首页|祛痰活血汤通过转化生长因子-β1/Smad通路对原发性高血压大鼠心肌的影响

祛痰活血汤通过转化生长因子-β1/Smad通路对原发性高血压大鼠心肌的影响

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目的:本研究主要探讨在原发性高血压大鼠(SHR)心肌肥厚及纤维化中祛痰活血汤的保护作用,进一步研究祛痰活血汤对SHR心肌肥厚及纤维化的保护作用是否与转化生长因子-β1/Smad(TGF-β1/Smad)通路相关,探讨祛痰活血汤对大鼠心肌肥厚及纤维化保护作用的相关机制。方法:取20只SHR,随机分为4组:模型组,中药低剂量组,中药高剂量组,AMST组(奥美沙坦组),并以5只Wistar大鼠作为正常对照组。灌胃4周后观察祛痰活血汤治疗SHR血压变化、左心室重量指数(LVMI)效应,并用苏木精-伊红(HE)染色、放射免疫法、硝酸还原酶法、反转录-聚合酶链反应(RT-PCR)、免疫组织化学法等观察祛痰活血汤治疗SHR心肌细胞形态的变化、内皮素-1(ET-1)、血管紧张素Ⅱ(AngⅡ)、一氧化氮(NO)水平的作用;检测TGF-β1 mRNA在心肌组织中的水平及Smad2/3和Smad7蛋白在心肌组织中的表达。结果:祛痰活血汤能明显降低SHR血压和LVMI等指标,改善SHR心肌细胞的形态,减少SHR血浆中ET-1和AngⅡ的量,升高SHR血清NO水平。祛痰活血汤能减少SHR的TGF-β1 mRNA及Smad2/3蛋白表达,上调Smad7蛋白表达量。结论:祛痰活血汤对SHR心肌肥厚和纤维化有减轻作用,能改善心功能状态,这一保护作用机制可能与抑制TGF-β1/Smad信号通路有关。
Effect of Qutan Huoxue Decoction on Myocardium in Spontaneously Hypertensive Rats through Transforming Growth Factor-β1/Smad Signaling Pathway
Objective:This study mainly analyzed the protective effect of Qutan Huoxue Decoction on myocardial hypertrophy and fibrosis in spontaneously hypertensive rats(SHRs)and investigated whether the protective effect of Qutan Huoxue Decoction on my-ocardial hypertrophy and fibrosis in SHRs is related to transforming growth factor-β1(TGF-β1)/Smad pathway.It also explored the mechanism of the protective effect of Qutan Huoxue Decoction on myocardial hypertrophy and fibrosis in rats.Methods:Twenty SHRs were randomly divided into four groups:model group,low-dose group of Qutan Huoxue Decoction,high-dose group of Qutan Huoxue Decoction,and AMST group(Omesartan).Five Wistar rats were set as the normal control group.After four weeks of intra-gastric administration,the effects of Qutan Huoxue Decoction on blood pressure and left ventricular mass index(LVMI)of SHRs were observed,and the effects of Qutan Huoxue Decoction on myocardial cell morphology,endothelin-1(ET-1),angiotensin Ⅱ(AngⅡ),and nitric oxide(NO)content were studied by using hematoxylin-eosin(HE)staining,radioimmunoassay,nitric acid reduc-tase,reverse transcription-polymerase chain reaction(RT-PCR),and immunohistochemical method.The mRNA level of TGF-β1and the expression of Smad2/3 and Smad7 proteins in myocardial tissue were detected.Results:Qutan Huoxue Decoction could signifi-cantly reduce blood pressure and LVMI of SHRs,improve myocardial cell morphology of SHRs,reduce plasma ET-1 and Ang Ⅱcontent of SHRs,and increase serum NO level of SHRs.Qutan Huoxue Decoction could reduce TGF-β1mRNA level and Smad2/3 protein expression of SHRs and increase the expression of Smad7 protein.Conclusion:Qutan Huoxue Decoction can reduce myo-cardial hypertrophy and fibrosis and improve the cardiac function of SHRs,and the mechanism of this protective effect may be relat-ed to the inhibition of the TGF-β1/Smad signaling pathway.

Qutan Huoxue DecoctionSpontaneously hypertensive ratMyocardial hypertrophyMyocardial fibrosisEndothelin-1Angiotensin ⅡNitric oxideTransforming growth factor-β1

袁玲、孙雪梅、徐雯珺、殷丽琴、王彰禹、季海刚

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南京中医药大学附属常州市中医医院,常州,213003

江南大学附属医院,无锡,214000

昆山市第一人民医院,苏州,215300

江苏大学附属医院,镇江,212001

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祛痰活血汤 原发性高血压大鼠 心肌肥厚 心肌纤维化 内皮素-1 血管紧张素Ⅱ 一氧化氮 转化生长因子-β1

2024

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
年,卷(期):2024.19(20)