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三七总皂苷对氯化钙-乙酰胆碱诱导大鼠房颤的干预效应机制
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  • 英文篇名:Effects and mechanisms of panax notoginseng saponins in CaCl_2-ACh-induced atrial fibrillation in rats
  • 作者:吴丹丹 ; 陈瑜 ; 张腾
  • 英文作者:WU Dan-dan;CHEN Yu;ZHANG Teng;Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of TCM;Clinical Research Institute of Integrative Medicine, Shanghai Academy of Traditional Chinese Medicine;
  • 关键词:房颤 ; 三七总皂苷 ; 心肌纤维化 ; 氧化应激 ; 炎症反应
  • 英文关键词:Atrial fibrillation;;Panax notoginseng saponins;;Myocardial fibrosis;;Oxidative stress;;Inflammatory response
  • 中文刊名:BXYY
  • 英文刊名:China Journal of Traditional Chinese Medicine and Pharmacy
  • 机构:上海中医药大学附属岳阳中西医结合医院;上海市中医药研究院中西医结合临床研究所;
  • 出版日期:2019-05-01
  • 出版单位:中华中医药杂志
  • 年:2019
  • 期:v.34
  • 基金:上海市东方学者跟踪计划(No.GZ2015011);; 上海市进一步加快中医药事业发展三年行动计划(2018年-2020年)[No.ZY(2018-2020)-CCCX-2004-07];; 上海市优秀学术带头人(No.14XD1403500)~~
  • 语种:中文;
  • 页:BXYY201905020
  • 页数:6
  • CN:05
  • ISSN:11-5334/R
  • 分类号:104-109
摘要
目的:通过复制氯化钙-乙酰胆碱(CaCl_2-ACh)诱导的大鼠房颤模型,观察并研究三七总皂苷(PNS)对房颤的干预作用及相关机制,以期为基于三七总皂苷的房颤治疗药物的临床应用与治疗方案优化提供科学的实验和理论依据。方法:将SD雄性大鼠随机分为正常组、模型组、PNS低剂量组、PNS高剂量组,模型组和PNS低、高剂量组接受CaCl_2-ACh尾静脉注射进行房颤模型制备,在此基础上,各PNS治疗组腹腔注射PNS进行干预,正常组和模型组腹腔注射0.9%氯化钠溶液作为对照。PNS连续治疗11d后进行后续的分析。尾静脉造模给药和PNS治疗给药后30min,采用10%水合氯醛(3mL/kg)腹腔注射进行麻醉后进行体表心电图监测,光镜下观察大鼠心肌形态学改变以及胶原沉积;大鼠心肌组织进行总RNA抽提及逆转录后,采用荧光实时定量PCR分析心肌组织胶原及细胞外基质形成相关基因(Col1a1、Col1a2、Col3a1、Col5a2、Timp1及Fbn1)的mRNA表达水平;分离大鼠血清后,检测大鼠血清IL-8、IL-10、IL-17A、IFN-γ、ROS、MDA、AOPP及SOD等炎症相关细胞因子及氧化应激标志物的水平。结果:与模型组比较,PNS能显著降低房颤及期前收缩发生率及心肌组织损伤(P<0.05),显著降低血清中氧化应激标志物与炎症因子水平(P<0.05),显著降低心肌胶原沉积(P<0.05)。结论:PNS能有效的减轻房颤,其抗房颤的效应可能与减轻心肌组织损伤、减轻机体炎症与氧化应激作用相关。
        Objective: To investigate the anti-fibrillation effect and mechanisms of panax notoginseng saponins(PNS)in the rat model of CaCl_2-ACh-induced atrial fibrillation, and to provide reliable experimental and scientific evidence for the development of PNS-based therapies that may help to further optimize the current treatment of atrial fibrillation. Methods: SD male rats were randomly divided into normal group, model group, PNS low-dose treatment group and PNS high-dose treatment group. Model group, PNS low-and high-dose treatment groups received CaCl_2-ACh tail vein injection for atrial fibrillation model preparation. On this basis, each PNS treatment group was intraperitoneally injected with PNS for intervention. The normal control group and the model group were intraperitoneally injected with 0.9% normal saline as a control. Subsequent analysis was performed after 11 days continuous treatment with PNS. Thirty minutes after administration of tail vein modeling and PNS treatment, 10% chloralhydrate(3 mL/kg bw) was intraperitoneally injected, followed by body surface ECG measurement for 30 min. H&E staining and Masson's trichrome staining were performed to examine the gross morphological changes and collagen deposition of the heart collected from rats at the end of the experiment. Total RNA was isolated, reverse-transcribed and real-time PCR analyses were performed to examine the expression of Col1 a1, Col1 a2, Col3 a1, Col5 a2, Timp1 and Fbn1. Enzyme-linked immunosorbent assay was performed to analyze the serum levels of inflammatory factors IL-8, IL-10, IL-17 A, IFN-γ and markers of oxidative stress ROS, MDA, AOPP and SOD. Results: Compared with the model group, PNS could significantly reduce the incidence of atrial fibrillation and pre-systolic and myocardial injury(P<0.05), and PNS significantly reduce serum levels of oxidative stress markers and inflammatory factors(P<0.05), and it significantly reduced myocardial collagen deposition(P<0.05).Conclusion: PNS can effectively attenuate atrial fibrillation, and its anti-atrial fibrillation effect may be related to the reduction of myocardial tissue damage, reduction of body inflammation and oxidative stress.
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