首页|心房颤动患者TGF-β1/Smad2、smad7信号通路在心房肌重构表达的研究

心房颤动患者TGF-β1/Smad2、smad7信号通路在心房肌重构表达的研究

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目的 探讨TGF-β1 信号通路中的Smad2、smad7 表达分布变化与房颤纤维化的发生、发展的关系.方法 选取2018 年 1 月至 2020 年 12 月于我院行心脏外科手术患者 52 例,按病变性质分为房颤组 24 例(RAF)和窦律组 28 例(RSR),通过检测心外科手术患者房颤及窦性心律组右心房组织中的Smad2、smad7、纤维化因子Fibronectin的表达,比较Smad2、smad7 表达量、空间分布及Fibronectin表达量变化.结果 房颤患者右心房Smad2 表达量明显高于窦性心律组,而smad7 表达量明显低于窦性心律患者,纤维化因子Fibronectin表达量明显高于窦性心律组,差异有统计学意义(P<0.05).结论 TGF-β1/Smad2、smad7 信号通路参与房颤心房纤维化所致结构重构.
Study on the Expression of TGF-β1/Smad2 and Smad7 Signaling Pathways in Atrial Remodeling in Patients with Atrial Fibrillation
Objectives To explore TGF-β1 The relationship between the expression and distribution changes of Smad2 and Smad7 in the TGF-β1 signaling pathway and the occurrence and development of atrial fibrillation fibrosis.Methods A total of 52 patients who underwent cardiac surgery in our hospital from January 2018 to December 2020 were selected and divided into two groups based on the nature of the lesion,and there are 24 patients in the atrial fibrillation group(RAF)and 28 patients in the sinus rhythm group(RSR).By detecting the expression of Smad2,Smad7,and fibronectin in the right atrial tissue of patients with atrial fibrillation and sinus rhythm undergoing cardiac surgery,the expression levels,spatial distribution,and changes in fibronectin expression levels of Smad2 and Smad7 were compared.Results The expression of Smad2 in the right atrium of patients with atrial fibrillation was significantly higher than that of patients with sinus rhythm,while the expression of Smad7 was significantly lower than that of patients with sinus rhythm,and the expression level of fibronectin in the fibrosis factor group was significantly higher than that in the sinus rhythm group(P<0.05).Conclusions TGF-β1/Smad2 and Smad7 signaling pathways are involved in structural remodeling caused by atrial fibrosis in atrial fibrillation.

Atrial fibrillationSmad2Smad7Atrial fibrosis

方曙、罗怡文、杨人强、徐杏安

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南昌县人民医院,江西 南昌 330200

南昌市西湖区朝阳洲街道卫生服务中心,江西 南昌 330000

南昌大学第二附属医院心血管内科,江西 南昌 330006

心房颤动 Smad2 Smad7 心房纤维化

江西省卫生计生委科技项目

20197087

2024

现代诊断与治疗
南昌市医学会 南昌市医学科学研究所

现代诊断与治疗

影响因子:0.736
ISSN:1001-8174
年,卷(期):2024.35(3)
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