中西医结合心脑血管病杂志2024,Vol.22Issue(24) :4468-4476.DOI:10.12102/j.issn.1672-1349.2024.24.008

调控心脏Sema3a和NGF平衡表达对心肌梗死后交感神经重塑及心律失常的影响

Effect of Sympathetic Remodeling on Post-myocardial Infarction Arrhythmias by Regulating the Expression of Sema3a and NGF

王海雄 李军 林亚如 李娜 张安欣 孙跃晖 郭李平 余星燕 向杰
中西医结合心脑血管病杂志2024,Vol.22Issue(24) :4468-4476.DOI:10.12102/j.issn.1672-1349.2024.24.008

调控心脏Sema3a和NGF平衡表达对心肌梗死后交感神经重塑及心律失常的影响

Effect of Sympathetic Remodeling on Post-myocardial Infarction Arrhythmias by Regulating the Expression of Sema3a and NGF

王海雄 1李军 1林亚如 1李娜 1张安欣 1孙跃晖 1郭李平 1余星燕 1向杰1
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作者信息

  • 1. 山西省心血管病医院 太原 030024
  • 折叠

摘要

目的:探索小鼠心肌梗死后交感神经再生和重塑,人为调控相关因子以期减少心肌梗死后交感神经病理性重塑所引发的致命性心律失常和心源性猝死.方法:利用CRISPR/Cas9和基因敲入技术建立3种小鼠品系模型,与野生型C57BL/6J心肌梗死小鼠比较,在此基础上结扎冠状动脉造成心肌梗死,人为调控心肌梗死后心肌细胞神经生长因子(NGF)和信号素3A(Sema3a)的动态平衡表达,并利用心电遥测、心脏超声、交感神经分布形态、关键基因表达水平等方法监测小鼠的收缩压(SBP)、舒张压(DBP)、左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)、左心室缩短分数(FS)、射血分数(EF)等指标.结果:与野生型假手术组相比,野生型心肌梗死组小鼠的SBP、DBP、平均动脉压(MBP)降低,LVEDD、LVESD升高(P<0.05),心脏/体质量比(HW/BW)增加(P<0.05).与NGF-Sema3a小鼠假手术组相比,NGF-Sema3a心肌梗死组小鼠的SBP、DBP、MBP降低,LVESD升高(P<0.05);与野生型心肌梗死小鼠相比,NGF-Sema3a心肌梗死小鼠LVEDD、LVESD降低(P<0.001),FS、EF升高(P<0.05).与野生型心肌梗死组相比,NGF-Sema3a心肌梗死组小鼠HW/BW降低(P<0.05),梗死区较小,炎症反应较轻,细胞轮廓较清楚.结论:通过调控心肌细胞中NGF和Sema3a的动态平衡表达可减少心肌梗死面积,减轻心肌炎症和纤维化,降低死亡率,改善心功能.

Abstract

Objective:To explore the post-infarction sympathetic nerve regeneration and remodeling in mice,and to artificially regulate the related factors in order to reduce the fatal arrhythmias and sudden cardiac death(SCD) triggered by post-infarction sympathetic nerve pathological remodeling.Methods:Three mouse strain models were established using techniques such as CRISPR/Cas9 and knock-in to compare with wild-type C57BL/6J infarction mice,based on these models coronary arteries were ligated to cause infarction,and the dynamic and balanced expression of nerve growth factor ( NGF) and Semaphorin 3a ( Sema3a) was artificially regulated in myocardial cells after myocardial infarction. Results:Compared with wild type sham operation group,systolic blood pressure(SBP),diastolic blood pressure(DBP),mean arterial pressure(MBP) in wild type myocardial infarction group were decreased(P<0.05),and left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),heart/body weight ratio(HW/BW) were increased(P<0.05).SBP,DBP,MBP in NGF-Sema3a infarction group were decreased and LVESD was increased compared with those in NGF-Sema3a sham operation group (P<0.05). Compared with wild-type mice,LVEDD and LVESD of NGF-Sema3a myocardial infarction group were decreased (P<0.001),left ventricular fraction shortening ( FS) and ejection fraction ( EF) were increased(P<0.05).Compared with wild-type myocardial infarction group,the HW/BW in NGF-Sema3a myocardial infarction group was decreased(P<0.05),the infarct area was smaller,the inflammatory reaction was lighter,and the cell profile was clearer. Conclusion:By regulating the dynamic and balanced expression of NGF and Sema3a in myocardial cell can reduce infarct size,attenuate myocardial inflammation and fibrosis,decrease mortality,and improve cardiac function.

关键词

心源性猝死/心肌梗死/心律失常/信号素3A/神经生长因子/实验研究

Key words

sudden cardiac death/myocardial infarction/arrhythmia/Semaphorin 3a/nerve growth factor/experimental study

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出版年

2024
中西医结合心脑血管病杂志
中国中西医结合学会 山西医科大学第一医院

中西医结合心脑血管病杂志

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影响因子:1.463
ISSN:1672-1349
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