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不同他汀类药物治疗兔心肌缺血再灌注损伤的疗效及机制探讨
作者:汪蕾 陈红霞 陈莉  
单位:湖北中医药大学
关键词:缺血再灌注 普伐他汀 阿托伐他汀 氟伐他汀 一氧化氮合成酶 p-Ak 
分类号:
出版年·卷·期(页码):2013·41·第二期(81-84)
摘要:

摘要:目的 比较普伐他汀、氟伐他汀和阿托伐他汀治疗新西兰兔心肌缺血再灌注损伤的疗效并探讨与疗效相关的机制。方法 体内实验:实验分为普伐他汀、氟伐他汀和阿托伐他汀干预组。缺血/再灌注前2h经灌胃分别给予50mg/kg的干预药物。术后2h测量心肌梗死面积并检测缺血区内皮型一氧化氮合成酶活性。体外实验:观察以上他汀类药物诱导血管内皮细胞表达内皮型一氧化氮合成酶的含量,并检测相关的p-Akt信号分子的表达。结果 体内实验:在50mg/kg剂量下,阿托伐他汀减少缺血再灌注后心肌梗死面积以及增加内皮型一氧化氮合成酶含量的作用较其它其它两种他汀类药物明显,有统计学差异(P<0.01);体外实验:阿托伐他汀诱导血管内皮细胞表达内皮型一氧化氮合成酶较其它他汀类药物显著,有统计学差异(P<0.05)。同时阿托伐他汀上调血管内皮细胞p-Akt蛋白的作用比其它两种他汀类药物更显著。结论 在相同剂量下,阿托伐他汀对于缺血再灌注损伤的疗效优于普伐他汀和氟伐他汀。其机制可能为其具有更强的激活p-Akt信号通路并产生更多的具有保护性作用的内皮型一氧化氮合成酶。关键词 缺血再灌注;普伐他汀;阿托伐他汀;氟伐他汀;一氧化氮合成酶;p-Akt

Abstract Objective: To compare the effectiveness of applying different kinds of statins in treating ischemia-reperfusion injury on myocardium in rabbits. And then the related mechanisms in the diversity of protective effects were explored. Methods: Pravastatin, atorvastatin and fluvastatin were fed by nasogastric tube 2h before the ischemia-reperfusion injury respectively. 2h after injury, the area of myocardial infarction and the activity of the endothelial nitric oxide synthase (eNOS) in ischemia-reperfusion injured myocardial tissues were measured. In vitro, the human umbilical vein endothelial cells (HUVECs) were treated with the three kinds of statins, and then the expression of eNOS and the related signal molecule p-Akt were measured in statins-treated HUBECs respectively. Results: In vivo, the atorvastatin-treated group had significantly fewer size of infracted myocardium and higher level of eNOS than the other two statins-treated groups at the same dose of 50mg/kg (P<0.01). In vitro, atorvastatin-treated HUVECs had higher amounts of active eNOS (P<0.05) than the other two statins-treated HUVECs and expressed much more p-Akt. Conclusion: Atorvastatin attenuated ischemia-reperfusion injury more effectively than pravastatin and fluvastatin. And the stronger ability in activating p-Akt signal passage as well as the increased pruduction of eNOS in endothelial cells induced by atorvastatin were suggested to be one of the mechanisms in the protective effects.

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