压力超负荷性肥大心肌中血管紧张素Ⅱ和肿瘤坏死因子α表达的变化及其相互关系
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陕西省卫生厅青年科研基金(200009)项目


Relation of Expression of Tumor Necrosis Factor-α and Angiotensin Ⅱin Hypertrophic Mayocardial on Stress Load
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    摘要:

    为探讨压力负荷性肥大心肌中肿瘤坏死因子α和血管紧张素Ⅱ的表达及其与心肌肥大的关系,采用腹主动脉缩窄法复制压力超负荷心肌肥大动物模型,于术后4 2天测定心肌肥大指数,并用放射免疫法测定血浆及左心室肌血管紧张素Ⅱ含量;用酶联免疫吸附法测定血清及左心室肌肿瘤坏死因子α含量。结果发现,术后4 2天左心室心肌明显肥大;心室肌肿瘤坏死因子α、血管紧张素Ⅱ含量分别比假手术组增高约6倍和1倍(P<0 .0 1) ;主动脉缩窄术后开搏通干预能显著抑制心肌肥大的发展,使心室肌肿瘤坏死因子α含量下降6 4 .14 % (P<0 .0 1) ,但未恢复到假手术组水平(P<0 .0 1) ;心室肌血管紧张素Ⅱ含量下降4 5 .73% (P<0 .0 1) ,与假手术组无显著性差异。结果提示,压力负荷增加心肌血管紧张素Ⅱ含量,引起心肌组织肿瘤坏死因子α含量升高,可能是压力超负荷心肌肥大的主要调控路径之一。

    Abstract:

    Aim To clarify the relation of expression change of tumor necrosis factor-α (TNF-α) and angiotensin Ⅱ (AngⅡ)in hypertrophic mayocardial on stress load. Methods Sampling blood and extirpate heart after 42 days in the cardiac hypertrophy model of exceed stress load were made by abdomen aorta-constriction; determining hypertrophic exponent and the concentration of AngⅡin the plasma and myocardium by Ratio-immunity; determining TNF-α in serum and left ventricle by enzyme-linked immunoadsordent assay. Results Left ventricle showed obvious hypertrophy after operation 42 days; the concentration of TNF-α and AngⅡ in myocardium heighten 6 folds and 1 fold than controls (p<0.01); Being treated by Captopril can restrain the progress of left ventricle hypertrophy after operation and descend the content of TNF-α in myocardium 64.14% (p<0.01), but can not descend to the level of sham-operated group (p<0.01). Being the content of AngⅡ descend 45.73% (p<0.01)and had no marked significance to the level of sham-operated group. Conclusions The activation of cardiac renin-angiotensin system (RAS) by excess stress load result to heighten TNF-α in myocardium and it is probably one of the major adjusting path of myocardial hypertrophy.

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苏兴利,高广道,张润岐,王佐贤,王新凤,刘进军,林元喜.压力超负荷性肥大心肌中血管紧张素Ⅱ和肿瘤坏死因子α表达的变化及其相互关系[J].中国动脉硬化杂志,2003,11(6):517~519.

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  • 收稿日期:2003-05-28
  • 最后修改日期:2003-11-05
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