血管平滑肌细胞凋亡及Bcl-2和Bax蛋白表达在自发性高血压大鼠颈动脉血管间质胶原重构及逆转中的意义

Vascular Collagen Remodeling, Apoptosis and Bcl-2/Bax of Vascular Smooth Muscle Cells in Carotid Artery on SHR

目的 探讨血管平滑肌细胞及Bcl 2和Bax蛋白表达在自发性高血压大鼠 (SHR)颈动脉血管间质胶原重构及逆转中的意义。方法 选择 16周龄雄性SHR各 12只分别为厄贝沙坦组 (30mg·kg- 1·d- 1 )和非厄贝沙坦组 ,另选同龄雄性Wistar大鼠 12只为正常对照组 ;颈总动脉切片采用HE染色、苦味酸一天狼星红 (PSR)染色、免疫组化法染色和末端脱氧核苷酸转移酶介导dUIP缺口末端标记法分别检测颈动脉壁厚 腔径比值、胶原面积百分比、Bcl 2和Bax蛋白表达和血管平滑肌细胞 (VSMC)凋亡率(APOI)。结果 非厄贝沙坦组颈动脉壁厚 腔径比值较正常对照组高 2 5 0 .11%± 15 .6 3% (P <0 .0 1) ,厄贝沙坦组治疗 2 0周后 ,较非厄贝沙坦组下降了 4 3.2 4 %± 8.6 2 % (P <0 .0 1) ;非厄贝沙坦组胶原面积百分比较正常对照组SBP高 2 0 1.6 7%± 16 .73% (P <0 .0 1) ,厄贝沙坦组治疗 2 0周后 ,较非厄贝沙坦组仅仅下降了 17.70 %± 6 .4 5 % (P <0 .0 1) ;非厄贝沙坦组的VSMC率APOI较正常对照组显著增高 ,经药物治疗后下降 ;非厄贝沙坦组的VSMCBcl 2蛋白表达阳性率明显高于正常对照组 ,用厄贝沙坦治疗后 ,VSMCBcl 2阳性率较非厄贝沙坦组明显减少 ;非厄贝沙坦组和正常对照组的VSMCBax蛋白表达阳性率无明显差别 ,用厄贝沙坦治疗后 。

Objective To observe the vascular collagen remodeling, apoptosis and Bcl-2/Bax of vascular smooth muscle cells in carotid artery on SHR . Methods 12 SHR treated with Irbesartan ,12 SHR without treated Irbesartan ,12 wistar rats were normotensive control group. The vascular volume fraction of Collagen were determined by picrosirius red staining .The expression of the proteins Bcl-2 and Bax were determined by Immunhistochemia,VSMC apoptosis was identified by in situ TDT-mediated dUTP nick end labeling(TUNEL). Results Significant Fibrosis exists in carotid artery of SHR. After 20 week's treating, the vascular volume fraction of Collagen and the ratio of wall/cavity were descended, but weren't parallel. The expression of the protein Bcl-2 and APOI were higher than the subjects of normotensive control, its reduced after treating; The expression of the proteins Bax was similar with control, it increased after treating. Conclusions The results suggest that vascular collagen remodeling exist, its maybe related with apoptosis , the proteins Bcl-2 and Bax of VSMC. The Irbesartan can treat it.