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纸质出版:2014
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余帆,徐彤彤.瘦素对糖尿病心肌病大鼠心室重构的影响[J].陆军军医大学学报(原第三军医大学学报),2014,36(03):253-256.
Yu Fan,Xu Tongtong.Effects of leptin on ventricular remodeling in diabetic cardiomyopathy rats[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(03):253-256.
目的 观察瘦素对糖尿病性心肌病(diabetic cardiomyopathy,DCM)模型大鼠心室重构的影响。 方法 10只SPF级健康SD雄性大鼠作为正常对照组(NC组),予以普通饲料喂养。另取50 只SPF级健康SD雄性大鼠采用高糖高脂喂养后2次腹腔注射链脲佐菌素(STZ)的方法建立DCM大鼠模型,将DCM大鼠按随机抽签法分为A组、瘦素50 μg/kg组(B组)、瘦素100 μg/kg(C组)。在第11周时,B、C组分别给予每日腹腔注射瘦素50、100 μg/kg,而NC组与A组均注射等量蒸馏水,持续5 d。第12周末检测4组空腹血糖、胰岛素、瘦素及血管紧张素Ⅱ(angiotensin Ⅱ,Ang-Ⅱ)水平;心脏彩超测定大鼠心脏左室舒张末期内径(left ventricular internal diameter at end-diastole,LVIDd)、左室舒张末压(left ventricular end-diastolic pressure,LVEDP)、左室射血分数(left ventricular ejection fraction,LVEF)。 结果 与NC组相比,A组出现心功能减退,其瘦素、胰岛素及Ang-Ⅱ水平升高(
P
0.01);不同剂量瘦素干预后,B组与C组大鼠心功能各项指标变化显著,心功能减退更为严重,瘦素、胰岛素及Ang-Ⅱ水平显著升高(
P
0.01),且C组变化程度显著高于B组。 结论 瘦素可能通过神经内分泌系统参与了糖尿病心肌病的发生、发展,且与胰岛素抵抗、肾素-血管紧张素系统等密切相关。
Objective To establish the diabetic cardiomyopathy (DCM) rat model and then observe the effects of leptin on ventricular remodeling in DCM rats. Methods Ten healthy male SD rats (SPF
8 weeks old
weighing 170 to 190 g) were selected as normal control group (NC) who were given normal diet. Fifty healthy SD rats (SPF
8 weeks old
weighing 170 to 190 g) were intraperitoneally injected
twice with streptozocin (STZ) to induce DCM. The DCM rats were randomly divided into three groups: a DCM group (group A
n=10)
a 50 g/kg leptin group (group B
n=10) and a 100 g/kg leptin group (group C
n=10). The DCM rats were fed with high fat/high sucrose diet. In the eleventh week
the groups B and C were separately given daily intraperitoneal injections of leptin of 50 g/kg and 100 g/kg
respectively
while groups NC and A were injected with distilled water for 5 d. Serum IL-6
angiotensin Ⅱ (Ang-Ⅱ)
LVEDP
LVIDd
and LVEF were tested at the end of the 12th week. Results There was abnormal cardiac function in DCM rats. Serum IL-6 and Ang-Ⅱ in DCM rats (group A) were significantly higher than that of the controls (
P
0.01). After the intervention of leptin
the cardiac function decline was more severe while the serum IL-6 and Ang-Ⅱ levels became higher (
P
0.01)
especially in group C. Conclusion Leptin may be involved in the occurrence and development of DCM
probably through activating the rennin angiotensin system and inflammatory factors.
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