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利拉鲁肽对高血压大鼠心肌重构的影响

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目的 观察利拉鲁肽对高血压大鼠心肌重构的影响,探讨白细胞介素(IL)-6/信号转导及转录激活因子3(STAT3)信号通路在其中的作用。方法 40只自发性高血压Wistar大鼠随机分为高血压组、利拉鲁肽组、激活剂组、利拉鲁肽+激活剂组各10只,血压正常Wistar大鼠10只为对照组。利拉鲁肽组大鼠皮下注射利拉鲁肽0。4 mg/(kg·d),激活剂组大鼠腹腔注射STAT3激活剂colivelin 1 mg/(kg·d),利拉鲁肽+激活剂组大鼠皮下注射利拉鲁肽0。4 mg/(kg·d)+腹腔注射colivelin 1 mg/(kg·d),高血压组、对照组大鼠均皮下和腹腔注射生理盐水1 mL/d,5组均连续注射12周。造模后测量5组大鼠收缩压、舒张压、心脏指数和左心室指数,采用ELISA法检测心肌组织IL 1β、肿瘤坏死因子-α(TNF-α)水平,采用Masson染色法检测心肌组织胶原容积分数(CVF),采用实时荧光定量PCR法检测心肌组织Ⅰ型胶原、Ⅲ型胶原mRNA相对表达量,采用Western blot法检测心肌组织Ⅰ型胶原、Ⅲ型胶原、IL-6、IL-1β、TNF-α、p-STAT3、STAT3蛋白相对表达量并计算p-STAT3/STAT3。结果 高血压组、利拉鲁肽组、激活剂组、利拉鲁肽+激活剂组收缩压[(189。55±19。06)、(153。72±13。48)、(208。51±19。33)、(171。14±15。62)mmHg]、舒张压[(158。34±13。70)、(122。18±11。77)、(173。53±16。84)、(143。70±13。57)mmHg]、心脏指数[(0。43±0。04)%、(0。36±0。03)%、(0。47±0。04)%、(0。39±0。03)%]、左心室指数[(0。36±0。04)%、(0。25±0。03)%、(0。40±0。03)%、(0。31±0。04)%]均高于对照组[128。39±12。57)mmHg、(108。42±8。55)mmHg、(0。32±0。04)%、(0。20±0。03)%](P<0。05),高血压组、利拉鲁肽组、激活剂组、利拉鲁肽+激活剂组心肌组织IL-1β[(93。13±11。52)、(55。89±9。40)、(123。49±15。04)、(73。48±7。32)ng/L]、TNF-α[(125。29±11。57)、(88。34±9。32)、(159。46±14。90)、(103。58± 12。33)ng/L]水平及 CVF[(28。47±4。50)%、(9。36±1。22)%、(43。69±9。53)%、(16。74±5。67)%]均高于对照组[(35。69±6。33)ng/L、(50。67±8。44)ng/L、(2。04±0。58)%](P<0。05),高血压组、利拉鲁肽组、激活剂组、利拉鲁肽+激活剂组心肌组织Ⅰ型胶原、Ⅲ型胶原mRNA相对表达量及Ⅰ型胶原、Ⅲ型胶原、IL-6、IL-1β、TNF-α蛋白相对表达量和p-STAT3/STAT3均高于对照组(P<0。05);以上指标激活剂组均高于高血压组、利拉鲁肽组、利拉鲁肽+激活剂组(P<0。05),高血压组均高于利拉鲁肽组、利拉鲁肽+激活剂组(P<0。05),利拉鲁肽+激活剂组均高于利拉鲁肽组(P<0。05)。结论 利拉鲁肽可减轻高血压大鼠心肌组织胶原沉积和炎性反应,改善心肌重构,降低血压,可能是通过抑制IL-6/STAT3信号通路发挥作用。
Effect of liraglutide on myocardial remodeling in hypertensive rats
Objective To observe the effect of liraglutide on myocardial remodeling in hypertensive rats,and investigate the role of interleukin-6(IL-6)/signal transducer and activator of transcription 3(STAT3).Methods Forty Wistar rats with spontaneously hypertension were randomly divided into hypertension group,liraglutide group,activator group and liraglutide+activator group,with 10 rats each,and another 10 Wistar rats with normal blood pressure were as controls(control group).The rats in liraglutide group were subcutaneously injected with liraglutide 0.4 mg/(kg·d),the rats in activator group were intraperitoneally injected with STAT3 activator colivelin 1 mg/(kg·d),and the rats in liraglutide+activator group were intraperitoneally injected with liraglutide 0.4 mg/(kg·d)+colivelin 1 mg/(kg·d),and the rats in hypertension group and control group were injected with 1 mL of normal saline subcutaneously and intraperitoneally every day,totally for 12 weeks.The systolic blood pressure,diastolic blood pressure,cardiac indexes and left ventricular indexes were measured.The levels of IL-1β and tumor necrosis factor-α(TNF-α)in myocardial tissues were detected by ELISA,and the collagen volume fraction(CVF)in myocardial tissues was detected by Masson staining.Real-time fluorescence quantitative PCR was used to detect the relative expressions of type Ⅰ and Ⅲ collagen mRNAs in myocardial tissues.The relative expressions of type Ⅰ collagen,type Ⅲ collagen,IL-6,IL-1β,TNF-α,p-STAT3 and STAT3 proteins in myocardial tissues were detected by Western blot method.p-STAT3/STAT3 was calculated.Results The systolic blood pressures[(189.55±19.06),(153.72±13.48),(208.51±19.33),(171.14± 15.62)mmHg],diastolic blood pressures[(158.34±13.70),(122.18±11.77),(173.53±16.84),(143.70± 13.57)mmHg],cardiac indexes[(0.43±0.04)%,(0.36±0.03)%,(0.47±0.04)%,(0.39±0.03)%],left ventricular indexes[(0.36±0.04)%,(0.25±0.03)%,(0.40±0.03)%,(0.31±0.04)%],IL-1 β levels[(93.13± 11.52),(55.89±9.40),(123.49±15.04),(73.48±7.32)ng/L],TNF-α levels[(125.29±11.57),(88.34±9.32),(159.46±14.90),(103.58±12.33)ng/L]and CVFs[(28.47±4.50)%,(9.36±1.22)%,(43.69±9.53)%,(16.74±5.67)%]in hypertension group,liraglutide group,activator group and liraglutide+activator group were higher than those in control group[(128.39±12.57)mmHg,(108.42±8.55)mmHg,(0.32±0.04)%,(0.20±0.03)%,(35.69+6.33)ng/L,(50.67+8.44)ng/L,(2.04+0.58)%],the relative expressions of collagen type Ⅰ mRNA,collagen type Ⅲ mRNA,collagen type Ⅰ protein,collagen type Ⅲ protein,IL-6 protein,IL-1β protein and TNF-αprotein as well as p-STAT3/STAT3 ratios were higher in hypertension group,liraglutide group,activator group and liraglutide+activator group than those in control group(P<0.05),and all these above indexes were higher in activator group than those in hypertension group,liraglutide group and liraglutide+activator group(P<0.05),higher in hypertension group than those in liraglutide group and liraglutide+activator group(P<0.05),and higher in liraglutide+activator group than those in liraglutide group(P<0.05).Conclusion Liraglutide can reduce collagen deposition and inflammatory response,improve myocardial remodeling,and lower blood pressure in hypertensive rats,possibly by inhibiting IL-6/STAT3 signaling pathway.

hypertensionmyocardial remodelingliraglutideinterleukin-6signal transducer and activator of transcription 3rats

武鑫玲、宋欢欢、金玉、王红宇

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河南中医药大学第五临床医学院郑州人民医院心血管内科,河南郑州 450053

河南中医药大学第五临床医学院郑州人民医院急诊重症监护室,河南郑州 450053

高血压 心肌重构 利拉鲁肽 白细胞介素-6 信号转导及转录激活因子3 大鼠

中华国际医学交流基金会项目

Z-2016-23-2101-37

2024

中华实用诊断与治疗杂志
中华预防医学会 河南省人民医院

中华实用诊断与治疗杂志

CSTPCD
影响因子:1.276
ISSN:1674-3474
年,卷(期):2024.38(4)
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