通心络对小鼠钙化性主动脉瓣膜病早期病变的影响研究
作者:
作者单位:

1.濮阳市油田总医院,河南 濮阳 457000;2.河南中医药大学,郑州 450000; 3.河南中医药大学第一附属医院,郑州 450000

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R-33


Effect of Tongxinluo on early lesions of calcified aortic valve disease in mice
Author:
Affiliation:

1. Puyang Oilfield General Hospital, Puyang 457000, China. 2. Henan University of Traditional Chinese Medicine, Zhengzhou 450000. 3. the First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 450000

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    摘要:

    目的 观察在钙化性主动脉瓣膜病早期进行通心络干预能否延缓其进展。 方法 小鼠造模 1 周后通过随机区组法分成 5 组,分别为:假手术组、模型组、通心络大剂量组、通心络中剂量组、通心络小剂量组,通心络干预 6 周后行多普勒超声检测主动脉瓣峰值流速变化;检测血清髓过氧化物酶(MPO)活力和总胆固醇(TC)的浓度;病理学观察主动脉瓣膜组织病理变化和钙盐沉积情况;免疫组化染色检测瓣膜小叶内巨噬细胞浸润,瓣膜间质细胞分化为肌成纤维细胞和成骨细胞的情况。 结果 通心络干预 6 周后,与模型组相比能够显著降低主动脉瓣膜的峰值流速(P<0. 05),并且能够显著降低血清总胆固醇水平和血清 MPO 活力(P<0. 01);与通心络干预各组相比,模型组主动脉瓣小叶厚度明显增加(P<0. 05)并表现出钙盐沉积;免疫组化结果显示:与模型组比,通心络干预各组巨噬细胞募集减少,α-SMA 和 OPN 阳性细胞表达降低。 结论 在钙化性主动脉瓣膜病早期通心络能够通过降低血清 TC 浓度,抑制炎性巨噬细胞的浸润和降低 MPO 活性减少病变内氧化应激,进而影响瓣膜间质细胞向肌成纤维细胞和成骨细胞分化,延缓瓣膜钙化的进展。

    Abstract:

    Objective To observe whether Tongxinluo treatment delays progression of calcified aortic valve disease in the early stage. Methods One week after modeling, the mice were randomly divided into five groups: sham operation, model, Tongxinluo high-dose, Tongxinluo medium-dose and Tongxinluo low-dose groups. Changes in aortic valve peak velocity were assessed by Doppler ultrasound after Tongxinluo treatment for 6 weeks. The activity of serum myeloperoxidase (MPO) and the concentration of total cholesterol (TC) were measured. Pathological changes and calcium deposition were observed in the aortic valve. Infiltration of macrophages and differentiation of valve stromal cells into myofibroblasts and osteoblasts were examined by immunohistochemical staining. Results After 6 weeks of treatment, compared with the model group, Tongxinluo significantly reduced the peak flow velocity of the aortic valve (P<0.05), the serum level of total cholesterol, and the activity of serum MPO (P< 0.01). Compared with the Tongxinluo intervention group, the leaflet thickness of the aortic valve was significantly increased in the model group ( P< 0.05) and showed calcium salt deposition. Immunohistochemistry showed that, compared with the model group, macrophage recruitment was decreased, expression of α-SMA and OPN-positive cells were decreased in the Tongxinluo intervention group. Conclusions In the early stage of calcified aortic valve disease, Tongxinluo reduces oxidative stress by reducing the concentrations of serum TC, inhibiting infiltration of inflammatory macrophages, reducing MPO activity, and then affects the differentiation of valve stromal cells into myofibroblasts and osteoblasts to delay the progression of valvular calcification.

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宗永辉,李欣欣,张 宁,陈 云,刘新灿.通心络对小鼠钙化性主动脉瓣膜病早期病变的影响研究[J].中国比较医学杂志,2022,32(1):82~88,140.

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  • 收稿日期:2021-09-10
  • 在线发布日期: 2022-03-15
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