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Effect of prenatal tetrandrine therapy on pulmonary vascular structural remodeling in the nitrofen-induced CDH rat model 被引量:14

Effect of prenatal tetrandrine therapy on pulmonary vascular structural remodeling in the nitrofen-induced CDH rat model
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摘要 To examine the effects of prenatal tetrandrine (Tet) therapy on pulmonary arterial structural remodeling in nitrofen-induced congenital diaphragmatic hernia (CDH) Methods CDH was induced in fetal rats by maternal administration of 100*!mg nitrofen by gavage on day 9 5 of gestation (term, day 22) Control animals received olive oil (OO) Tet (24*!mg/kg per day) or normal saline (NS) was given by gavage every day from 16 to 20 days of gestation, and fetuses were delivered by caesarean section on day 21 5 Lung sections from 3 fetuses in each group were studied The number of vessels were calculated, the external diameter (ED), medial wall thickness (MT), percent of medial wall thickness, and wall structure were evaluated by image analysis software Results In the pre-acinar arteries, CDH-NS pups had a significantly increased %MT compared with the OO-NS group ( P <0 05), while CDH-Tet animals had a reduced %MT compared with the CDH-NS rats ( P <0 05) Similar results were seen in the intra-acinar level Significant differences were observed between CDH-NS animals and OO-NS controls in the percentage of muscularized intra-acinar blood vessels ( P <0 001) Tet-treated CDH pups had a reduced percentage of muscularized intra-acinar arteries compared with CDH-NS animals Conclusions Medial hypertrophy is present in both the pre-acinar and intra-acinar arteries in the nitrofen-induced CDH rat model Tet treatment inhibits medial hypertrophy and reduces the percentage of muscularized intra-acinar vessels Prenatal Tet therapy may be efficacious in reducing the risk of PH in human newborns with CDH To examine the effects of prenatal tetrandrine (Tet) therapy on pulmonary arterial structural remodeling in nitrofen-induced congenital diaphragmatic hernia (CDH) Methods CDH was induced in fetal rats by maternal administration of 100*!mg nitrofen by gavage on day 9 5 of gestation (term, day 22) Control animals received olive oil (OO) Tet (24*!mg/kg per day) or normal saline (NS) was given by gavage every day from 16 to 20 days of gestation, and fetuses were delivered by caesarean section on day 21 5 Lung sections from 3 fetuses in each group were studied The number of vessels were calculated, the external diameter (ED), medial wall thickness (MT), percent of medial wall thickness, and wall structure were evaluated by image analysis software Results In the pre-acinar arteries, CDH-NS pups had a significantly increased %MT compared with the OO-NS group ( P <0 05), while CDH-Tet animals had a reduced %MT compared with the CDH-NS rats ( P <0 05) Similar results were seen in the intra-acinar level Significant differences were observed between CDH-NS animals and OO-NS controls in the percentage of muscularized intra-acinar blood vessels ( P <0 001) Tet-treated CDH pups had a reduced percentage of muscularized intra-acinar arteries compared with CDH-NS animals Conclusions Medial hypertrophy is present in both the pre-acinar and intra-acinar arteries in the nitrofen-induced CDH rat model Tet treatment inhibits medial hypertrophy and reduces the percentage of muscularized intra-acinar vessels Prenatal Tet therapy may be efficacious in reducing the risk of PH in human newborns with CDH
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2000年第9期45-48,共4页 中华医学杂志(英文版)
基金 ThissubjectwassupportedbytheFoundationofScienceandTechnologyCommitteeofSichuanProvince (No G970 15 )
关键词 congenital diaphragmatic hernia pulmonary hypertension pulmonary vascular structure remodeling prenatal therapy TETRANDRINE congenital diaphragmatic hernia · pulmonary hypertension · pulmonary vascular structure remodeling · prenatal therapy · tetrandrine
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参考文献6

  • 1Thibeault DW,Sigalet DL.Congenital diaphragmatic hernia from the womb to childhood[].Current Problems in Pediatrics.1998
  • 2Hislop A,Reid L.Intra-pulmonary arterial development during fetal life-branching pattern and structure[].Journal of Anatomy.1972
  • 3Geggel RL,Murphy JD,Langleben D,et al.Congenital diaphragmatic hernia: arterial structural changes and persistent pulmonary hypertension after surgical repair[].The Journal of Pediatrics.1985
  • 4Okoye BO,Losty PD,Lloyd DA,et al.Effect of prenatal glucocorticoids on pulmonary vascular muscularisation in nitrofeninduced congenital diaphragmatic hernia[].Journal of Pediatric Surgery.1998
  • 5Zhang M,Huang YH,Li A,et al.Effect of tetrandrine on functions and ultrastructure of alveolar macrophages in smoke inhalation-injured rabbits[].Acta Pharmacological Sinica.1993
  • 6Kitigawa M,Hislop A,Boyden EA,et al.Lung hypoplasia in congenital diaphragmatic hernia.A quantitative study of airway,artery, and alveolar development[].British Journal of Surgery.1971

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