摘要
目的研究法舒地尔对大鼠颈动脉球囊损伤后新生内膜的干预影响,并探讨可能的机制。方法30只雄性SD大鼠,随机分为5组:(1)假手术组:不做球囊损伤;(2)球囊损伤组仅作球囊损伤;(3)2.5mg组:球囊损伤后服法舒地尔2.5mg·kg-1·d-1;(4)5.0mg组:球囊损伤后服法舒地尔5.0mg·kg-1·d-1;(5)10mg组:球囊损伤后口服法舒地尔10.0mg·kg-1·d-1。14d后光镜和苏木精-伊红染色法(HE)染色观察新生内膜的内膜中膜比值;以免疫组化方法检测增殖细胞核抗原(PCNA)的表达,并计算积分光吸光度(IA);酶联免疫吸附(ELISA)法测定组织中氧化应激标志物8-羟基脱氧鸟苷(8-OHdG)和丙二醛(MDA)的水平。用免疫印迹(Western blot)法测定磷酸化和非磷酸化的Ras、丝裂原活化蛋白激酶(MEK1/2)、细胞外调节蛋白激酶(ERK1/2)的蛋白表达。结果与假手术组血管内膜与中膜比值(0.22±0.01)比较,球囊损伤组新生内膜明显增生(2.71±0.23);与球囊损伤组相比较,法舒地尔2.5mg组(1.72±0.24)、5.0mg组(1.23±0.11)、10.0mg组(0.85±0.12)呈剂量依赖抑制新生内膜的增殖,差异有统计学意义(F=767.3,P〈0.01)。法舒地尔以剂量依赖形式抑制PCNA的表达,IA值球囊损伤组为(53.42±2.30),与2.5mg(45.25±1.62)、5.0mg组(22.55±0.88)、10.0mg组(19.61±0.79)比较,差异有统计学意义(均P〈0.01)。氧化应激标志物8-OHdG、MDA法舒地尔干预各组与球囊损伤组比较下降,差异有统计学意义(均P〈0.01);与球囊损伤组Ras表达0.62±0.10比较,法舒地尔干预各组剂量由低至高依次为0.49±0.12、0.39±0.13、0.20±0.23,差异有统计学意义(P〈0.05或P〈0.01);球囊损伤组MEK1/2为0.56±0.10、ERK1/2为0.64±0.13,法舒地尔干预各组剂量由低至高依次为0.35±0.14、0.29±0.09、0.11±0.12与0.48±0.15,0.32±0.08,0.12±0.09,差异有统计学意义(P〈0.05或P〈0.01),法舒地尔抑制Ras磷酸化的MEK1/2、ERK1/2的蛋白表达。结论法舒地尔通过抑制氧化应激和失活Ras—MEK1/2ERK1/2通路抑制大鼠颈动脉球囊损伤后再狭窄形成。
Objective To evaluate the effects of fasudil on neointima hyperplasia in rat carotid artery balloon-injury model, and explore the potential molecular mechanisms of this effect. Methods Totally 30 male Sprague-Dawley (SD) rats were randomly divided into sham-operation group, balloon injury group, 2.5 ml/kg fasudil intervention group, 5 ml/kg fasudil intervention group, 10 ml/kg fasudil intervention group. The intima-to-media(I/M) area ratio of neointima was calculated at 14th day after operation; the protein expression of proliferating cell nuclear antigen(PCNA) was measured by immunohistochemical and the integrated optical density (IA) was calculated. As the marker of oxidative stress, the levels of 8-hydroxy-2'-deoxyguanosine (8-OHdG) and malondialdehyde (MDA) were measured by enzyme-linked immunosorbent assay (ELISA). The expressions of pbosphorylated and non-pbosphorylated Ras, mitogen activated protein kinase kinase (MEK1/2) and extracellular signal regulated kinase (ERK1/2) were measured by Western blot. Results The I/M ratios were(0.22 ± 0. 01) in sham-operation group, (2.71 ± 0.23) in balloon injury group, (1.72 ± 0.24)in 2.5 ml/kg fasudil intervention group, (1.23 ± 0.11)in 5 ml/kg fasudil intervention group, (0.85±0.12)in 10 ml/kg fasudil intervention group. As compared with sham operation group, I/M area ratio was increased in balloon-injury group, and three fasudil intervention group inhibited neointima hyperplasia in a dose-dependent manner (all P〈 0.01). The IA indexes were (15.11± 1.42),(53.42±2.30),(45.25±1.62),(22.55±0.88) and(19.61±0.79) in the above five groups, respectively, showing the fasudil inhibited PCNA expression (all P〈0.01) . Fasudil also inhibited the levels of 8-OHdG and MDA in a dose-dependent manner [8-OHdG.. (54.34±4.50)ug/kg, (106.81 ± 6.67) ug/kg, (94.21 ± 3.34 )ug/kg, (65.58 ± 5.13 )ug/kg, (51.32 ± 2.34 )ug/kg ; MDA: (19.94 ± 0.65)umol/kg, (58.83±2.81)umol/kg, (48.94±1.35)umol/kg, (40.62±3.24)umol/kg, (36.85± 0.91 )umol/kg (all P〈0.01)]. Compared with balloon injury group, the relative expressions of Ras in three fasudil intervention group were 0. 49±0.12,0. 39±0.13, 0. 20±0. 23 vs. 0. 62±0.10(P〈0.05 or,P〈0.01); MEK1/2 0.35 ±0.14, 0.29±0.09, 0.11±0.12 vs. 0.56±0.1(P〈0.05 or,P〈 0.01); ERK1/2 0.48±0.15,0.32 ±0.08,0.12±0.09 vs. 0.64±0.13(P〈0.05 or,P〈0.01). The activations of ERK1/2, MEK1/2 and Ras were strongly suppressed in fasudil treated samples on day 14 after balloon injury. Conclusions Blockade of oxidative stress and Ras-MEK1/2-ERK1/2 pathway is involved in the fasudil attenuating of balloon injury-induced neointima hyperplasia
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2012年第9期814-818,共5页
Chinese Journal of Geriatrics
关键词
氧化性应激
颈动脉损伤
血管内膜
Oxidative stress
Carotid artery injures
Tunica intima