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缬沙坦对大鼠心肌梗塞后左室胶原改建的作用

孙明莉,刘晓亮,董均树,杨济洲,孔繁飞   

  1. 吉林大学第一医院急救医学科,吉林 长春130021
  • 收稿日期:2003-10-15 修回日期:1900-01-01 出版日期:2004-07-28 发布日期:2004-07-28

Effects of valsartan on left ventricular collagen remodeling in rat models with myocardial infarction

SUN Ming-li, LIU Xiao-liang, DONG Jun-shu,YANG Ji-zhou,KONG Fan-fei   

  1. Department of Emergency, First Hospital, Jilin University,Chuangchun 130021,China
  • Received:2003-10-15 Revised:1900-01-01 Online:2004-07-28 Published:2004-07-28

摘要: 目的:探讨缬沙坦对实验性心肌梗塞大鼠左心室胶原改建的影响。方法:70只SD大鼠随机分成6组:①假手术对照组Sham 1(n=5)和Sham 4(n=5),合称Sham组,开胸打开心包后立即缝合,用生理盐水1.5 mL灌胃(每日1次),分别常规饲养1和4周;②对照组AMI 1(n=10)和AMI 4(n=10),大鼠结扎冠状动脉前降支建立心肌梗塞模型后立即用生理盐水1.5 mL灌胃(每日1次),分别常规饲养1和4周;③缬沙坦1周组VAS 1(n=10)及4周组VAS 4(n=10),心肌梗塞造模后立即用缬沙坦10 mg•kg-1•d-1加生理盐水1.5 mL灌胃1或4周(每日1次)。采用免疫组化法测量非梗塞区左室心肌Ⅰ型及Ⅲ型胶原蛋白的比值;放免法测定血浆血管紧张素Ⅱ(AngⅡ)、醛固酮(ALD)、内皮素(ET)、TXA2及PGI2。 结果:①非梗塞区左室心肌Ⅰ型及Ⅲ型胶原蛋白的比值降低;②与心肌梗塞对照组比较,缬沙坦可降低血浆ALD、ET及TXA2水平,使AngⅡ及PGI2升高。 结论:缬沙坦对心肌梗塞后左心室胶原改建可产生有益的影响。

关键词: 心肌梗塞, 胶原, 血管紧张素Ⅱ, 疾病模型, 动物

Abstract: Objective To investigate the effects of valsartan on experimental left ventricular collagen remodeling (LVRM) in rats with myocardial infarction (MI). Methods Ligate anterior descending branches of coronary artery of Sprague-Dawley rats were used to establish models of acute myocardial infarction (AMI). Seventy rats were randomly divided into 6 groups:①Sham groups:including Sham 1(n=5) and Sham 4(n=5).The pericardium of rats in Sham groups were cut open and sutured immediately. The rats were routinely breeded for 1 week and 4 weeks,respectively, 1.5 mL saline was poured into stomach of rats once a day;②Control groups:AMI 1 (n=10) and AMI 4 (n=10). 1.5 mL saline was poured into stomach of rats with AMI once a day for 1 week and 4 weeks,respectively;③Valsartan groups:VAS1 (n=10) and VAS 4 (n=10). Valsartan of the dosage of 10 mg•kg-1•d-1 and 1.5 mL saline were poured into stomach of rats with AMI for 1 week and 4 weeks(once a day),respectively. The ratio of collagen type Ⅰ to Ⅲ in non-infarction myocardium in left ventricle was detected by immunohistochemical method. The levels of Ang Ⅱ, aldosterone (ALD), endothelin (ET), thromboxane A2 (TXA2), and prostacyclin I2 (PGI2) in plasma were measured by radioimmunoassay. Results ①The ratio of collagen type Ⅰ to Ⅲ in non-infarction myocardium in left ventricular was decreased;②Compared with control groups, valsartan could decrease ALD, ET, and TXA2 and increase AngⅡ and PGI2 in plasma. Conclusion Valsartan has beneficial effects on LVRM after MI.

Key words: myocardial infarction, collagen, angiotensin Ⅱ, disease models, animal

中图分类号: 

  • R-332