家兔实验性血管成形术后再狭窄模型的建立
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R33

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国家中医药管理局科技项目


Establishment of a Rabbit Model of Artery Restenosis after Percutaneous Transluminal Angioplasty
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    摘要:

    目的建立血管成形术(PTA)术后再狭窄的病理模型。方法选用日本大耳白兔30只,用电刺激颈总动脉加高脂饲料喂养8周后,依据彩色超声结果对颈总动脉狭窄动物行球囊扩张术,并普通饲料喂养4周,分别于电刺激8周、PTA术后4周处死取材,测定血脂、行HE、弹力纤维vanGieson染色及电镜观察和免疫组化分析。结果电刺激颈总动脉6周模型动物已有内膜增生,管腔狭窄,内膜下脂质沉积,PTA术后4周血管内膜增生更明显,管腔狭窄程度加重,增厚的内膜成分以平滑肌细胞和基质为主,内有大量泡沫细胞和巨噬细胞浸润。结论采用电刺激加高脂饲料喂养后再行球囊扩张的方法可形成明显的动脉狭窄,其病理过程及性质与临床的经皮球囊血管内成形术后再狭窄相似,且操作方法简单、实用,可用于再狭窄的病理机制及药物干预研究。

    Abstract:

    Objective To establish a rabbit pathologic model of restenosis after percutaneous transluminal angioplasty(PTA).Methods 30 Japan flap-eared white rabbits were included in this study.The animal model was created by electric current stimulating of carotid arteries and feeding with high-fat diet for 8 weeks.The PTA operation was performed based on the results of colour ultrasonography and fed with common diet for 4 weeks further.The models were sacrificed and the carotid arteries were taken at 8 weeks after electric stimulation and 4 weeks after PTA,respectively.Blood lipid,carotid artery histopathology including HE and elastic V.G staining,electron microscropic examination and immunohistochemical analysis were performed.Results At 6 weeks after electric current stimulation,the rabbit carotid arteries showed hyperplasia of tunica intima,with lipid-deposition under it and the artery lumen was narrowed.4 weeks after PTA,the hyperplasia in tunica intima and vascular stenosis were more pronounced.The main changes were increased amount of smooth muscle cells(SMCS) and extracellular matrix(ECM) in the tunica intima,with plenty of foam cells and macrophages.Conclusion Significant arterial stenosis can be induced by integration of stimulating carotid arteries with electric current,high-fat diet feeding and PTA operation.The pathological changes in the rabbit model are similar to clinical restenosis after PTA.In addition,the operation is easy to perform and practical,and can be used in researches of pathologic mechanisms and medical intervention of restenosis.

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李秋梅,王硕仁,赵明镜,高树彪,戴欣,吕希滢,崔巍,牛福玲.家兔实验性血管成形术后再狭窄模型的建立[J].中国比较医学杂志,2007,(4):206~209,F0003.

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  • 收稿日期:2006-10-20
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