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紫草素对自发性高血压大鼠心肌损伤的治疗作用及机制

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为揭示紫草素(shikonin,Shi)对自发性高血压大鼠(spontaneous hypertension rat,SHR)心肌损伤的治疗作用及机制,将大鼠分为 Wistar-Kyoto(WKY)组、SHR 组、SHR+Shi 组[Shi 50 mg/(kg·d)]和 SHR+氯沙坦(losartan,Los)组[Los 10 mg/(kg·d)],大鼠均连续治疗4周.采用超声心动图分析左室射血分数(left ventricular ejection fraction,LVEF)、左室缩短分数(left ventricular fractional shortening,LVFS)、左室舒张末期直径(left ventricular end-diastolic diameter,LVEDD)和左室收缩末期直径(left ventricular end-systolic diameter,LVESD).采用H-E染色试剂盒、天狼猩红染色试剂盒和Masson三色染色试剂盒进行组织病理学检查.检测各组大鼠的心肌损伤[心钠素(atrial natriuretic peptide,ANP)、乳酸脱氢酶(lactate dehydrogenase,LDH)]、炎症(IL-17 和 TGF-β)和氧化应激[超氧化物歧化酶(superoxide dismutase,SOD)、过氧化氢酶(catalase,CAT)、丙二醛(malondialdehyde,MDA)]参数.采用 RT-PCR 和 Western blotting 检测心肌组织中Notch2和Hes1的表达.结果显示,与SHR组比较,SHR+Shi组和SHR+Los组大鼠LVEF和LVFS显著增加(P<0.05),而LVEDD和LVESD显著减小(P<0.05).SHR组大鼠心肌纤维化面积增加,而SHR+Shi组和SHR+Los组大鼠心肌纤维化面积显著减少.与SHR组比较,SHR+Shi组和SHR+Los组大鼠血浆ANP和LDH水平显著降低(P<0.05);胸主动脉中膜厚度显著减小(P<0.05);血清SOD和CAT水平显著升高(P<0.05),而MDA水平显著降低(P<0.05);血清IL-17水平显著降低,而TGF-β水平显著升高(P<0.05);与SHR组比较,SHR+Shi组和SHR+Los组大鼠心肌中Notch2和Hes1的mRNA和蛋白表达水平显著降低(P<0.05).该研究提示,Shi可减轻SHR的心肌损伤,推测Shi可能通过抑制Notch2通路来抑制炎症和氧化应激,进而抑制SHR的心肌损伤.
Therapeutic effect and mechanism of shikonin on myocardial injury in spontaneous hypertension rats
To understand the therapeutic effect and mechanism of shikonin(Shi)on myocardial injury in spontaneous hyperten-sion rat(SHR),rats were divided into Wistar-Kyoto(WKY)group,SHR model group,SHR+Shi treatment group(Shi 50 mg/[kg·d]),and SHR+losartan(Los)treatment group(Los 10 mg/[kg·d]).The rats were treated for 4 consecutive weeks.The left ventricular ejection fraction(LVEF),left ventricular fractional shortening(LVFS),left ventricular end-diastolic diameter(LVEDD),and left ventricular end-systolic diameter(LVESD)were analyzed by echocardiography.H-E staining kit,Sirius scarlet staining kit,and Masson tricolor staining kit were used for histopathological examinations.The myocardial injury(atrial natriuretic peptide[ANP]and lactate dehydrogenase[LDH]),inflammation(IL-17 and TGF-β),and oxidative stress(superoxide dismutase[SOD],catalase[CAT]and malondialdehyde[MDA])parameters of rats in each group were measured.The expressions of Notch2 and Hes1 in myocardial tissue were detected by RT-PCR and Western blot-ting.The results showed that compared to those of the SHR group,the LVEF and LVFS of the SHR+Shi group and SHR+Los group were significantly increased(P<0.05),while the LVEDD and LVESD were significantly decreased(P<0.05).The area of myocardial fibrosis in the SHR group was increased,while the areas of myocardial fibrosis in the SHR+Shi group and the SHR+Los group were significantly reduced.Compared to those of the SHR group,the plasma ANP and LDH levels of the SHR+Shi group and the SHR+Los group were significantly reduced(P<0.05),and the thickness of the thoracic aorta media was significantly reduced(P<0.05).In addition,the serum SOD and CAT levels were significantly increased(P<0.05),while the MDA level was significantly decreased(P<0.05)in the SHR+Shi group and the SHR+Los group.Compared to those of the SHR group,the serum IL-17 levels of the SHR+Shi group and the SHR+Los group were significantly reduced(P<0.05),while the TGF-β levels were significantly increased(P<0.05).The mRNA and protein expressions of Notch2 and Hesl in the myocardium of the SHR+Shi group and the SHR+Los group were significantly reduced(P<0.05)compared to those of the SHR group.This study shows that Shi can alleviate myocardial injury in SHR by inhibiting inflammation and oxidative stress via down-regulation of the Notch2 pathway.

shikoninspontaneous hypertensionmyocardial damageNotch2 pathwayinflammationoxidative stress

王佳璐、郭亮、金安林

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宝鸡职业技术学院医学院 基础教研室,宝鸡 721000

宝鸡市中心医院 心内科,宝鸡 721000

宝鸡市中医医院 心内科,宝鸡 721000

紫草素 自发性高血压 心肌损伤 Notch2通路 炎症 氧化应激

2024

现代免疫学
上海市免疫学研究所,上海市免疫学会

现代免疫学

CSTPCD
影响因子:0.4
ISSN:1001-2478
年,卷(期):2024.44(2)
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