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急性心肌梗死患者抗心肌肌球蛋白重链抗体诱导心肌细胞凋亡 被引量:2

Anti-cardiac myosin heavy chain antibodies isolated from patients with acute myocardial infarction induce rat cardiomyocyte apoptosis
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摘要 目的:探讨抗心肌肌球蛋白重链抗体(AMHCA)诱导心肌细胞凋亡的作用及其机制。方法:从急性心肌梗死患者血清中提取AMHCA,研究其对成年大鼠心肌细胞凋亡的影响。DNA末端标记膜联蛋白-V/PI复染色法观察和测量心肌细胞凋亡。分别用免疫印迹、膜片钳和激光共聚焦法检测凋亡相关蛋白P53和Bcl-2以及第二信使钙离子的表达和浓度。结果:AMHCA诱导的心肌细胞凋亡具有剂量依赖性。在此过程中,促凋亡的核蛋白P53促进心肌细胞凋亡,而抑凋亡的胞质蛋白Bcl-2抑制心肌细胞凋亡。同时,胞内钙离子浓度升高,而L型钙通道则没有影响。结论:急性心肌梗死患者体内的AMHCA可能是一种新的起动因子,可诱导心肌细胞凋亡。 AIM: To study the effect of human anti -cardiac myosin heavy chain antibodies(AMHCA) on rat cardiomyocyte apoptosis. METHODS: Rat cardiomyocytes were isolated by the method of enzymolysis. Apoptosis of the cardiomyocytes was observed and measured by DNA end labelling and Annexin - V/PI double - staining assay. The proteins levels of apoptosis related P53 and Bcl - 2 and the second messenger calcium were measured by Western blotting, patch clamp and confocal calcium imaging, respectively. RESULTS: AMHCA was able to induce cardiomyocyte apoptosis in a dose dependent manner. In the presence of AMHCA, apoptosis - accelerating nucleoprotein P53 promoted myocardial apoptosis, while apoptosis -inhibiting cytoplasmic protein Bcl- 2 inhibited myocardial apoptosis. Meanwhile, the concen- tration of cytoplasmic calcium was elevated. No effect of AMHCA on L - type calcium currents was observed. CONCLU- SION: As a novel triggering factor, AMHCA isolated from the patients with AMI induces cardiomyocyte apoptosis.
出处 《中国病理生理杂志》 CAS CSCD 北大核心 2011年第2期209-214,共6页 Chinese Journal of Pathophysiology
基金 国家973重点基础研究发展规划基金资助项目(No.2007CB512000 子课题No.2007CB512005)
关键词 心肌梗死 心肌球蛋白重链 细胞凋亡 蛋白质P53 蛋白质BCL-2 Myocardial infarction Cardiac myosin heavy chain Apoptosis Protein P53 Protein Bcl - 2 Calcium
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