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Electroacupuncture improves myocardial fibrosis in heart failure rats by attenuating ECM collagen deposition through modulation of TGF-β1/Smads signaling pathway
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作者 Wen-Hui Wang Qian-Lan Zeng +3 位作者 Jiao-Jiao Zhang Hao-Sheng Wu Sheng-Bing Wu Mei-Qi Zhou 《Traditional Medicine Research》 2024年第8期1-10,共10页
Background: To explore the effects of electroacupuncture on cardiac function and myocardial fibrosis in rat models of heart failure, and to elucidate the underlying mechanism of electroacupuncture in heart failure tre... Background: To explore the effects of electroacupuncture on cardiac function and myocardial fibrosis in rat models of heart failure, and to elucidate the underlying mechanism of electroacupuncture in heart failure treatment. Methods: Healthy male Sprague-Dawley rats were allocated into three groups: Sham group, Model group, and electroacupuncture (Model + EA) group, with each group comprising 8 rats. The model underwent a procedure involving the ligation of the left anterior descending coronary artery to induce a model of heart failure. The Model + EA group was used for 7 consecutive days for electroacupuncture of bilateral Shenmen (HT7) and Tongli (HT5), once a day for 30 min each time. Left ventricular parameters in rats were assessed using a small-animal ultrasound machine to analyze changes in left ventricular end-diastolic volume, left ventricular end-systolic volume, left ventricular ejection fraction, and left ventricular fractional shortening. Serum interleukin-1β (IL-1β), cardiac troponin (cTn), and N-terminal brain natriuretic peptide precursor levels were measured using ELISA. Histopathological changes in rat myocardium were observed through HE staining, while collagen deposition in rat myocardial tissue was assessed using the Masson staining method. Picro sirius red staining, immunohistochemical staining, and RT-qPCR were utilized to distinguish between the various types of collagen deposition. The expression level of TGF-β1 and SMAD2/3/4/7 mRNA in rat myocardial tissues was determined using RT-qPCR. Additionally, western blot analysis was conducted to assess the protein expression levels of TGF-β1, SMAD3/7, and p-SMAD3 in rat myocardial tissues. Results: Compared with the Sham group, the left ventricular ejection fraction and left ventricular fractional shortening values of the Model group were significantly decreased (P < 0.01);the left ventricular end-diastolic volume and left ventricular end-systolic volume values were remarkably increased (P < 0.01);serum N-terminal brain natriuretic peptide precursor content was increased (P < 0.01);serum IL-1β and cTn levels were increased (P < 0.01);myocardial collagen volume fraction were increased (P < 0.01);and those of the expression of TGF-β1 and SMAD2/3/4 mRNA was increased (P < 0.01);the expression of SMAD7 mRNA was decreased (P < 0.01);the protein expression levels of TGF-β1, SMAD3, and p-Smad3 were increased (P < 0.01);the protein expression level of SMAD7 was decreased (P < 0.01) in the Model group. Compared to the Model group, the expression levels of the proteins TGF-β1, SMAD3, and p-Smad3 in myocardial tissue were found to be decreased (P < 0.01), and the expression level of the protein SMAD7 was found to be increased (P < 0.01) in the Model + EA group;the collagen volume fraction and deposition of type Ⅰ /Ⅲ collagen were decreased (P < 0.01) in the Model + EA group. Conclusion: Electroacupuncture alleviates myocardial fibrosis in rats with heart failure, and this effect is likely due to attributed to the modulation of the TGF-β1/Smads signaling pathway, which helps reduce collagen deposition in the extracellular matrix. 展开更多
关键词 heart failure ELECTROACUPUNCTURE heart meridian of Hand-Shaoyin collagen deposition tgf-β1/Smads signaling pathway myocardial fibrosis
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丹曲林对心房颤动大鼠心肌纤维化及TGF-β_(1)/Smad2信号通路的影响
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作者 谭珍妮 吕春美 邹海林 《中西医结合心脑血管病杂志》 2024年第4期632-639,共8页
目的:探讨丹曲林对心房颤动大鼠心肌纤维化及转化生长因子-β_(1)(TGF-β_(1))/Smad2信号通路的影响。方法:72只SD大鼠采用随机数字表法分为空白对照组、模型组、丹曲林低剂量组、丹曲林高剂量组、阳性对照组、丹曲林高剂量+SRI-011381(... 目的:探讨丹曲林对心房颤动大鼠心肌纤维化及转化生长因子-β_(1)(TGF-β_(1))/Smad2信号通路的影响。方法:72只SD大鼠采用随机数字表法分为空白对照组、模型组、丹曲林低剂量组、丹曲林高剂量组、阳性对照组、丹曲林高剂量+SRI-011381(TGF-β激动剂)组,每组12只。丹曲林低剂量组、丹曲林高剂量组大鼠分别腹腔注射5、10 mg/kg丹曲林;阳性对照组大鼠灌胃20 mg/kg维拉帕米;丹曲林高剂量+SRI-011381组大鼠腹腔注射10 mg/kg丹曲林和30 mg/kg SRI-011381;空白对照组、模型组大鼠腹腔注射等体积生理盐水,每日1次,持续4周。4周后,除空白对照组外,其余各组大鼠均按1 mL/kg尾静脉注射乙酰胆碱-氯化钙混合液(乙酰胆碱66μg/mL+氯化钙10 mg/mL)构建心房颤动模型,空白对照组大鼠尾静脉注射等体积生理盐水,每日1次,持续1周,1周后采集心电图数据并记录心房颤动诱发时间;彩色多普勒超声仪检测左室舒张末期内径(LVEDD)、左室缩短分数(LVFS)、左室射血分数(LVEF)、左室收缩末期内径(LVESD)的变化;苏木精-伊红(HE)染色检测大鼠心肌组织病理损伤;Masson染色检测大鼠心肌纤维化;免疫组化法检测心肌组织中Ⅰ型胶原蛋白(COL-Ⅰ)、Ⅲ型胶原蛋白(COL-Ⅲ)表达;酶联免疫吸附测定法(ELISA)法检测心肌组织中肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)水平;蛋白质免疫印迹法(Western Blot)检测TGF-β_(1)、p-Smad2、α平滑肌肌动蛋白(α-SMA)蛋白表达。结果:与空白对照组比较,模型组大鼠心律不齐,心肌组织病理损伤及纤维化严重,LVEDD、LVESD、COL-Ⅰ、COL-Ⅲ阳性表达及IL-1β、TNF-α水平以及TGF-β_(1)、p-Smad2、α-SMA蛋白表达升高,LVFS、LVEF降低(P<0.05);与模型组比较,丹曲林低剂量组、丹曲林高剂量组、阳性对照组对应指标变化趋势与上述相反,且丹曲林浓度越高,对应的变化趋势越明显(P<0.05);SRI-011381减弱了高剂量丹曲林对心房颤动大鼠心肌纤维化及炎症反应的抑制作用。结论:丹曲林可能通过抑制TGF-β_(1)/Smad2信号通路减轻心房颤动大鼠心肌纤维化及炎症反应。 展开更多
关键词 心房颤动 心肌纤维化 丹曲林 转化生长因子-β_(1)/Smad2信号通路
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Eplerenone inhibits atrial fibrosis in mutant TGF-β1 transgenic mices.. 被引量:4
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作者 Xiaoqing Chen Wuchang Zhang +5 位作者 Qian Wang Lili Du Yi Yi Yan Liu Xu Liu Shengzhong Duan 《Science China(Life Sciences)》 SCIE CAS CSCD 2016年第10期1042-1047,共6页
The purpose of the present study was to study the impacts of eplerenone (EPL), an antagonist of mineralocorticoid receptors (MR), on atrial fibrosis in a mouse model with selective fibrosis in the atrium, and to e... The purpose of the present study was to study the impacts of eplerenone (EPL), an antagonist of mineralocorticoid receptors (MR), on atrial fibrosis in a mouse model with selective fibrosis in the atrium, and to explore the possible mechanisms. Using mutant TGF-β1 transgenic (Tx) mice, we first demonstrated that EPL inhibited atrial fibrosis specifically and decreased mac- rophage accumulation in the atria of these mice. Results from immunohistochemistry and western blotting showed that EPL attenuated protein expression of fibrosis-related molecules such as connective tissue growth factor (CTGF) and fibronectin in the atria of Tx mice. In culture, EPL inhibited gene expression of fibrosis-related molecules such as fibronectin, ct-SMA, and CTGF in TGF-β1-stimulated atrial fibroblasts, Finally, using a co-culture system, we showed that TGF-β1 stimulated atrial fi- broblasts induced migration of macrophages and this was blocked by EPL. EPL also blocked TGF-β1 induced gene expression of intedeukin-6 (IL-6) in atrial fibroblasts. Therefore, we conclude that EPL attenuated atrial fibrosis and macrophage infiltra- tion in Tx mice. TGF-I31 and IL-6 were involved in the impacts of EPL on activation of atrial fibroblasts and interactions be- tween fibroblasts and macrophages. 展开更多
关键词 EPLERENONE atrial fibrosis atrial fibroblasts MACROPHAGES tgf-β1
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内源性Relaxin-1 Relaxin-3及其受体LGR7表达水平在小鼠心房颤动心肌纤维化中的作用
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作者 翁方中 胡朝梁 +2 位作者 严骏 戴伟 周瑞祥 《河北医学》 CAS 2021年第7期1063-1070,共8页
目的:分析内源性松弛素(Relaxin,RLX)-1、Relaxin-3、松弛素受体(LGR7)表达水平在在心房颤动心肌纤维化中的作用。方法:腹腔注射ISO构建心房颤动模型,40只C57B62小鼠随机分为空白对照组、模型组、模型组+RLX1、模型组+RLX3组,每组10只;... 目的:分析内源性松弛素(Relaxin,RLX)-1、Relaxin-3、松弛素受体(LGR7)表达水平在在心房颤动心肌纤维化中的作用。方法:腹腔注射ISO构建心房颤动模型,40只C57B62小鼠随机分为空白对照组、模型组、模型组+RLX1、模型组+RLX3组,每组10只;模型组+RLX1、模型组+RLX3分别腹腔注射RLX1、RLX3,空白对照组、模型组注射等量生理盐水;一周后检测心肌胶原沉积纤维面积、羟脯氨酸含量,应用RT-PCR法、Western Blot法检测Relaxin 1、Relaxin 3、LGR7 mRNA及蛋白表达;免疫组化法检测α-SMA积分光密度(IOD),Western Blot法检测心肌α-SMA蛋白表达;Real-Time PCR、Western Blot法测定I型胶原蛋白(collagenⅠ)、Ⅲ型胶原蛋白(collagenⅢ)、基质金属蛋白酶-1(MMP-1)、MMP-2、MMP-9、MMP-13、金属蛋白酶组织抑制物-1(TIMP-1)mRNA及蛋白表达;RT-PCR法检测心肌血管紧张素Ⅱ(AngⅡ)、血管紧张素受体1(AT1R)、血管紧张素受体2(AT2R)、醛固酮(ALD)及盐皮质激素受体(MR)mRNA表达。结果:①较空白对照组,模型组室间隔、右心室及左心室心肌胶原沉积纤维面积百分比,心肌羟脯氨酸含量均明显上升(P<0.05);与模型组比较,模型组+RLX1、模型组+RLX3室间隔、右心室及左心室心肌胶原沉积纤维面积百分比,心肌羟脯氨酸含量明显下降(P<0.05)。②与空白对照组比较,模型组Relaxin 1、Relaxin 3、LGR7 mRNA及蛋白表达明显下降(P<0.05);与模型组比较,模型组+RLX1、模型组+RLX3 Relaxin 1、Relaxin 3、LGR7 mRNA及蛋白表达明显上升(P<0.05)。③与空白对照组比较,模型组α-SMA IOD、α-SMA蛋白,collagenⅠ、collagenⅢmRNA及蛋白表达明显上升(P<0.05),与模型组比较,模型组+RLX1、模型组+RLX3α-SMA IOD、α-SMA蛋白、collagenⅠ、collagenⅢmRNA及蛋白表达明显下降(P<0.05)。④与空白对照组比较,模型组MMP-1、MMP-2、MMP-9、MMP-13 mRNA及蛋白表达明显上升,TIMP-1 mRNA及蛋白表达明显下降(P<0.05);与模型组比较,模型组+RLX1、模型组+RLX3 MMP-1、MMP-2、MMP-9、MMP-13 mRNA及蛋白表达明显下降、TIMP-1 mRNA及蛋白明显上升(P<0.05)。⑤与空白对照组比较,模型组AngⅡmRNA、AT1R mRNA、AT2R mRNA、ALD mRNA、MR mRNA水平明显上升;与模型组比较,模型组+RLX1、模型组+RLX3 AngⅡmRNA、AT1R mRNA、AT2R mRNA、ALD mRNA、MR mRNA明显下降。结论:心房颤动小鼠心肌存在纤维化病理改变,且内源性Relaxin-1、Relaxin-3、LGR7低表达,Relaxin或可通过AngⅡ及ALD系统拮抗心肌纤维化。 展开更多
关键词 心房颤动 心肌纤维化 松弛素-1 松弛素-3 松弛素受体
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血小板衍生生长因子家族及内皮素-1的表达与非瓣膜性房颤中医辨证分型相关性的初步研究 被引量:9
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作者 付明朝 刘强 《中西医结合心脑血管病杂志》 2019年第11期1671-1674,共4页
目的 探讨非瓣膜性房颤病人血清中血小板衍生生长因子家族(PDGFs)及内皮素-1(ET-1)的表达及其与中医辨证分型的相关性。方法 对91例非瓣膜性房颤病人进行中医辨证分型,用酶联免疫吸附法(ELISA)测定病人血清PDGF-AA、PDGF-BB、PDGF-DD及E... 目的 探讨非瓣膜性房颤病人血清中血小板衍生生长因子家族(PDGFs)及内皮素-1(ET-1)的表达及其与中医辨证分型的相关性。方法 对91例非瓣膜性房颤病人进行中医辨证分型,用酶联免疫吸附法(ELISA)测定病人血清PDGF-AA、PDGF-BB、PDGF-DD及ET-1的表达。结果 非瓣膜性房颤组病人PDGF-AA、PDGF-BB、PDGF-DD及ET-1的表达水平明显高于窦性心律对照组(P<0.05)。心脉瘀阻证血清PDGF-AA、PDGF-BB、PDGF-DD及ET-1的表达水平明显高于气阴两虚证、心阳不振证及痰浊阻滞证(P<0.05或P<0.01)。气阴两虚证、心阳不振证及痰浊阻滞证间上述参数比较差异均无统计学意义(P>0.05)。结论 心脉瘀阻证房颤病人心肌纤维化反应更为显著,PDGFs及ET-1的表达水平可能为房颤心脉瘀阻证病人的辨证分型提供一定的客观依据。 展开更多
关键词 房颤 血小板衍生生长因子 内皮素-1 心肌纤维化 中医证型
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Dysregulation of microRNAs in a mouse model of diabetic myocardial fibrosis 被引量:2
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作者 郭林林 黄帅 +6 位作者 朱杰宁 林秋雄 符永恒 谭虹虹 余细勇 林曙光 单志新 《South China Journal of Cardiology》 CAS 2012年第1期19-28,共10页
Background Myocardial fibrosis plays a critical role in the process of diabetic cardiac remolding.MicroRNAs (miRNAs) are endogenous,small non-coding RNAs that negatively regulate gene expression in diverse biologica... Background Myocardial fibrosis plays a critical role in the process of diabetic cardiac remolding.MicroRNAs (miRNAs) are endogenous,small non-coding RNAs that negatively regulate gene expression in diverse biological and pathological processes.However,the roles of miRNAs in myocardial fibrosis have not been well elucidated.In the present study,miRNAs profiles in the fibrotic myocardium of db/db mice and miRNAs expression in TGF-β1-stimulated mouse cardiac myofibroblasts was examined.Methods Heart function of 18-week-old db/db mice and db/m control mice was detected by echocardiography.miRNA expression profile in diabetic myocardium was detected by miRNA microarray.Quantitative real-time PCR was used to determine the expression of fibrosis-related genes and miRNA precursors of interest.Western blot was used to detect the levels of fibrosis-related proteins,activated Smad3 and total Smad3.Results The result of echocardiography showed that left ventricular systolic and diastolic function was impaired in 18-week-old db/db mice without significant change of ejection fraction (EF) and fractional shortening (FS).Fibrosis-related genes expression was upregulated and the amount of phosphorylated Smad3 was increased significantly in the diabetic myocardium.miRNAs dysregulation was shown in diabetic myocardium,sixty-eight miRNAs,including miR-208b,miR-29b,miR-26b and miR-30e,were increased over two-fold,meanwhile,sixty-two miRNAs were decreased more than two-fold in the myocardium of db/db mice compared to db/m controls.In parallel with a significant upregulation of Col1a1,Col3a1 and CTGF miRNA expression,miR-208b,miR-29b,miR-26b and miR-30e precursors were also shown to be upregulated in TGF-β1-induced C57bl/6 mouse cardiac myofibroblasts.Conclusions microRNAs were dysregulated in diabetic myocardium,with the activation of TGF-β/smad3 pathway,contributing to diabetic myocardial fibrosis. 展开更多
关键词 diabetes myocardial fibrosis cardiac myofibroblast MICRORNAS tgf-β1 SMAD3
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丹参酮ⅡA对大鼠心肌梗死后心房颤动易感性的影响 被引量:3
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作者 马世玉 马金 +1 位作者 丁春华 张敏州 《中西医结合心脑血管病杂志》 2019年第12期1789-1794,共6页
目的观察丹参酮ⅡA对大鼠心肌梗死后心房颤动诱发率及持续时间的影响,并初步探讨其作用机制。方法将大鼠分为假手术组、心肌梗死组、丹参酮ⅡA组,大鼠心肌梗死后1周开始给予丹参酮ⅡA灌胃4周。采用经食管高频起搏左房技术检测心房颤动... 目的观察丹参酮ⅡA对大鼠心肌梗死后心房颤动诱发率及持续时间的影响,并初步探讨其作用机制。方法将大鼠分为假手术组、心肌梗死组、丹参酮ⅡA组,大鼠心肌梗死后1周开始给予丹参酮ⅡA灌胃4周。采用经食管高频起搏左房技术检测心房颤动诱发率和持续时间,Masson染色和羟脯氨酸检测左房总胶原蛋白含量,蛋白免疫印迹法检测左心房Ⅰ型和Ⅲ型胶原蛋白含量并检测纤维化相关因子基质金属蛋白酶-9(MMP-9)/金属蛋白酶组织抑制剂1(TIMP-1)变化。结果丹参酮ⅡA组给药4周后,心房颤动诱发率低于心肌梗死组,持续时间显著短于心肌梗死组,差异均有统计学意义(P<0.05)。与心肌梗死组比较,丹参酮ⅡA组左心房心肌纤维化面积百分比降低,Ⅰ型和Ⅲ型胶原蛋白含量降低,MMP-9蛋白表达降低,TIMP-1蛋白表达升高,MMP-9/TIMP-1比值降低,差异均有统计学意义(P<0.05)。结论丹参酮ⅡA通过调节MMP-9/TIMP-1平衡抑制左心房纤维化,从而降低心肌梗死大鼠心房颤动发生率和持续时间。 展开更多
关键词 心肌梗死 心房颤动 大鼠 心肌纤维化 电生理 基质金属蛋白酶-9 金属蛋白酶组织抑制剂1
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自发性高血压大鼠心肌组织骨形成蛋白和激活素的跨膜抑制剂、转化生长因子β1表达情况及其与心房颤动易感性的关系研究 被引量:2
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作者 梁宇明 何燕 《实用心脑肺血管病杂志》 2019年第10期55-60,共6页
背景心肌组织骨形成蛋白和激活素的跨膜抑制剂(BAMBI)可负反馈调节转化生长因子β1(TGF-β1)的表达,具有抗纤维化作用,因此探讨BAMBI、TGF-β1表达情况及其与心房颤动易感性的关系对高血压并心房颤动的防治具有重要意义。目的分析自发... 背景心肌组织骨形成蛋白和激活素的跨膜抑制剂(BAMBI)可负反馈调节转化生长因子β1(TGF-β1)的表达,具有抗纤维化作用,因此探讨BAMBI、TGF-β1表达情况及其与心房颤动易感性的关系对高血压并心房颤动的防治具有重要意义。目的分析自发性高血压大鼠心肌组织BAMBI、TGF-β1表达情况及其与心房颤动易感性的关系。方法2018年8月-2019年4月,选取8只14周龄清洁级Wistar大鼠作为对照组,8只14周龄清洁级自发性高血压大鼠作为观察组;两组大鼠均饲养至22周龄。比较两组大鼠体质量、收缩压(SBP)、心率、左心结构指标〔包括左心房前后径、左心室舒张末期内径(LVEDD)及左心室收缩末期内径(LVESD)〕、左心室射血分数(LVEF)及心房颤动诱发成功率;采用Masson染色法观察大鼠心肌纤维化情况,采用免疫组化染色法检测心肌组织BAMBI、TGF-β1相对表达量;自发性高血压大鼠心肌组织BAMBI、TGF-β1相对表达量间的相关性分析采用Pearson相关分析。结果(1)两组大鼠体质量和心率比较,差异无统计学意义(P>0.05);观察组大鼠SBP高于对照组(P<0.05)。(2)观察组大鼠左心房前后径、LVESD大于对照组,LVEF低于对照组(P<0.05);两组大鼠LVEDD比较,差异无统计学意义(P>0.05)。(3)观察组大鼠心房颤动诱发成功率高于对照组(P<0.05)。(4)Masson染色结果显示,观察组大鼠纤维化程度重于对照组。(5)观察组大鼠心肌组织BAMBI、TGF-β1相对表达量高于对照组(P<0.05);Pearson相关分析结果显示,自发性高血压大鼠心肌组织BAMBI、TGF-β1相对表达量间无直线相关关系(r=0.185,P=0.661)。结论22周龄自发性高血压大鼠心肌组织BAMBI和TGF-β1表达上调,其中TGF-β1表达上调可导致心肌纤维化加重、左心房重构,进而增加心房颤动易感性;而BAMBI表达上调可在一定程度上拮抗自发性高血压大鼠因TGF-β1表达上调所致心房颤动易感性增加,可能成为临床防治高血压并心房颤动的新思路。 展开更多
关键词 高血压 骨形成蛋白和激活素的跨膜抑制剂 转化生长因子β1 心肌纤维化 心房颤动 大鼠
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