灯盏花素对急性心肌梗死大鼠心功能及氧化应激、炎症反应的影响
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R285.5

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浙江省宁波市自然科学基金项目(2018A610387)


Breviscapine Has Effect on Heart Function, Oxidative Stress, and Inflammatory Response of Rats with Acute Myocardial Infarction
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    摘要:

    目的:探讨灯盏花素对大鼠急性心肌梗死(AMI)后心功能及氧化应激、炎症反应的影响。方法:将 120 只 SD 大鼠随机分为假手术组、梗死组、维拉帕米组和灯盏花素低、中、高剂量组(以下简称低、中、高剂量组),每组 20 只。除假手术组 外,其余各组大鼠建立 AMI 模型。维拉帕米组及低、中、高剂量组按相应的剂量腹腔注射相应的药物,假手术组、梗死组给予等体积的生理盐水,共 4 周。超声影像系统测定大鼠舒张末期左室内径 (LVIDd)、收缩末期左室内径 (LVIDs)、短轴缩短率(FS)、射血分数(EF)和每搏输出量(SV);HE 染色法行心脏组织病理学检查;测定血清心肌酶水平;计算心脏指数(心质量/体质量) 和梗死体积百分比;测定心肌组织抗氧化酶活性和丙二醛 (MDA) 含量;测定心肌组织炎症细胞因子肿瘤坏死因子-α (TNF-α)、细胞间黏附分子-1(ICAM-1)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)含量。结果:与假手术组比较,梗死组大鼠心肌组织呈现心肌纤维条理不清、断裂、紊乱,细胞数量减少、部分坏死,炎性细胞浸润等病变;LVIDd、LVIDs、心脏指数、梗死体积百分比、心肌组织 MDA、TNF-α、ICAM-1、IL-1β、IL-6 含量及血清谷草转氨酶 (AST)、肌酸磷酸激酶(CPK)、乳酸脱氢酶 (LDH) 水平升高 (P<0.05,P<0.01);FS、EF、SV 及心肌组织超氧化物歧化酶 (SOD)、过氧化氢酶(CAT) 活性降低 (P<0.01)。与梗死组比较,低剂量组血清 LDH 水平和心肌组织 MDA 含量降低 (P<0.05);中、高剂量组和维拉帕米组 LVIDs、心脏指数、梗死体积百分比、血清 AST、LDH 水平及心肌组织 MDA、ICAM-1 含量降低 (P<0.05,P< 0.01),FS、EF、SV 升高 (P<0.05,P<0.01),心肌组织病变不同程度改善;中、高剂量组血清 CPK 水平、心肌组织 TNF-α、IL-1β、IL-6 含量降低 (P<0.05,P<0.01),心肌组织 SOD、CAT 活性升高 (P<0.05,P<0.01);高剂量组和维拉帕米组LVIDd 降低(P<0.05)。与维拉帕米组比较,低剂量组 LVIDd、LVIDs、梗死体积百分比升高(P<0.05,P<0.01),FS、EF、SV降低 (P<0.01);中剂量组 LVIDd 升高 (P<0.01);高剂量组血清 LDH 水平、心肌组织 MDA 含量降低 (P<0.05,P<0.01),SOD 活性升高 (P<0.05);中、高剂量组心肌组织 TNF-α、IL-1β、IL-6 含量降低 (P<0.05,P<0.01)。结论:灯盏花素对大鼠 AMI 后心功能有明显的改善作用,对 AMI 后氧化应激损伤、炎症反应有明显的抑制作用。

    Abstract:

    Abstract:Objective:To discuss the effect of breviscapine on the heart function,oxidative stress,and inflammatory response of rats with acute myocardial infarction(AMI). Methods:A total of 120 SD rats were randomly divided into the sham operation group,the infarction group,the verapamil group,and the verapamil groups of low- dose,medium- dose and high- dose(low- dose, medium- dose and high- dose groups for short), 20 cases in each group. Except for the sham operation group,in the other groups,AMI rat models were established. The verapamil group and low-dose,medium-dose and high- dose groups were given the intraperitoneal injection of the corresponding medicines in terms of corresponding dosage. The sham operation group and the infarction group were given normal saline of the same volume. All groups were treated for four weeks. Left ventricular internal diameter at end- diastole(LVIDd),left ventricular internal diameter at endsystole(LVIDs), fraction shortening(FS), ejection fraction(EF), and stroke volume(SV) of rats were detected by ultrasonic imaging system. The histopathological examination of the heart was conducted by HE staining method. The level of serum myocardial enzyme was measured. The cardiac index(the ratio of the heart weight to body mass) and the percentage of infarction volume were calculated. The activity of antioxidant enzyme and the content of malondialdehyde(MDA) in myocardial tissue were detected. The content of inflammatory cytokines including tumor necrosis factor-α(TNF-α),intercellular adhesion molecule-1(ICAM-1),interleukin-1β(IL-1β),and interleukin-6(IL-6) in myocardial tissue were measured. Results:When compared with those in the sham operation group,in the infarction group,there was disorderly arrangement and rupture of myocardial fiber,decrease of cell number,partial necrosis,and inflammatory cell infiltration in myocardial tissue;LVIDd, LVIDs,the cardiac index,the percentage of infarction volume,the contents of MDA,TNF-α,ICAM-1,IL-1β,and IL-6 in myocardial tissue,as well as the levels of aspartate aminotransferase(AST),creatine phosphokinase(CPK),and lactate dehydrogenase(LDH) in serum were increased(P<0.05, P<0.01); FS, EF, SV, as well as the activity of superoxide dismutase(SOD) and catalase(CAT) in myocardial tissue were decreased(P<0.01). When compared with those in the infarction group,in the low-dose group,the level of LDH in serum and the content of MDA in myocardial tissue were decreased(P< 0.05);in the medium-dose group,high-dose group,and the verapamil group,LVIDs,the cardiac index,the percentage of infarction volume,the levels of AST and LDH in serum,as well as the contents of MDA and ICAM-1 in myocardial tissue were decreased(P<0.05,P<0.01),FS,EF,and SV were increased(P<0.05,P<0.01),and lesion of myocardial tissue was improved with different degrees. When compared with those in the infarction group,in the medium- dose and high dose groups,the level of CPK in serum and the contents of TNF-α,IL-1β,and IL-6 in myocardial tissue were decreased (P<0.05,P<0.01),and the activity of SOD and CAT in myocardial tissue was increased(P<0.05,P<0.01);in the high dose group and the verapamil group,LVIDd was decreased(P<0.05). When compared with those in the verapamil group,in the low-dose group,LVIDd,LVIDs,and the percentage of infarction volume were increased(P<0.05,P<0.01),and FS, EF, and SV were decreased(P<0.01); in the medium- dose group, LVIDd was increased(P<0.01); in the high- dose group,the level of LDH in serum and the content of MDA in myocardial tissue were decreased(P<0.05,P<0.01),and the activity of SOD was increased(P<0.05); in the medium-dose and high-dose groups, the contents of TNF- α,IL-1β, and IL-6 in myocardial tissue were decreased(P<0.05,P<0.01). Conclusion:Breviscapine has significant improving effect on the heart function of rats after AMI,and significant inhibitory effect on oxidative stress injury and inflammatory response after AMI.

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吕英俊,余平,陈骅,俞飞虎.灯盏花素对急性心肌梗死大鼠心功能及氧化应激、炎症反应的影响[J].新中医,2021,53(4):10-15

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  • 在线发布日期: 2021-02-27
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