冠心病慢性心肌缺血小鼠模型及评价方法
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1.北京中医药大学东直门医院;2.中国中医科学院,医学实验中心

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中国医学科学院自主课题资助项目(zz2019015)


Chronic myocardial ischaemia mouse model of coronary artery disease and evaluation methods
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1.a.Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing100700, China;2.Experimental Research Center of China Academy of Chinese Medical Sciences

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    摘要:

    【摘要】目的 建立稳定的慢性心肌缺血小鼠模型,初步阐述缺血状态下T波低平的电生理原理。方法 1. C57BL/6 J小鼠作为对照组,正常饮食3个月。将APOE-/-小鼠随机分为模型组和降脂药(Lipid-lowering Drug,LLD)组,高脂饮食喂养3个月;2. 通过苏木伊红(Hematoxylin-eosin staining, HE)和油红染色评估斑块情况;3. 造模前后小鼠的心电图;4. 记录心室肌细胞的动作电位。结果 1.造模后模型组小鼠胆固醇(Cholesterol, CHO)及低密度脂蛋白(Low-density lipoprotein, LDL-C)显著升高,同时其主动脉出现脂质斑块。LLD组的病变明显减少,而在对照组中没有发现斑块形成;2.对照组造模后心电图中T波/QRS波(简称T/QRS)无显著变化,模型和LLD组出现T/QRS的显著降低;3.T/QRS压低的程度与血脂水平、动脉粥样硬化(Atherosclerosis, AS)病理程度存在显著的正相关;4. 心肌细胞动作电位内层心肌对比外层复极更加缓慢,而缺血的内层心肌细胞加速了复极速率。结论 APOE-/-小鼠可用于慢性心肌缺血小鼠模型,缺血状态下内层心肌复极速率增加可能是缺血状态下心电图“T波”压低的主要原因。

    Abstract:

    Objective To establish a stable mouse model of chronic myocardial ischemia, and to preliminarily elaborate the electrophysiological principle of T-wave flattening under ischemic state. Methods 1. C57BL/6 J mice were used as control group with normal diet for 3 months. APOE-/- mice were randomly divided into a model group and a Lipid-lowering Drug (LLD) group, and were fed a high-fat diet for 3 months; 2. Plaque condition was assessed by Hematoxylin-eosin staining (HE) and oil red staining; 3. Electrocardiograms of the mice before and after modelling; and 4. Recordings of the ventricular myocytes' action potentials. Results 1. Cholesterol (CHO) and low-density lipoprotein (LDL-C) were significantly elevated in the model group, and lipid plaques appeared in the aorta of the model mice after modelling, while the lesions in the LLD group were significantly reduced, and no plaques were found in the control group; 2. There was no significant change in the T/QRS wave (T/QRS) in the ECG after modelling in the control group, whereas a significant reduction in T/QRS was observed in the model and LLD groups. 3. There was a significant positive correlation between the degree of T/QRS depression and the levels of lipids and the degree of atherosclerosis (AS) pathology. 4. The inner layer of the cardiomyocyte action potential repetitions more slowly than the outer layer of cardiomyocytes, whereas the repetitive rate was accelerated by the ischemic inner layer of cardiomyocytes. cardiomyocytes accelerated the repolarisation rate. Conclusions APOE-/- mice can be used as a mouse model of chronic myocardial ischemia, and the increased repolarisation rate of the inner myocardium in ischemia may be the main reason for the depression of the electrocardiographic "T wave" in ischemia.

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  • 收稿日期:2023-12-05
  • 最后修改日期:2024-03-12
  • 录用日期:2024-04-22
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