The correlation study between levels of TXA2,PGI2,ET-1 and hemodynamic changes after thrombolysis in acute pulmonary embolism of rabbit
DOI:
CSTR:
Author:
Affiliation:

Clc Number:

Fund Project:

  • Article
  • |
  • Figures
  • |
  • Metrics
  • |
  • Reference
  • |
  • Related
  • |
  • Cited by
  • |
  • Materials
  • |
  • Comments
    Abstract:

    Objective:To study the expression levels of thromboxane A2(TXA2) and prostacyclin (PGI2) in the plasma,endothelin-1(ET-1)in vascular endothelium,bronchial and alveolar epithelia of lungs,and hemodynamic changes in acute pulmonary thromboembolism(APTE) of rabbit,and to explore the effects of thrombolytic(urokinase,UK)on their expressions. Methods:Twenty four rabbits were randomly divided into a control group,a APTE model group,a UK therapy group,with 8 rabbits each. The APTE model was established by intravenous injection of autologous blood clots. The plasma’s concentrations of TXA2 and PGI2 were examined by radioimmunoassay before and 1 h,2 h,4 h,8 h after injection. The hemodynamic monitoring were used by float catheter. The expression levels of ET-1 in lung vascular endothelium,bronchial and alveolar epithelia were examined by immunohistochemistry. Results:①The radioimmunoassay showed that TXA2 and PGI2 had no diference in the control group at each point;TXA2 and PGI2 in the APTE group increased at 1 h,peaked at 2 h,decreased at 4 h,which also were higher than those in the control group at 1 h,2 h,4 h(P < 0.01). In the UK group,TXA2 and PGI2 increased at 1 h,peaked 2 h,decreased after 2 h,also decreased faster than those in the APTE group at 1 h,2 h and 4 h,respectively(P < 0.01). There were no differences in TXA2 and PGI2 before injection and 8 h after injectionin in each group(P > 0.05). ②Hemodynamic monitoring showed that the PAMP and CVP were no change in the control group;and PAMP and CVP in the APTE group and UK group increased immediately after embolism,peaked at 2 h,then decreased,which also were higher than those in the control group at 1 h,2 h,4 h,8 h(P < 0.01). In the UK group PAMP and CVP also decreased faster than those in the APTE group at 1 h,2 h respectively(P < 0.01). There were no differences at 4 h and 8 h between the APTE group and the UK group. ③The immunohistochemistry results showed in the APTE,the expression levels of ET-1 in lung vascular endothelium,bronchial and alveolar epithelia were significantly higher compared with those in the control group. The UK group was significantly lower in ET-1 as compared to the APTE group. Conclusion:After APTE,TXA2,PGI2,ET-1 participated increasing of pulmonary vascular resistance,and early thrombolytic treatment could decrease TXA2,PGI2,ET-1,also relieved pulmonary vascular resistance.

    Reference
    Related
    Cited by
Get Citation

张劲松,黄培培,陈旭锋,吴〓昊.兔急性肺血栓栓塞及溶栓后TXA2?PGI2及ET-1水平的变化与血流动力学相关性研究[J].南京医科大学学报(自然科学版英文版),2010,(3):375-379.

Copy
Share
Article Metrics
  • Abstract:
  • PDF:
  • HTML:
  • Cited by:
History
  • Received:
  • Revised:
  • Adopted:
  • Online:
  • Published:
Article QR Code