远端缺血后适应通过抑制RAGE的表达实现对心肌的保护作用
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江苏省干部保健科研课题(BJ18017)


Remote ischemic postconditioning protects myocardium by inhibiting the expression of RAGE
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    摘要:

    目的:探讨晚期糖基化终末产物受体(receptor for advanced glycation end products,RAGE)在远端缺血后适应改善心肌缺血再灌注中的作用。方法:将34只8~9周龄C57BL/6J小鼠随机分为6组:假手术组(Sham组)、FPS-ZM1对照组(FZM1组)、缺血再灌注组(IR组)、FPS-ZM1干预组(FZM1+IR组)、远端缺血后适应组(RIPostC+IR组)和FZM1+远端缺血后适应干预组(FZM1+RIPostC+IR组)。通过结扎左冠状动脉,建立小鼠心肌缺血再灌注模型。采用小鼠心超仪检测小鼠左室射血分数(left ventricular ejection fraction,LVEF)和左室缩短分数(left ventricular fractional shortening,LVFS),运用酶联免疫分析(ELISA)法和蛋白印迹法检测炎症因子白介素6(interleukin 6,IL-6)、核因子(nudear factor,NF)-κB P65蛋白、RAGE蛋白。结果:①与IR组相比,RIPostC能显著增加LVEF(P < 0.01)和LVFS(P < 0.01)。②与IR组相比,RIPostC能显著降低RAGE(P < 0.001)的表达。③与IR组相比,RIPostC能显著减少NF-κB P65(P < 0.001)和IL-6(P < 0.001)的表达。结论:RIPostC对心肌缺血再灌注损伤具有保护作用。该作用可能通过抑制RAGE的表达进而降低炎性反应而实现。

    Abstract:

    Objective:This study aimed to investigate the role of receptor for advanced glycation end products(RAGE)in improving myocardial ischemia and reperfusion after remote ischemic postconditioning. Methods:Thirty-four C57/B6 mice aged 8-9 weeks were randomly divided into six groups:the sham operation group(sham),the FPS-ZM1 control group(FZM1),the ischemia and resperfusion group(IR),the FPS-ZM1 intervention group(FZM1+IR),the RIPostC group(RIPostC+IR)and the RIPostC intervention group(RIPostC+FZM1+IR). The anterior descending coronary artery was ligated to create myocardial ischemia-reperfusion model of mouse. The left ventricular ejection fraction(LVEF)and left ventricular shortening fraction(LVFS)of mice were detected by mouse cardiac ultrasonography,and the inflammatory factor IL-6,NF-κB P65 protein and RAGE protein were detected by enzyme-linked immunoassay(ELISA)and Western blotting. Results:①RIPostC significantly increased LVEF(P < 0.01)and LVFS(P < 0.01)compared with the I/R group. ②Compared with the IR group,RIPostC significantly reduced the expression of RAGE(P < 0.001). ③RIPostC significantly reduced the expression of NF-κB P65(P < 0.001)and IL-6(P < 0.001)compared with the I/R group. Conclusion:RIPostC was effective in protecting against myocardial ischemia-reperfusion injury. The cardioprotective effects of RIPostC may be achieved directly by inhibiting the expression of RAGE and thereby reducing the inflammatory response.

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冯楚炎,王向明,屠甜甜,Deeraj Mungun,许婷婷,徐婉莹,郭 妍.远端缺血后适应通过抑制RAGE的表达实现对心肌的保护作用[J].南京医科大学学报(自然科学版),2019,(4):500-504

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  • 收稿日期:2018-10-17
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  • 在线发布日期: 2019-05-07
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