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内质网应激致2型糖尿病缺血心肌易损性增强的机制研究 被引量:6

Mechanism of Increased Myocardial Ischemic Vulnerability in Mice Type 2 Diabetes Mellitus Induced by Endoplasmic Reticulum Stress
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摘要 目的:研究内质网应激(ERS)与脂联素的相关性及其在2型糖尿病缺血心肌易损性增强中的作用。方法:35只C57BL/6J雄性小鼠采用高糖高脂饮食联合链脲佐菌素(STZ)诱导2型糖尿病模型,按随机数字表法将糖尿病小鼠分为对照组(n=5)、牛磺脱氧胆酸(TUDCA)组(n=10)、毒胡萝卜内酯组(n=10)和生理盐水组(n=10)。对照组不做任何处理,其他三组在高糖高脂饲料喂养的最后3周,分别用TUDCA(250 mg/kg)、毒胡萝卜内酯(300μg/kg)和等量生理盐水腹腔注射给药,2次/天,连续给药3周后,TUDCA组、毒胡萝卜内酯组和生理盐水组各随机选取5只建立小鼠在体心肌梗死模型。心肌梗死72 h后,检测心肌梗死面积、血清脂联素含量、心肌组织中脂联素和凋亡相关蛋白C/EBP同源蛋白(CHOP)的含量及脂联素和CHOP mRNA表达水平。结果:TUDCA组及生理盐水组小鼠心肌梗死面积分别为(21.47±2.85)%和(39.92±4.28)%,均小于毒胡萝卜内酯组[(66.56±8.15)%,P均<0.01]。心肌梗死前,TUDCA组[(79.25±6.40)pg/ml]和生理盐水组[(70.23±4.15)pg/ml]血清脂联素浓度均高于毒胡萝卜内酯组[(62.64±5.70)pg/ml,P均<0.01],各组小鼠心肌梗死前血清脂联素浓度均高于心肌梗死72 h时浓度;各组小鼠心肌组织中脂联素含量及mRNA表达水平检测结果与血清脂联素检测结果一致,而CHOP含量及mRNA表达水平检测结果则与之相反。结论:2型糖尿病导致的心肌缺血损伤加重与ERS相关;ERS可能在2型糖尿病心肌易损性增强中起着重要作用,ERS加重后通过下调脂联素水平,增加了2型糖尿病心肌易损性。 Objective: To study the relationship between endoplasmic reticulum stress (ERS) and adiponectin; to explore the role of ERS for increasing myocardial ischemic vulnerability in type 2 diabetes mellitus (DM) mice. Methods: Type 2 DM model was established by high fat diet with streptozotocin (STZ) injection. A total of 35 C57BL/6J male type 2 DM mice were divided into 4 groups: (1) Control group, n=5. (2) Tauroursodeoxycholic acid (TUDCA) group, (3) Thapsigargin (TG) group and (4) Normal saline group. The mice in Groups (2) , (3) , (4) were fed by high fat and high glucose diet by injecting strcptozotocin (STZ), in the last 3 weeks and respectively received intraperitoneal injections of TUDCA (250 mg/kg), thapsigargin (TG) (300 μg/kg) and normal saline twice a day, n=10 in each group. Then myocardial infarction (MI) model was established in 5 mice from each group. 72 hours later, the MI ranges were measured, serum levels of adiponectin were detected, mRNA expressions of adiponectin and CHOP in myocardial tissue were examined. Results: The MI range in TUDCA group (21.47 ± 2.85) % and in Normal saline group (39.92 ± 4.28) % were both lower than TG group (66.56 ± 8.15) %, both P〈0.01. Before MI occurrence, serum levels of adiponectin in TUDCA group (79.25 ± 6.40) pg/ml and in Normal saline group (70.23 ± 4.15) pg/ml were both higher than TG group (62.64 ± 5.70) pg/ml,both P〈0.01; serum levels of adiponectin in each group were higher than they were 72 h after MI. In each group, the mRNA expression and protein content of adiponectin in myocardial tissue were constant to serum adiponectin; while the mRNA expression and protein content of CHOP was opposite to serum adiponectin. Conclusion: ESR could increase myocardial vulnerability in type 2 DM mice which might be related to down-regulating adiponectin expression.
作者 顾晨 李俊明
出处 《中国循环杂志》 CSCD 北大核心 2016年第1期91-95,共5页 Chinese Circulation Journal
基金 湖北省教育厅自然科学研究项目(D20121309) 国家自然科学基金面上项目(81270280)
关键词 糖尿病 2型 内质网 心肌缺血 Diabetes mellitus, Type 2 Endoplasmic reticulum stress Myocarial ischemia
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参考文献27

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