首页|Cx43对胆总管结扎大鼠心肌损伤的负向调控作用及其机制

Cx43对胆总管结扎大鼠心肌损伤的负向调控作用及其机制

扫码查看
目的 探讨缝隙连接蛋白43(Cx43)在胆总管结扎(CBDL)引起的大鼠心肌损伤中的作用及其分子机制。方法 将18只SD大鼠随机分为假手术组、CBDL组及Cx43抑制剂组,每组6只。假手术组大鼠行胆总管游离术,CBDL组大鼠游离、结扎并切断胆总管,Cx43抑制剂组大鼠术前24 h通过尾静脉单次注射25 mg/kg的Gap 26后,游离、结扎并切断胆总管。三组大鼠饲养至术后第14天时采用心脏超声检查评估心脏射血分数(EF)、缩短分数(FS)和心率(HR);随后测定三组大鼠血清总胆红素(TBil)、苯丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、乳酸脱氢酶(LDH)、肌酸激酶-MB(CK-MB)、超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-PX)活性及丙二醛(MDA)水平;取三组大鼠心脏组织行HE染色和Masson染色;采用免疫印迹实验检测心脏组织中Cx43、Wnt 3α、β-catenin蛋白的水平。结果 心脏超声检查结果显示,CBDL组、Cx43抑制剂组大鼠心脏EF、FS、HR均显著低于假手术组(F=22。95~43。55,t=5。10~9。32,P<0。05)。血生化及氧化应激指标检测结果显示,与假手术组相比,CBDL组、Cx43抑制剂组大鼠血清中TBil、AST、ALT、LDH、CK-MB、MDA、GSH-PX水平显著升高,SOD的水平显著降低(F=19。29~100。60,t=3。67~13。72,P<0。05)。HE染色及Masson染色结果显示,CBDL组和Cx43抑制剂组大鼠发生心肌损伤及心肌间质纤维化。免疫印迹实验结果显示,与假手术组相比,CBDL组和Cx43抑制剂组大鼠心脏组织中Cx43水平显著下降,Wnt 3α、β-catenin水平显著升高(F=28。50~70。07,t=4。32~11。79,P<0。05);与CBDL组相比,Cx43抑制剂组大鼠心脏组织中Cx43水平显著下降,Wnt 3α、β-catenin水平显著升高(t=4。95~5。20,P<0。05)。结论 CBDL大鼠心脏组织中Cx43下调可负向调控激活Wnt 3α/β-catenin通路,导致大鼠心肌组织损伤加剧及心脏功能下降。
The negative regulatory effect of connexin 43 on myocardial injury in rats with common bile duct ligation and its mechanism
Objective To investigate the role and molecular mechanism of connexin 43(Cx43)in rats with myocardial injury induced by common bile duct ligation(CBDL).Methods A total of 18 Sprague-Dawley rats were randomly divided into sham-operation group,CBDL group,and Cx43 inhibitor group,with 6 rats in each group.The rats in the sham-operation group were given isolation of the common bile duct,those in the CBDL group were given isolation,ligation,and cutting of the common bile duct,and those in the Cx43 inhibitor group were given a single injection of 25 mg/kg Gap 26 via the caudal vein at 24 h before surgery,followed by the isolation,ligation,and cutting of the common bile duct.The rats in all three groups were reared to day 14 after surgery,and echocardiography was used to evaluate ejection fraction(EF),fractional shortening(FS),and heart rate(HR);the three groups were measured in terms of serum total bilirubin(TBil),alanine aminotransferase(ALT),aspartate aminotrans-ferase(AST),lactate dehydrogenase(LDH),creatine kinase-MB(CK-MB),superoxide dismutase(SOD),glutathione peroxi-dase(GSH-PX)activity,and malondialdehyde(MDA);HE staining and Masson staining were performed for heart tissues samples collected from the three groups;Western blotting was used to measure the levels of Cx43,Wnt 3α,and β-catenin in heart tissue.Results Echocardiography showed that the CBDL group and the Cx43 inhibitor group had significantly lower cardiac EF,FS,and HR than the sham-operation group(F=22.95-43.55,t=5.10-9.32,P<0.05).Measurement of blood biochemical parameters and oxidative stress indicators showed that compared with the sham-operation group,the CBDL group and the Cx43 inhibitor group had significant increases in serum TBil,AST,ALT,LDH,CK-MB,MDA,and GSH-PX and a significant reduction in SOD(F=19.29-100.60,t=3.67-13.72,P<0.05).HE staining and Masson staining showed myocardial injury and myocardial interstitial fibrosis in the CBDL group and the Cx43 inhibitor group.Western blotting showed that compared with the sham-operation group,the CBDL group and the Cx43 inhibitor group had a significant reduction in the level of Cx43 and significant increases in the levels of Wnt 3α and β-catenin in heart tissue(F=28.50-70.07,t=4.32-11.79,P<0.05);compared with the CBDL group,the Cx43 inhibitor group had a significant reduction in Cx43 and significant in-creases in Wnt 3α and β-catenin in heart tissue(t=4.95-5.20,P<0.05).Conclusion Downregulation of Cx43 in the heart tis-sue of rats with CBDL can negatively regulate activation of the Wnt 3α/β-catenin pathway,thereby leading to the aggravation of myocardial injury and the reduction in cardiac function.

Heart injuriesBiliary tract diseasesCommon bile ductLigationFibrosisConnexin 43Wnt signaling pathwayBeta catenin

王晓玉、吕琳、杨瀚、祝琳、董胜男、董河

展开 >

青岛大学附属医院麻醉科,山东青岛 266075

青岛大学医学部

青岛大学附属医院泌尿外科

心脏损伤 胆道疾病 胆总管 结扎术 纤维化 连接蛋白43 Wnt信号通路 β连环素

国家自然科学基金项目

81902001

2024

精准医学杂志
青岛大学

精准医学杂志

ISSN:2096-529X
年,卷(期):2024.39(4)
  • 1