AVE0991改善大鼠心肌梗死后心室重塑和心功能
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广东省科技计划项目(2005B10401020和2009B080701013);中山大学青年教师培育项目(10ykpy113 )资助


AVE0991 Attenuates Ventricular Remodeling and Protects Cardiac Function in Rats After Myocardial Infarction
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    摘要:

    目的观察血管紧张素(1-7)[angiotensin-(1-7), Ang-(1-7)]的非肽类似物AVE0991对大鼠心肌梗死后心室重塑和心功能的影响。方法40只雄性Sprague-Dawley大鼠随机分成假手术组、模型组、AVE0991组和AVE0991+A-779组,分别施予假手术或冠状动脉左前降支结扎术,术后4周在超声下检测左心室短轴缩短率(LVFS)、射血分数(LVEF)等心功能指标以及心脏结构指标,并取心脏分别行Masson和HE染色,测量心脏梗死面积及心肌细胞直径。结果术后4周,心脏超声提示心肌梗死大鼠的收缩期和舒张期左心室内径(LVDs和LVDd)较假手术组明显增大,室间隔明显变薄,AVE0991可在一定程度上减轻室间隔的变薄,而LVDs和LVDd在模型组、AVE0991组和AVE0991+A-779组之间差异无显著性。心肌梗死大鼠LVFS及LVEF较假手术组均明显下降,而AVE099与模型组比较,LVFS(p<0.05)及LVEF(p<0.05)均有明显改善。左心室质量指数(LVMI)在模型组、AVE0991组和AVE0991+A-779组中明显增加,较假手术组差异有显著性,经AVE0991治疗后,LVMI较模型组有减轻(p<0.01)。HE染色显示,AVE0991组较模型组能明显减少心肌梗死后大鼠心肌细胞的直径(p< 0.05)。Masson染色显示,AVE0991组大鼠心肌梗死面积较模型组略有下降(p<0.01)。而AVE0991以上的保护作用均可被Ang-(1-7)特异性受体抑制剂A-779抵消。结论AVE0991能减轻大鼠急性心肌梗死后诱导的心室重塑,改善心功能,其作用可能通过Ang-(1-7)的Mas受体起作用。

    Abstract:

    AimTo investigate the beneficial effects of nonpeptide angiotensin-(1-7)[Ang-(1-7)] analogue AVE0991 on ventricular remodeling and cardiac dysfunction in rats induced by myocardial infarction (MI). Methods Forty male Sprague-Dawley rats were randomly divided into sham operation group, control group, AVE0991 group and AVE0991 + A-779 group. MI was induced by left coronary artery ligation. After 4 weeks of treatment, transthoracic echocardiography (TTE) was used to evaluate cardiac function. The left ventricle wet weight was recorded, normalized for body weight. Left ventricle serial sections were dyed with Masson or hematoxylin-eosin (HE) stain to quantify the infarct size and diameter measurement of cardiomyocytes. ResultsFour weeks after MI, rats with MI demonstrated significantly increase in the left ventricular end-diastolic (LVDd) and end-systolic dimension (LVDs) and decrease in interventricular septum end-systolic (IVSs) and end-diastolic thickness (IVSd), left ventricular fractional shorting (LVFS) and left ventricular ejection fraction (LVEF). AVE0991 treatment attenuated the decrease in LVFS (25.5 % ± 7.3 % vs 18.4 % ± 3.3 %, p<0.05) and LVEF (44.8% ± 7.6% vs 32.7% ± 6.5 %, p<0.05) compared to control group. AVE0991 also reduced MI-induced hypertrophy as quantified by myocyte diameter measurements (vs control group, 17.6± 2.4 μm vs 22.9± 3.9 μm, p< 0.05). In addition, left ventricular mass index (LVMI) (2.54 ± 0.25 vs 2.93 ± 0.34, p<0.01) and infarct size (42.6 % ± 3.6 % vs 50.9 % ± 4.4 %, p<0.01) were slightly reduced in AVE0991 group compared to control group. In addition, the specific antagonist for Ang-(1-7), [D-Ala7]-Ang-(1-7) (A-779), showed a tendency to diminish the protective effects of AVE0991. ConclusionAVE0991 could attenuate ventricular remodeling and improve cardiac function induced by acute myocardial infarction in rats, its effects may play a role through the specific Mas receptor for Ang-(1-7).

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曾武涛, 陈伟燕, 冷秀玉, 孙秀婷, 李翠玲, 戴刚, 邓森林, 吴淑云, 李华龙, 李劼昊. AVE0991改善大鼠心肌梗死后心室重塑和心功能[J].中国动脉硬化杂志,2011,19(2):89~94.

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  • 收稿日期:2010-10-11
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