0.67)mmHg,P<0.05],decreased tricuspid annular plane systolic excursion[(2.01±0.09)mm vs.(2.59±0.19)mm,P<0.05],and increased right ventricle/left ventricle+interventricular septum (0.63±0.10 vs.0.29±0.02,P<0.05),as compared with control group rats.HE stain showed that the wall thickness of the pulmonary artery significantly increased in MCT group compared with control group[(378.47±129.97)μm vs.(105.16±61.17)μm,P<0.05)].Western blot results showed that the lung tissues of MCT group rats significantly upregulated the expression of Glut1(1.61±0.96 vs. 1.13±0.65,P<0.05),Glut4(0.98±0.63 vs.0.69±0.47,P<0.05),LDH (1.14±0.12 vs. 0.66±0.12,P<0.05)and MCT4(1.01±0.23 vs.0.62±0.11,P<0.05),while downregulated the expression of PDH (0.77±0.30 vs.0.92±0.36,P<0.05)and SIRT3(0.91±0.11 vs.1.44�

关 键 词：肺动脉高压 Warburg效应 沉默信息调节因子3 

分 类 号：R544.1[医药卫生—心血管疾病]