超声背向散射积分量化犬心肌缺血再灌注致心肌纤维化程度的研究
DOI:
作者:
作者单位:

作者简介:

通讯作者:

基金项目:

国家自然科学基金(81360043)


Study on Quantifying the Degree of Myocardial Fibrosis Induced by Ischemia/Reperfusion with Myocardial Ultrasonic Integrated Backscatter
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的 应用超声背向散射测定结合胶原代谢物评估犬心肌缺血再灌注致心肌纤维化程度。方法 12只成年杂种犬随机分为2组:假手术组和缺血再灌注组,每组6只。测定两组血流动力学指标,于再灌注120 min后经颈内静脉采血,用超声背向散射测定技术检测室间隔和左心室后壁背向散射积分值(IBS)和背向散射积分周期变化值(CVIB)。以酶联免疫吸附法检测患者血清结缔组织生长因子(CTGF)和Ⅰ型前胶原氨基端肽(PⅠNP)。行Masson染色观察胶原纤维组织结构变化,用免疫组织化学方法检测Ⅰ型胶原蛋白表达。结果 缺血再灌注组CTGF和PⅠNP水平均高于假手术组,差异有统计学意义(P<0.05)。与假手术组比较,缺血再灌注组室间隔和左心室后壁的IBS明显增加,CVIB明显减小,差异有统计学意义(P<0.05)。CTGF和PⅠNP水平与IBS呈正相关(P<0.05),与CVIB呈负相关(P<0.05)。Masson染色显示缺血再灌注组心肌纤维化明显增加。缺血再灌注组Ⅰ型胶原蛋白表达呈强阳性。结论 缺血再灌注组犬超声背向散射参数IBS增加,CVIB减少,胶原代谢物CTGF和PⅠNP水平增加,心室肌纤维化参与了缺血再灌注损伤,导致心室重构。超声背向散射测定结合胶原代谢物可早期无创性检测缺血再灌注阶段心室肌纤维化程度。

    Abstract:

    Aim To assess myocardial fibrosis with ultrasonic backscatter measurement combined with collagen metabolite in ischemia/reperfusion (I/R) injury canine. Methods 12 adult mongrel dogs were randomly divided into 2 groups: sham operation group (sham group) and ischemia/reperfusion group (I/R group),6 dogs in each group. Integrated backscatter (IBS) and cyclic variation of integrated backscatter (CVIB) were detected in ventricular septal and posterior wall of the left ventricular with quantitative analysis of ultrasonic backscatter. Serum levels of connective tissue growth factor (CTGF) and aminoterminal propeptide of type Ⅰ procollagen (PⅠNP) were examined by enzyme-linked immunosorbent assay (ELISA). Myocardial fibrosis of ventricular myocardium was tested by Masson staining,and expression of collagen Ⅰ was detected with pathologic immunohistochemistry. Results Compared with sham group,CTGF and PⅠNP levels were increased,IBS significantly was enlarged,and CVIB significantly was decreased in I/R group,the differences were statistically significant (P<0.05). CTGF and PⅠNP levels were positively correlated with IBS and negatively correlated with CVIB in I/R group (P<0.05). Masson staining showed that myocardial fibrosis was significantly increased and expression of collagen Ⅰ protein was strongly positive in I/R group. Conclusions IBS is increased,CVIB is decreased,and CTGF and PⅠNP levels were increased in ischemia/reperfusion injury canine. Myocardial fibrosis was involved in I/R damage to induce ventricular remodeling. Ultrasonic backscatter measurement combined with collagen metabolites could be an early and non-invasive method to examine ventricular fibrosis degree at I/R stage.

    参考文献
    相似文献
    引证文献
引用本文

刘海利,孙 娟,钱汝平,余锂镭,廖 凯,阿迪拉·阿扎提.超声背向散射积分量化犬心肌缺血再灌注致心肌纤维化程度的研究[J].中国动脉硬化杂志,2015,23(03):243~248.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2014-05-04
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: