法舒地尔二氯乙酸盐对慢性缺氧诱导的大鼠肺动脉高压的治疗作用及机制研究
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1.南京医科大学第一附属医院;2.中国药科大学新药研究中心天然药物活性组分与药效国家重点实验室

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国家科技重大专项(2018ZX10722301-002);国家自然科学基金(81870054,81273571);江苏省卫生厅重点项目(H201601)


Effects and potential mechanisms of fasudil dichloroacetate on hypoxic pulmonary hypertension in rats
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The First Affiliated Hospital of Nanjing Medical University

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The Key Project of National Science (Grant 2018ZX10722301), the National Natural Science Foundation of China (Grants 81870054, 81273571), and Key projects of Jiangsu Provincial Department of Health (H201601).

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    摘要:

    目的:研究法舒地尔二氯乙酸盐(fasudil dichloroacetate, FDCA)对低氧性肺动脉高压(hypoxic pulmonary hypertension, HPH)大鼠的治疗作用及其机制。方法:SD大鼠随机分为4组:对照(CON)组、CON+FDCA组、慢性缺氧(chronic hypoxia, CH)组、CH+FDCA组。将CH、CH+FDCA组置于(10 ± 0.1) %氧浓度的常压缺氧箱中持续缺氧,CON+FDCA、CH+FDCA组从缺氧第15天开始,给予FDCA(43.3 mg/kg·d)灌胃治疗。缺氧28天后测量大鼠右心室收缩压(right ventricular systolic pressure, RVSP)和右心室肥厚指数(right ventricular hypertrophy index, RVHI);采用HE、α-SMA免疫组织化学染色及Masson染色评估肺血管及右心室形态学变化。ELISA法检测大鼠肺组织中炎症因子IL-1β、IL-6、TNF-α含量以及肌球蛋白轻链激酶(myosin light chain kinase, MLCK)和肌球蛋白磷酸化酶的(myosin light chain phosphorylase, MLCP)水平。Western Blot实验测定大鼠肺组织中ROCK1、ROCK2蛋白表达水平。 结果:FDCA可以降低HPH大鼠的RVSP及RVHI,缓解右心室心肌肥大,减轻肺血管中膜肥厚程度,降低完全肌化型血管比例,抑制肺血管周围胶原沉积,并下调肺组织中炎症因子IL-1β、IL-6、TNF-α水平。此外,FDCA可显著降低HPH大鼠肺组织中MLCK水平并升高MLCP水平,同时抑制ROCK1、ROCK2蛋白表达。 结论: FDCA可抑制肺血管收缩与重构、减轻炎症反应,缓解慢性缺氧诱导的大鼠肺动脉高压,是一种治疗HPH的潜在化合物。

    Abstract:

    Objective: To investigate the effects of fasudil dichloroacetate (FDCA) on hypoxic pulmonary hypertension (HPH) in rats and the potential mechanisms underlying. Methods: SD rats were randomly divided into 4 groups: control (CON) group, CON+FDCA group, chronic hypoxia (CH) group, and CH+FDCA group. The rats in CH and CH+FDCA groups were exposed to chronic hypoxia with (10 ± 0.1) % oxygen for 28 days, and the rats in CON+FDCA and CH+FDCA groups were given FDCA (43.3 mg/kg·d) intragastrically from the 15th day of hypoxia. After 28 days of hypoxia, right ventricular systolic pressure (RVSP), and right ventricular hypertrophy index (RVHI) were assessed. The morphological changes of pulmonary vessels and right ventricle were evaluated by hematoxylin-eosin staining, α-SMA immunohistochemical staining and Masson’s trichome staining. ELISA was used to analyze the contents of interleukin (IL)-1β, IL-6, tumor necrosis factor-α (TNF-α), the levels of myosin light chain kinase (MLCK), and myosin light chain phosphorylase (MLCP) in lung. The expression of ROCK1 and ROCK2 in rat lung tissue were measured by Western Blot assay. Results: FDCA alleviated hypoxia-induced increments of RVSP and RVHI, as well as cardiomyocytes hypertrophy. In addition, FDCA suppressed hypoxia-induced pulmonary artery wall hypertrophy, pulmonary vessel muscularization and perivascular fibrosis. ELISA showed that FDCA inhibited hypoxia-induced upregulation of IL-1β, IL-6, TNF-α, and restored the expression of MLCK and MLCP in lung. Moreover, FDCA reversed hypoxia-induced upregulation of ROCK1 and ROCK2 in the lung tissue of HPH rats. Conclusion: FDCA alleviates HPH by inhibiting chronic hypoxia-induced pulmonary vascular contraction and remodeling, as well as suppressing inflammation in lung. These results indicate that FDCA could be a potential compound for treating HPH.

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  • 收稿日期:2020-12-12
  • 最后修改日期:2021-03-31
  • 录用日期:2021-09-28
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