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710004 西安,西安交通大学第二附属医院心内科
收稿:2019-07-30,
修回:2019-10-18,
纸质出版:2020-01-15
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张文倩, 王巧竹, 施佩菲, 等. AT1R/miR-26a通路在高血压血管重塑中的调控机制[J]. 第三军医大学学报, 2020,42(1):59-66.
Wenqian ZHANG, Qiaozhu WANG, Peifei SHI, et al. Regulation mechanism of AT1R/miR-26a pathway in hypertensive vascular remodeling[J]. Journal of Third Military Medical University, 2020, 42(1): 59-66.
张文倩, 王巧竹, 施佩菲, 等. AT1R/miR-26a通路在高血压血管重塑中的调控机制[J]. 第三军医大学学报, 2020,42(1):59-66. DOI: 10.16016/j.1000-5404.201907236.
Wenqian ZHANG, Qiaozhu WANG, Peifei SHI, et al. Regulation mechanism of AT1R/miR-26a pathway in hypertensive vascular remodeling[J]. Journal of Third Military Medical University, 2020, 42(1): 59-66. DOI: 10.16016/j.1000-5404.201907236.
目的
2
阐明AT1R/miR-26a通路在高血压血管重塑中的重要作用及分子机制。
方法
2
① 将24只8周龄雄性自发性高血压大鼠(SHRs)分为(
n
=8):氯沙坦干预组[氯沙坦20 mg/(kg·d)灌胃
]
、哌唑嗪干预组[哌唑嗪5 mg/(kg·d)灌胃
]
、SHR模型对照组[纯水10 mL/(kg·d)灌胃
]
;雄性WKY大鼠作为正常对照组[纯水10 mL/(kg·d)灌胃
]
(
n
=6),干预8周;干预前后3~5 d测定鼠尾动脉收缩压(SBP),直至干预期满。②将各组大鼠麻醉取胸主动脉,qPCR检测大鼠胸主动脉miR-26a的表达水平。③剩余组织石蜡包埋行HE、Masson染色,α-actin和PCNA免疫组化染色。④Western blot检测大鼠胸主动脉AT1R、TGFβ1、p-smad3、CTGF表达情况。⑤将培养传至3~9代的大鼠胸主动脉平滑肌细胞(VSMC)分为AngⅡ处理组(VSMC+AngⅡ,AngⅡ10
-7
mol/L,作用24 h处理细胞)和对照组(VSMC+ Ctrl)(
n
=6),qPCR检测miR-26a的表达水平,Western blot检测smad3和p-smad3表达情况。
结果
2
① 干预期满时,氯沙坦组、哌唑嗪组SBP明显低于模型对照组,但均高于正常对照组(
P
<
0.05),氯沙坦组、哌唑嗪组间SBP差异无统计学意义(
P
>
0.05)。②氯沙坦组、哌唑嗪组胸主动脉miR-26a相对表达高于模型对照组(
P
<
0.05),且氯沙坦组高于哌唑嗪组(
P
<
0.05),但均较正常对照组表达低(
P
<
0.05)。③氯沙坦组、哌唑嗪组中膜厚度/管腔内经(MT/LD)、胶原体积分数(CVF)及平滑肌细胞增值指数均低于模型对照组(
P
<
0.05),且氯沙坦组低于哌唑嗪组;正常对照组血管管壁未见明显增厚,平滑肌分布均匀且动脉内膜完整,无显著的胶原纤维沉积现象,平滑肌细胞排列整齐,胞核形态规则。④氯沙坦组、哌唑嗪组胸主动脉AT1R、p-smad3、TGFβ1、CTGF相对表达低于
模型对照组(
P
<
0.05),且氯沙坦组低于哌唑嗪组(
P
<
0.05),但均高于正常对照组(
P
<
0.05)。⑤VSMC+AngⅡ组细胞miR-26a表达显著低于对照组,且p-smad3表达显著高于VSMC+Ctrl组(
P
<
0.05)。
结论
2
miR-26a可阻止血压升高,且在高血压血管重塑进程中具有保护性作用;阻断AT1受体可通过上调miR-26a改善高血压血管重塑。
Objective
2
To elucidate the important role and molecular mechanism of AT1R/miR-26a pathway in hypertensive vascular remodeling.
Methods
2
① Eight-week-old male spontaneously hypertensive rats (SHRs) were randomly divided into losartan group [gavage with losartan 20 mg/(kg·d) for 8 weeks
]
prazosin group [gavage with prazosin 5 mg/(kg·d) for 8 weeks
]
SHR control group [gavage with pure water 10 mL/(kg·d) for 8 weeks
]
with 8 animals in each groups. Six eight-week-old male WKY rats served as normal control group [gavage with pure water 10 mL/(kg·d) for 8 weeks
]
. All rats in each group were measured for systolic blood pressure (SBP) through tail artery in 3 to 5 d before and during the intervention period until the end of treatment. ② After the rats were anesthetized
the thoracic aorta were harvested for detecting the expression level of miR-26a by real-time quantitative polymerase chain reaction (qPCR). ③ The thoracic aorta was embedded in paraffin
and sectioned for HE and Masson staining
α-actin and PCNA immunohistochemistry. ④ The expression of AT1R
TGFβ1
p-smad3 and CTGF in the thoracic aorta were detected by Western blotting. ⑤ The rat thoracic aortic smooth muscle cells (VSMCs) at 3 to 9 passages were divided into AngⅡ treatment group (VSMCs+AngⅡ
AngⅡ10
-7
mol/L
treated for 24 h)
and control group (VSMC+Ctrl). qPCR was used to detect the expression level of miR-26a
and the expression of smad3 and p-smad3 was observed by Western blotting.
Results
2
① At the end of treatment received
SBP was significantly lower in the losartan an
d prazosin groups than the SHR control group
but all of them were obviously higher than that of normal control group (
P
<
0.05). There was no significant difference in SBP between the losartan and prazosin groups (
P
>
0.05). ②The expression of miR-26a in the thoracic aorta was notably higher in the losartan and prazosin groups than the SHR control group
but statistically lower than the normal control group (
P
<
0.05)
and that of the losartan group was higher than that of the prazosin group (
P
<
0.05). ③ Media thickness/lumen diameter (MT/LD)
collagen volume fraction (CVF)
and smooth muscle cell proliferation index in the losartan and prazosin groups were remarkably lower than those in the SHR control group (
P
<
0.05)
and those in the losartan group were lower than those of the prazosin group. The normal control group had no obvious thickening of the vascular wall
with well-arranged smooth muscle cells
and regular morphology of the nucleus
and no significant collagen fiber deposition. ④The expression levels of AT1R
p-smad3
TGFβ1 and CTGF in the thoracic aorta were significantly lower in the losartan and prazosin groups than the SHR control group (
P
<
0.05). Although those in the losartan group were lower than those of the prazosin group (
P
<
0.05)
the levels in the both group were higher than those of normal control group (
P
<
0.05). ⑤The expression of miR-26a was significantly lower
and that of p-smad3 was higher in VSMC+AngⅡ group when compared with VSMC+Ctrl group (
P
<
0.05).
Conclusion
2
miR-26a prevents blood pressure from rising and has a protective effect in the process of hypertensive vascular remodeling. Blocking AT1 receptor may improve the remodeling by up-regulating miR-26a.
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