Apelin-13在自发性高血压大鼠心肌组织的表达及其与心肌肥厚和心功能的关系
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(中山大学附属第五医院心内科,广东省珠海市 519000)

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陈柏荣,博士研究生,主治医师,研究方向为心血管病及冠状动脉介入治疗,E-mail为chenbairong@163.com。罗礼云,博士研究生,主治医师,研究方向为冠状动脉介入治疗。

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The Change of Apelin-13 in the Myocardium of Spontaneously Hypertensive Rats and the Relationship with Myocardial Hypertrophy and Cardiac Function
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Department of Cardiology, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, China)

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    摘要:

    目的 观察Apelin-13在自发性高血压大鼠(SHR)心肌组织的表达改变,探讨其与心肌肥厚和心功能的关系。 方法 选取清洁级4周龄和20周龄雄性自发性高血压大鼠和WKY(Wistar-Kyoto)大鼠,按周龄及种属分为4组,每组8只。分别测定无创尾动脉血压及心脏质量指数;超声心动图和血流动力学系统评估心室重构和心功能;HE染色评价心肌细胞及排列情况。Western blot法检测心肌组织Apelin-13、APJ的蛋白表达。结果 ①Apelin-13、APJ在SHR心肌组织中呈低表达(P<0.05),20周龄SHR较4周龄SHR更明显(P<0.05)。② SHR的收缩压(SBP)、左心室舒张期末压(LVEDP)、心脏质量指数(HW/BW)、心室质量指数(LVW/BW)、舒张期室间隔厚度(IVSD)和左心室舒张期末后壁厚度(LVWPd)明显升高(P<0.05),左心室舒张期末内径(LVEDd)、左心室射血分数(EF)、左心室短轴缩短率(FS)和左心室压力最大下降速率(-dp/dtmax)明显降低(P<0.05);心肌细胞明显肥大、排列紊乱。20周龄SHR与4周龄SHR相比,上述指标改变更加明显(P<0.05)。③心肌组织Apelin-13与IVSD、HW/BW、LVW/BW以及LVEDd、LVEDP呈负相关(P<0.05),与EF、FS和-dp/dtmax呈正相关(P<0.05)。结论Apelin-13在SHR心肌组织中呈低表达,其与心肌肥厚指标呈负相关,与心功能呈正相关,提示其可能影响高血压的左心室心肌肥厚和心功能。

    Abstract:

    Aim To observe the change of Apelin-13 in the myocardium of spontaneously hypertensive rats(SHR), and study its relationship with myocardial hypertrophy and cardiac function. Methods 4 weeks and 20 weeks of male SHR and WKY rats of clean level were selected and divided into 4 groups according to weeks and species, with 8 rats in each group. Noninvasive tail arterial blood pressure and heart mass index were separately measured; echocardiography and hemodynamic system assess were used to ventricular remodeling and cardiac function; HE staining was used to evaluate myocardial cells and arrangement; expression level of Apelin-13 and APJ in the myocardium was detected by Western blot. Results ①The expression of Apelin-13 and APJ in the myocardium of SHR was lower (P<0.05),and 20 weeks old SHR group was more obvious than 4 weeks old SHR group (P<0.05). ②With increasing age in SHR, the level of SBP, left ventricular end-diastolic pressure (LVEDP), heart weight/body weight (HW/BW), left ventricular weight/body weight (LVW/BW), interventricular septal thickness at diastole (IVSD) and left ventricular posterior wall thickness at end diastole (LVWPd) increased significantly (P<0.05), and the level of left ventricular end-diastolic diameter (LVEDd), ejection fraction (EF), fractional shortening (FS) and maximal rate of the decrease of the ventricular pressure(-dp/dtmax) decreased obviously (P<0.05); cardiomyocytes hypertrophy and myocardial arranged disorder. And compared with 4 weeks old SHR group, the above indexes changed more obviously in 20 weeks old SHR group. ③ The level of Apelin-13 in the myocardium was negatively correlated with IVSD, HW/BW, LVW/BW, LVEDd and LVEDP (P<0.05), and positively correlated with EF, FS and -dp/dtmax(P<0.05). Conclusions The expression of Apelin-13 in the myocardium of SHR is lower, a positive correlation with myocardial hypertrophy but a negative correlation with cardiac function, suggests it may be one of influencing factors of hypertensive left ventricular myocardial hypertrophy and cardiac function.

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陈柏荣,罗礼云,黄茵,危小良,陈剑,伍卫. Apelin-13在自发性高血压大鼠心肌组织的表达及其与心肌肥厚和心功能的关系[J].中国动脉硬化杂志,2016,24(4):375~380.

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  • 收稿日期:2015-12-31
  • 最后修改日期:2016-01-28
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  • 在线发布日期: 2016-06-30