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海南省人民医院医疗保健中心三病区,海口,570311
纸质出版日期:2014,
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曾 敏, 魏 欣, 吴智勇, 等. TNF-α、ICAM-1在心肌无复流中的表达与调节机制[J]. 重庆医科大学学报, 2014,38(5):670-673.
Zeng Min, Wei Xin, Wu Zhiyong, et al. Expressions of TNF-α and ICAM-1 during myocardial ischemia/reperfusion and related regulatory mechanism[J]. Journal of Chongqing Medical University, 2014,38(5):670-673.
目的:研究肿瘤坏死因子-α(tumor necrosis factor-alpha,TNF-α)、细胞间黏附分子-1(intracellular adhesion molecules-1,ICAM-1)在家兔心肌无复流模型血浆中的表达水平及调节机制。方法:30只新西兰大白兔,随机分为假手术组、心肌缺血再灌注组和四氢吡咯二硫代氨基甲酯(pyrrolidine dithiocarbamate,PDTC)组(缺血前30 min经耳缘静脉注射PDTC 20 mg/kg)。心肌缺血再灌注组和PDTC组采用开胸冠状动脉结扎回旋支90 min再松解60 min的方法建立家兔心肌无复流模型。通过酶联免疫吸附试验测定各组家兔缺血再灌注过程中炎症因子TNF-α和ICAM-1在血浆的表达水平、测定心肌不同区域心肌髓过氧化酶(myeloperoxidase,MPO)活性、光镜及电镜下观察心肌细胞受损情况。结果:家兔心肌缺血再灌注组炎症因子TNF-α和I-CAM-1的表达水平在缺血后150 min时达高峰,明显高于PDTC组(P<0.05)。心肌缺血再灌注组无复流区及缺血区心肌MPO活性较假手术组和PDTC组均明显升高(P<0.05)。PDTC组无复流区心肌细胞损伤程度轻于缺血再灌注组。 结论:家兔心肌缺血再灌注诱导炎症因子的表达;抑制核因子-κB激活可减少无复流区的中性粒细胞浸润和激活,减少炎症因子的表达,减轻无复流区心肌再灌注损伤程度。
Objective:To investigate the release of pro-inflammatory mediators:tumor necrosis factor-α(TNF-α) and intracellular ad-hesion molecules-1(ICAM-1) during myocardial ischemia/reperfusion and related regulatory mechanism. Methods:Totally 30 New Zealand white rabbits were divided into 3 groups:sham group,cardiac ischemia/reperfusion group(the left circumflex coronary arteries of the rabbits were ligated for 90 min then untied for 60 min) and PDTC group(20 mg/kg pyrrolidine dithiocarbamate was injected intravenously 30 min before cardiac ischemia). Plasma levels of ICAM-1 and TNF-α at different time points during ischemia/reperfusion were detected by ELISA. Myocardial myeloperoxidase activities in different regions were determined and myocardial cell injury was observed under the light microscope and electron microscope. Results:Serum concentration of TNF-α and ICAM-1 in cardiac ischemia/reperfusion group reached the peak 150 min after myocardial ischemia,which was significantly higher than that of sham group and PDTC group(P<0.05). Myeloper-oxidase in no-reflow area and ischemic area was significantly higher in ischemia/reperfusion group than in sham group and PDTC group(P<0.05). Histological results showed that myocardial injury in no-reflow area was less severe in PDTC group than in ischemic/reperfusion group. Conclusions:Cardiac ischemic/reperfusion can promote the release of pro-inflammatory mediators. Inhibition of nu-clear factor-κB can decrease the infiltration and activation of neutrophile granulocyte,attenuate the release of pro-inflammatory factors and decrease myocardial injury in no-reflow area.
促炎因子缺血再灌注髓过氧化酶
pro-inflammatory factorischemic/reperfusionmyeloperoxidase
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