Apelin-13对2型糖尿病大鼠心肌纤维化防治的作用机制
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Mechanism on Prevention and Treatment Effect of Apelin-13 for Myocardial Fibrosis in Type 2 Diabetic Rats
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    目的 通过建立2型糖尿病大鼠模型诱导心肌纤维化的发生,探究血管紧张素Ⅱ1型受体相关蛋白的内源性配体亚型之一Apelin-13对糖尿病大鼠心肌纤维化防治作用的可能机制。方法 高脂高糖喂养联合尾静脉注射小剂量链脲佐菌素构建2型糖尿病大鼠模型。48只Wistar大鼠随机分为四组:正常对照组、模型组、Apelin-13组、阻断剂组(SB431542组)。各组大鼠给予相应干预措施12周,取材后行Masson染色,光镜下观察心肌细胞形态学改变及间质胶原纤维沉积情况,测算胶原容积分数(CVF),ELISA检测心肌组织内Ⅰ型、Ⅲ型胶原纤维含量,免疫组织化学染色分析心肌内信号蛋白转化生长因子β1(TGF-β1)和转化生长因子β1Ⅰ型受体(TβRⅠ)的表达水平,Western blot检测下游信号蛋白smad2、p-smad2、smad3、p-smad3的表达水平。结果 与正常对照组相比,模型组大鼠心肌组织CVF值、Ⅰ型和Ⅲ型胶原纤维含量明显升高,伴随信号通路蛋白TGF-β1、TβRⅠ、smad2、p-smad2、smad3、p-smad3表达增强(P<0.01);而与模型组相比,Apelin-13或SB431542干预的糖尿病大鼠心肌组织CVF值、Ⅰ型和Ⅲ型胶原纤维含量则明显下降(P<0.01),Apelin-13组各通路蛋白的表达均显著下调(P<0.01),而SB431542组TGF-β1、TβRⅠ的表达与模型组相比差异无统计学意义(P>0.05),其余信号蛋白的表达亦明显减弱(P<0.01)。结论 外源性Apelin-13可抑制糖尿病大鼠心肌纤维化的发生,此作用是通过减弱TGF-β1/TβR/smads信号转导通路的过度激活得以实现的。

    Abstract:

    Aim To induce myocardial fibrosis by establishing type 2 diabetes mellitus rat model,and explore prevention and treatment mechanism about Apelin-13 which is one subtype of endogenous ligand of proteins related to the angiotensin Ⅱ type 1 receptor for myocardial fibrosis of diabetes mellitus rats. Methods High fat and sugar diet combined with intravenous injection of a small dose of streptozotocin (STZ) was used to build type 2 diabetes mellitus rat model.48 Wistar rats were randomly divided into four groups: control group,model group,Apelin-13 group,blocker group (SB431542 group).Rats in different groups were given homologous intervention for 12 weeks,specimens were collected for Masson staining to observe morphological changes and interstitial collagen deposition of myocardial,and collagen volume fraction (CVF) was measured.Contents of collagen Ⅰ and Ⅲ in myocardial tissue were detected by ELISA.Expressions of transforming growth factor-β1 (TGF-β1),TGF-β1 receptorⅠ(TβRⅠ) were measured with immunohistochemical staining.Expressions of pathway protein smad2,p-smad2,smad3 and p-smad3 were measured by Western blot. Results Compared with control group,CVF and contents of collagenⅠand Ⅲ of myocardial tissue in model group increased obviously,accompanied with the increasing of signal transduction pathway protein TGF-β1,TβRⅠ,smad2,p-smad2,smad3 and p-smad3 (P<0.01).Compared with model group,myocardial fibrosis dicators (CVF,collagenⅠand Ⅲ) in rats who received Apelin-13 or SB431542 significantly reduced,expressions of all pathways protein in Apelin-13 group were adjusted downward significantly (P<0.01),differences of TGF-β1,TβRⅠhad no statistically significance between SB431542 and model group (P>0.05),expressions of other signal protein were obviously decreased (P<0.01). Conclusions Exogenous Apelin-13 can restrain myocardial fibrosis in diabetes mellitus rats by weakening excessive activation of TGF-β1/TβR/smads signal transduction pathway.

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林朵朵,张 志,刘紫东. Apelin-13对2型糖尿病大鼠心肌纤维化防治的作用机制[J].中国动脉硬化杂志,2014,22(10):1009~1014.

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  • 收稿日期:2014-06-27
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