Intermedin_(1-53)抗大鼠心肌纤维化作用及其机制研究
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摘要
目的心肌纤维化是多种心脏疾病发展到一定阶段的共同病理改变,是心室重构的主要表现之一。作为心血管活性肽类物质Intermedin1-53(IMD1-53)在改善心脏功能、抗心肌缺血/再灌注损伤等心血管疾病中发挥重要作用。但它是否具有抗心肌纤维化的作用及其作用机制尤其是信号转导方面机制尚未清楚。因此本课题以心肌成纤维细胞为靶点细胞,从体内外两方面观察IMD1-53抗心肌纤维化作用及信号转导机制。方法1.采用结扎大鼠左冠状动脉前降支诱导心肌纤维化动物模型,假手术组只穿线不结扎。4周后检测心功能;HE染色、天狼星红染色切片观察心肌形态学变化;Western blot方法检测Ⅰ、Ⅲ型胶原蛋白表达;RT-PCR、Western blot方法检测左室非梗死区心肌IMD1-53、降钙受体样受体(calcitonin receptor-like receptor,CRLR)、受体活性修饰蛋白(receptor-activity-modifying protein,RAMP)1/2/3基因和蛋白表达水平;通过放免法检测血浆和左室非梗死区心肌的醛固酮含量,RT-PCR方法检测左室非梗死区心肌组织醛固酮合成酶(CYP11B2)基因表达。2.以新生SD大鼠心肌成纤维细胞(cardiac fibroblast, CFb)为研究对象,醛固酮(aldosterone,ALD)诱导增殖。采用MTT法观察ALD对CFb增殖活性的影响;检测细胞上清液中羟脯氨酸含量分析IMD1-53是否具有抗ALD诱导CFb增殖的作用,以及用同样方法观察IMD1-53的同家系肾上腺髓质素(adrenomedullin,ADM)受体拮抗剂ADM22-52和降钙素基因相关肽(calcitonin gene-related peptide,CGRP)受体拮抗剂CGRP8-37是否可以抑制IMD1-53降低CFb增殖的作用;通过Western blot方法观察IMD1-53对ALD诱导的CFb的p-ERK1/2蛋白表达的影响。结果1.结扎大鼠左冠状动脉前降支4周可形成心肌纤维化动物模型。测定结果显示:与假手术组比较,模型组大鼠的心功能明显降低(P<0.01~0.05);天狼星红染色发现心肌纤维化明显增强;左室非梗死区心肌组织的Ⅰ、Ⅲ型胶原蛋白表达增加(P<0.05);左室非梗死区心肌IMD1-53,CL、RAMP1/2/3的mRNA表达水平分别上调75%(P<0.01),57%(P<0.05), 61%(P<0.01), 48%(P<0.05)和80%(P<0.05),左室非梗死区心肌CL、RAMP1/2/3蛋白表达水平分别上调108%、79%、80%和111% (P<0.01~0.05);血浆和左室非梗死区心肌组织中醛固酮含量分别升高了1.32倍(P<0.01)和3.14倍(P<0.01)。左室非梗死区心肌组织CYP11B2 mRNA表达增加了44%(P<0.05)。2. ALD可诱导CFb增殖。测定结果显示:与对照组比较,ALD刺激CFb 24h后,在ALD浓度为10-8~10-6mol/L范围内,可促CFb增殖(P<0.01~0.05),以ALD浓度为10-6mol/L时CFb MTT产物的OD值最大(P<0.01);IMD1-53可抑制ALD诱导的CFb增殖,检测羟脯氨酸(Hyp)含量明显降低,且呈剂量依赖性,与ALD组比较有显著性差异(P<0.01~0.05);ADM22-52和CGRP8-37均可减弱IMD1-53对ALD的作用;ALD可诱导CFb的p-ERK蛋白表达,ALD作用5 min,p-ERK蛋白表达开始升高,作用10 min,p-ERK蛋白表达达最高值;与对照组比较,IMD1-53可抑制ALD诱导的CFb的p-ERK蛋白的表达(P<0.05)。结论1.结扎大鼠左冠状动脉前降支4周可形成心肌纤维化动物模型;心肌纤维化大鼠心室肌IMD1-53,CRLR、RAMP1/2/3的mRNA及蛋白表达水平分别上调,血浆和心肌组织中醛固酮含量分别升高,CYP11B2 mRNA表达明显上调。2. ALD对CFb活力的影响在一定时间和一定的浓度范围内呈现增加趋势;IMD1-53在一定时间和一定的浓度范围内可以抑制ALD诱导的新生大鼠CFb的增殖;ADM的受体拮抗剂ADM22-52和CGRP的受体拮抗剂CGRP8-37均可减弱IMD1-53抑制CFb增殖的作用,提示IMD1-53可通过CGRP和ADM受体起作用抑制CFb增殖;ALD可激活细胞内p-ERK这一与细胞增殖密切相关的信号物质,IMD1-53能有效抑制ALD介导的p-ERK表达,提示IMD1-53可通过ERK信号通路抑制ALD诱导的CFb增殖从而改善心肌纤维化。
Objective Myocardial fibrosis is co-pathology change of many heart diseases,and one of major components of ventricular remodeling after MI. IMD1-53, Cardiac and vasoactive peptide, has impoitant effect on improving cardiac function, against ischemia-reperfusion injury.But there is no evidence that IMD1-53 have the effect on myocardial fibrosis and possible mechanism,especially, signal transduction mechanism.The topic observed IMD1-53 against myocardial fibrosis and possible signal transduction mechanism by developing animal models involved in vivo and vitro and propose to elucidate myocardial fibrosis mechanism.
     Method 1. Rats with myocardial fibrosis(MF) were induced by left anterior descending coronary branch ligation. The cardiac function was messured , the protein levels of typeⅠ、Ⅲcollagen were assayed by Western blotting and the mRNA levels and the protein levels of IMD1-53, CL, RAMP1, -2, -3 were determined by semi-quantitative RT-PCR and Western blotting in the infracted hearts after 4 weeks of operation. ALD levels of plasma and myocardium region were messured by radioimmunity(RI). The mRNA levels of CYP11B2 were determined by semi-quantitative RT-PCR. 2. CFs from neonatal rat were separated,cultured ,and measured the CFb viability With MTT method after irritating with ALD; Observing IMD1-53 whether or not can inhibit CFs proliferation reduced by ALD with measuring the content of hydroxyproline(Hyp); Observing receptor antagonist of ADM and CGRP,the same fimily of IMD1-53, ADM22-52 and CGRP8-37 if or not have antagonism effect on IMD1-53 receptor with measuring the content of Hyp; We using measued of Western blot observed IMD1-53 if or not can inhibit the p-ERK expression reduced by ALD. Results 1 Myocardial fibrosis (MF) were formed by left anterior descending coronary branch ligation of 4 weeks.Compared with the sham-operated group, cardiac function was decreased (P<0.01~0.05);protein levels of typeⅠ、Ⅲcollagen were increased (P<0.05);the mRNA levels of CL, RAMP1, RAMP2 and RAMP3 were elevated by 75% (P<0.01), 57% (P<0.05), 61% (P<0.01), 48% (P<0.05)and 108% (P<0.05),protein levels of CL, RAMP1, RAMP2 and RAMP3 were elevated by 108%、79%、80%和111% (P<0.01~0.05) in the myocardial fibrosis rat. ALD levels of plasma and myocardium region were elevated separately 132%(P< 0.01),314%(P < 0.01). The mRNA levels of CYP11B2 were elevated by 44% (P<0.05). 2 ALD can reduce CFb proliferation. Compared with control group, ALD caused a concentration-dependent(10-8~10-6mol/L)increase of CFbs viability significantly in 24 hours and the peak of OD at concentration of 10-6mol/l ALD; IMD1-53 caused a concentration-dependent(10-9~10-7mol/L)decrease of CFs reduced by CFb and the Hyp content of cell supernatant decreased significantly, compared with control(P<0.01~0.05). ADM22-52 and CGRP8-37 can both inhibit IMD1-53. Western blotting results showed that p-ERK expression gradually increased after stimulating CFb with ALD from 5min to 10 min and decreasing from 10min~30min,with a peak at 10 min,with marked difference from control group. IMD can inhibit p-ERK expression of CFs reduced by ALD, with measuring the content of Hyp. Conclusion 1. MF were formed by left anterior descending coronary branch ligation of 4 weeks.The proteins and genes of IMD1-53 and receptors in myocardial fibrosis rat were obviously up-regulation in ventricular myocardium of Myocardial fibrosis rat. ALD levels of plasma and myocardium region were elevated separately. 2. ALD can increase CFb proliferation viability in concentration-dependent; IMD1-53 can inhibit CFb proliferation in a concentration-dependent reduced by ALD; ADM22-52 and CGRP8-37 can both inhibit the effect of IMD1-53 on ALD, it suggests that ADM22-52 and CGRP8-37 can antagonize IMD1-53 receptor;ALD can activate ERK signal transduction path. IMD1-53can inhibit p-ERK expression reduced by ALD, it suggests that IMD1-53 can inhibit CFs proliferation by ERK signal transduction path with the result of improving myocardial fibrosis.
引文
[1] Schmidt BMW, Schmieder RE. Aldosterone-induced cardiac damage:focus on blood pressure independent effects. Am J Hypertens, 2003, 16:80-86.
    [2] Stockand JD and Meszaros JG. Aldosterone stimulates proliferation of cardiac fibroblasts by activating Ki-RasA and MAPK1/2 signaling. Am J Physiol Heart Circ Physiol, 2003, 284 : 176-184.
    [3] Schorb W, Bool DE. Angiotensin Iiismitogenic in neonatal rat cardiac fibroblasts[J]. Circ Res, 1993, 73(3) : 413.
    [4]方淑贤,苑力娜,郑恒等.芦沙坦对心脏成纤维细胞胶原Ⅰ、Ⅲ型MRNA表达水平的影响[J].同济医科大学学报, 1999, 28(4) : 326
    [5] Schmidt BMW, Schmieder RE. Aldosterone-induced cardiac damage:focus on blood pressure independent effects.Am J Hypertens, 2003, 16 : 80-86.
    [6] JAMES D, STOCKAND. Aldosterone stimulates proliferation of cardiac fibroblasts by activating Ki-RasA and MAPK1/2 signaling. Am J Physiol Heart Circ Physiol, 2003, 284 : H176–H184.
    [7] Roh J, Chang CL, Bhalla A et al. Intermedin is a calcitonin/calcitonin gene-related peptide family peptide acting through the calcitonin receptor-like receptor/receptor activity-modifying protein receptor complexes [J]. JBiolChem, 2004, 279(8) : 7264-74.
    [8] Takei Y, Inoue K, Ogoshi M, et al. Identication of novel adrenomedullin inmammals: a potent cardiovascular and renal regulator [J]. FEBS Lett, 2004, 556(1-3) : 53-58.
    [9] Yang JH, JiaYX, Pan CS, et al. Effects of intermedin1-53 on cardiac function and ischemia/reperfusion injury in isolated rat hearts[J]. Biochem Biophys Res Commun, 2005, 327(3) : 713-719.
    [10] Olivetti G, Capasso J M, Meggs LG, et al. Cellular basis of chronic ventricular remodeling after myocardial infarction in rats [J]. Circ Res, 1991, 68: 856-869.
    [11] Qi YF, Bu DF, da Niu D et al. Effects of different pep tide fragments derived from proadrenomedullin on gene exp ression of adrenomedullin gene[ J ]. Peptides, 2002, 23 (6) : 1141 - 7.
    [12] Shuji A. Role of angiotensin II and endogenous vasodilators in the control of glomerular hemodynamics [J]. Clin Exp Nephrol, 2003, 7 : 172-8.
    [13] Takeda Y, Miyamori I, YonedaT, et al. Production of aldosterone in isolated rat blood vessels[J]. Hypertension, 1995, 25 : 170-173.
    [14] HatakeyamaH, Miyanori I, FujitaT, et al. Vascular aldosterone:Biosyn-thesis and a link to angiotensinⅡin induced hypertrophy of vascular smooth muscle cell[J]. J Biol Chem, 1995, 269 : 24316-24320.
    [15] Li X, Meng Y, Yang XS, et al. CYP11B2 expression inHSC and its effect on hepatic fibrogenesis[J]. World J Gastroenterol, 2000, 6(6) : 885-887.
    [16] TAKEDA Y, YONEDA T, DEMURA M, et al. Effects of high sodium intake on cardiovascular aldosterone synthesis in stroke-prone spontaneously hypertensive rats[J]. Hypertens, 2001, 19(3) : 635-939.
    [17] BEGGAH A, ESCOUBET B, PUTTINI S, et al. Reversible cardiac fibrosis and heart failure induced by conditional expression of an antisense mRNA of the mineralocorticoid receptor in cardiomyocytes[J]. Proc Natl Acad Sci USA, 2002, 99(10) : 7160-7165.
    [18] Pan C S, Yang J H, Cai D Y, et al. Cardiovascular effects of newly discovered peptide intermedin/adrenomedullin 2[J]. Peptides, 2005 ,26(9) : 1640-6.
    [19] Yang J H, Jia Y X, Pan C S, et al. Effects of intermedin1-53 on cardiac function and ischemia/reperfusion injury in isolated rat hearts[J]. Biochem Biophys Res Commun, 2005, 327(3):713-9.
    [20] Beltowski J, Jamroz A. Adrenomedullin-what do we know 10 years since its discovery [J]. Pol J Pharmacol, 2004, 56(1):5-27.
    [21] Yang JH, Qi YF, Jia YX, et al. Protective effects of intermedin/adrenomedullin2 on ischemia/reperfusion injury in isolated rat hearts[J].Peptides, 2005,26(3):501-7.
    [22] Jia YX, et al. Intermedin1-53 protects the heart against isoproterenol induced ischemic injuty in rats. Eur J Pharmacol. 2006 Nov 7; 549(1-3):117-23.
    [23] Fischer J A, Muff R, Born W. Functional relevance of G-protein-coupled-receptor- associated proteins, exemplified by receptor-activity-modifying proteins (RAMPs) [J]. Biochem Soc Trans, 2002, 30(4) :455-60.
    [24] Roh J, ChangCL, BhallaAetal. Intermedin is a calcitonin/calcitonin gene-related peptide family peptide acting through the calcitonin receptor-like receptor/receptor activity-modifying protein receptor complexes[J]. J Biol Chem, 2004, 279(8) : 7264-7
    [25]祝善俊,徐成斌主编.心力衰竭基础与临床.人民军医出版社. 2001:7-14. [34] Brilla CG. Aldosterone andmyocardial fibrosis in heart failure[J]. Herz, 2000, 25(3) : 299-306.
    [26] Burlew BS, Weber KT. Cardiac fibrosis as a cause of diastolic dysfunction.Herz, 2002, 27(2) : 92-8.
    [27]顾东风,黄广勇,何江,等.中国心力衰竭流行病学调查及其患病率.中华心血管病杂志. 2003, 31(1):3-6.
    [28] Tsutsui H. Novel pathophysiological insight and treatment strategies for heart failure. Circ J. 2004, 68(12) :1095-1103.
    [29]王健,余蓉,许香广.益气活血法对冠心病心肌纤维影响的观察.湖北中医杂志. 2004, 26(5) :13-14.
    [30] Jia Y X , Yang J H, Pan C S, et al. Effects of intermedin(1-53) on cardiac function and ischemia/reperfusion injury in isolated rat hearts[J]. Biochem Biophys Res Commun, 2005, 327(3) : 713-9.
    [31] Yang JH, Qi YF, Jia YX, et al. Protective effects of intermedin/adrenomedullin2 on ischemia/reperfusion injury in isolated rat hearts[J]. Peptides, 2005, 26(3) : 501-7.
    [32] Jia YX, et al. Intermedin1-53 protects the heart against isoproterenol induced ischemic injuty in rats. Eur J Pharmacol. 2006, 549(1-3) : 117-23.
    [33] Takei Y, Inoue K, Ogoshi M, et al. Identification of novel adrenomedullin in mammals : a potentcardiovascular and renal regulator[J].FEBS Lett, 2004 , 556(1-3) : 53-8.
    [34] Brilla CG. Aldosterone andmyocardial fibrosis in heart failure[J]. Herz, 2000, 25(3) : 299-306.
    [35] Stas S, Whaley-ConnellA, Habibi J, et al. Mineralocorticoid receptor blockade attenuates chronic overexpression of the renin-angiotensin-aldosterone system stimulation of reduced nicotinamide adenine dinucleotide phosphate oxidase and cardiac remodeling. [J]. Endocrinology, 2007, 148(8) : 3773-3780.
    [36] Johar S, Cave AC, NarayanapanickerA, et al. Aldosterone mediates angiotensinⅡ-induced interstitial cardiac fibrosis via a Nox2-containing NADPH oxidase[J]. FASEB J, 2006, 20(9) : 1546-1548.
    [37] Luther JM, Gainer JV, MurpheyLJ, et al. AngiotensinⅡinduces interleukin-6 in humans through a mineralocorticoid receptor-dependent mechanism[J].Hypertension, 2006, 48 (6) : 1050-1057.
    [38] Paul M, NoeleenD, CatherineRM, eta.l Spironolactone reduces fibrosis of dilated atria during heart failure in ratswithmyocardial infarction[J]. EurHeart J, 2005, 26(20) : 2193-2199.
    [39] Delcayre C, Silvestre JS. Aldosterone and the heart towards a physiological function. Cardiovascular Res , 1999 ,43 :7212.
    [40] REBSAMEN M, PERRIER E, GERBER-WICHT C,et al.Direct and indirect effects of aldosterone on cyclooxygenase-2 and interleukin-6 expression in rat cardiac cells in culture and after myocardial infarction[J]. Endocrinology, 2004, 145 (7)3135-3142.
    [41] SUN Y, ZHANG J, LU L, et al. Aldosterone-induced inflammation in the rat heart: role of oxidative stress[J]. Am J Pathol, 2002, 161(5) : 1773-1781.
    [42] FARQUHARSON C, STRUTHERS A. Aldosterone induces acute endothelial dysfunction in vivo in humans: evidence for an aldosterone-induced vasculopathy[J]. Clin Sci, 2002, 103(4) : 425-431.
    [43] Takeda Y, Yoneda T, Damura M, et al . Calcineurin inhibition attenuates mineralocorticiod2induced cardiac hypertrophy. Circulation, 2002, 105 : 6772
    [44] Roh J, Chang CL, Bhalla A, et al. Intermedin is a calcitonin/calcitonin gene-related peptide family peptide acting through the calcitonin receptor-like receptor/receptor activity-modifying protein receptor complexes [J]. J Biol Chem, 2004, 279(8) :7264-74.
    [45] Ren Y S, Yang JH, Zhang J, et al. Intermedin 1-53 in central nervous system elevates arterial blood pressure in rats[J]. Peptides, 2005, 27(1) : 74-9.
    [46] Roh J, Chang CL, Bhalla A, et al. Intermedin is a calcitonin/calcitonin gene-related peptide family peptide acting through the calcitonin receptor-like receptor/receptor activity-modifying protein receptor complexes [J]. J Biol Chem, 2004, 279(8) : 7264-74.
    [47] Robinson MJ, Cobb MH. Mitogen-activated protein kinase pathways[J]. Curt Opin Cell Biol, 1997,9(1) : 18-26.
    [48] Bueno OF, De windt LJ, Lim Hw, et al. The dual-specificity phos-phatase MKP-1 limits the cardiac hypertrophic response in vitro and in vivo[J]. GrcRes, 2001, 88(1) : 88-95.
    [49] Purcell NH, Darwis D, Bueno OF, et al.Extracellular signal-regulated kinase 2 interacts with and is negatively ragulated by the LIM only protein FHL2 incardiomyocytes[J]. Mol f Biol, 2004, 24(3) : 1081-1090.
    [50] Kolch W. The regulation of the Ras/Raf/MEK/ERK pathway by protein interactions[J]. Biochem J, 2000, 351:289-305.
    [51] Dudley DT, Pang L, Decker SJ,et al. A sythetic inhibitor of the mitogen-activated protein kinase cascade[J]. Proc Natl Acad Sci USA, 1995, 92:7686-7689.
    [52] Robinson MJ, Cobb MH. Mitogen-activated protein kinase path-way[J]. Curr Opin Cell Biol, 1997, 9:180-186.
    [53] Zou Y Z,Komuro I,Yamazaki T,et al. Protein Kinase C, but not tyrosine kinases or ras, plays a critical role in angiotensin II-induced activation of raf-1 kinase and extracellular signal-regulated protein kinases in cardiac myocytes[J]. J Biol Chem,1996,271 : 33592-33597.
    [54] Wagenaar LJ, Voors AA, Buikema H, et al.Angiotensin receptors in the cardiovascular system[J]. Can J Cardiol, 2002, 18 : 1331–1339.
    [55] Ali Pedram,Mahnaz Razandi, et al. Estrogen inhibits cardiomyocyte hypertrophy in vitro[J]. J Biol Chem.2005 July 15; 280(28): 26339–26348.
    [56] Simonson MS, Wang Y, Herman WH. Nuclear signaling by endothelin-1 requires Src protein-tyrosin kinases. J Biol Chem, 1996, 271 : 77-82.
    [57] ZHU Jian-Hua, LIU Zhong, et al. Effects of angiotensinⅡon extracellular signal-regulated protein kinases signaling pathway in cultured vascular smooth muscle cells from Wistar-Kyoto rats and spontaneously hypertensive rats. Acta Physiologica Sinica, 2005, 57(5) : 587-592.
    [58] El Mabrouk M, Touyz RM, Schiffrin EL.Differential AngⅡ-induced growth activation pathways in mesenteric artery smooth muscle cells from SHR. Am JPhycial Heart Circ Physiol, 2001, 281(1) :H30-H39.
    [59] SUN Ning-ling, WANG Hong-yi. Extracellular Signal Regulated Kinase(ERK)in Essential Hypertension and Myocardial Hypertrophy. Chinese Journal of Hypertension, 2002, 10(4) : 352-355.
    [60] J.D. Stockand, J.G. Meszaros. Aldosterone stimulates proliferation of cardiac fibroblasts by activating Ki-RasA and MAPK1/2 signaling. Heart Circ. Physiol. 284, 2003, H176–184.
    [61] Kim J, Eckhart AD, Eguchi S, Koch WJ. Beta-adrenergic receptor-mediated DNA synthesis in cardiac fibroblasts is dependent on transactivation of the epidermal growth factor receptor and subsequent activation of extracellular signal-regulated kinases. J Biol Chem, 2002, 277(35) : 32116-23.
    [62] Wen Y, Gu J, Liu Y, et al. Overexpression of 12-lipoxygenase causes cardiac fibroblast cell growth.Circ Res, 2001, 88(1) : 70-6.
    [63] Leicht M, Greipel N, Zimmer H. Comitogenic effect of catecholamines on rat cardiac fibroblasts in culture. Cardiovasc Res, 2000, 48(2) : 274-84.
    [64] Murasawa S, Matsubara H. Angiotensin II initiates tyrosine kinase Pyk2-dependent signalings leading to activation of Rac1-mediated c-Jun NH2-terminal kinase. J Biol Chem, 2000, 275(35) : 26856-63.
    [65] Akira Nishiyama. Involvement of Aldosterone and Mineralocorticoid Receptors in Rat Mesangial Cell Proliferation and Deformability. Hypertension. 2005, 45[part2] : 710-716.
    [66] Yukiko Nagai, Kayoko Miyata, Guang-Ping Sun. Aldosterone Stimulates Collagen Gene Expression and Synthesis Via Activation of ERK1/2 in Rat Renal Fibroblasts. Hypertension. 2005, 46 : 1039-1045.
    [67] JAMES D. STOCKAND.Aldosterone stimulates proliferation of cardiac fibroblasts by activating Ki-RasA and MAPK1/2 signaling. Am J Physiol Heart Circ Physiol. 2003, 284: H176–H184.
    [68] Xu Li. Angiotensin II and Aldosterone stimulating NF-κB and AP-1 activation in hepatic fibrosis of rat. Regulatory Peptides, 2007, 138 : 15–25.
    [69] Valtink M, et al. Activation and role of MAPk inase-dependent pathways in retinal pingment epithelial cells: ERK and RPE cell proliferation[J]. Invest Ophthalmol Vis Sci, 2002, 43(9) : 3091-3098.
    [70] W. Jiang et al. Effects of adrenomedullin on aldosterone-induced cell proliferation in ratcardiacfibroblasts.Biochimica et Biophysica Acta. 2004, 1690: 265–275.
    [71] H.A. Coppock, A.A. Owji, C. Austin. Rat-2 fibroblasts express specific adrenomedullin receptors, but not calcitonin-generelated-peptide receptors, which mediate increased intracellular cAMP and inhibit mitogen-activated protein kinase activity. Biochem. J. 1999, 338 : 15–22.
    [1] Cuspidi C, Ciulla M, Zanchetti A. Hypertensive myocardial fibrosis. Nephrol Dial Transplant, 2006, 21(1) : 20-23.
    [2] Lee SD, Chang SH, Kuo WH, et al. Role of mitogen-activated protein kinase kinase in Porphyromonas gingivalis-induced myocardial cell hypertrophy and apoptosis.Eur J Oral Sci, 2006, 114(2) : 154-159.
    [3] Gupta A, Carter JN, Truter SL, et al. Cellular response of human cardiac fibroblasts to mechanically simulated aortic regurgitation. Am J Ther, 2006, 13(1) : 8-11.
    [4] Sano H, Okamoto H, Kitabatake A, et a.l Increased mRNA expressionof car-tensive rats[J].MolCellBiochem. 1998, 178(1) : 51.
    [5]许松,许玉凤,等.钙调神经磷酸酶在血管紧张素Ⅱ刺激的心脏成纤维细胞增殖中的作用[J].生理学报, 2000, 52(4) : 305.
    [6] Schmidt BMW, Schmieder RE. Aldosterone-induced cardiac damage: focus on blood pressure independent effects. Am J Hypertens , 2003,16 : 80-86.
    [7] Sun Y, Zhang J, Lu L, et al. Aldosterone-induced inflammation in the rat heart: Role of oxidative stress. Am J Pathol, 2002, 161 : 1773-1781.
    [8] Varo N, Iraburu MJ, Varela M, et a.l Chronic AT1 Blockade Stimu-lates brosis in Spontaneously Hypertensive Rats[ J]. Hypertension, 2000, 35(6) : 1197.
    [9] Stockand JD and Meszaros JG. Aldosterone stimulates proliferation of cardiac fibroblasts by activating Ki-RasA and MAPK1/2 signaling. Am J Physiol Heart Circ Physiol, 2003, 284 : 176-184.
    [10] Campbell SE, Katwa LC. Angiotensin II stimulated expression of transforming growth factor-β1 in cardiac fibroblasts and myofibroblasts[J]. J Mol Cell Cardiol, 1997, 29 : 1947-1958.
    [11] Petrov W, Fagard RH, Lijnen PJ. Transforming growth factor-β1 induced- differentiation of cardiac fibroblasts to myofibroblasts is accompanied by an increase in angiotensin converting enzyme activity[J]. J Hypertens, 1999, 17 : 518.
    [12] Kuwahara f, KaiH, TokudaK, et al. Transforming growth factor-beta function blocking preventsmyocardial fibrosis and diastolic dysfunction in pressure-overloaded rats[J].Circulation, 2002, 106(1) : 130-135.
    [13] Thomas Peterson J, Li H, Dillon L, et al. Evolution of matrix metalloproteinases and tissue inhibitor expression during heart failure progression in the infarcted rat[J]. Cardiovasc Res, 2000, 46 : 307-315.
    [14] Li YY, Mc Tiernan CF, Feldman AM.Interplay of matrix metalloproteinases, tissue inhibitors of metalloproteinases and their regulators in cardiac matrix remodeling[J]. Cardiovasc Res, 2000, 46(2) : 214-224.
    [15] Chen M, Lan A, Abrahamj A, et al. CTGF expression is induced by TGF-beta in cardiac fibroblasts and cardiac myocytes:a potential role in heart fibrosis[J]. J Mol Cell Cardiol, 2000, 32(3) : 1805-1819.
    [16] Iwanciw D, Rehm M, Porst M, et al. Induction of connective tissue growth factor by angiotensin II:integration of signaling pathways[J]. Arterioscler Thromb Vasc Biol, 2003, 23(4) : 1782-1787.
    [17] Ocaranza MP, Diaz-Araya G, Chiong M, et al. Isoproterenol and angiotensinⅡ-converting enzyme in lung, left ventricle, and plasma duringmyocardial hypertrophy and fibrosis[J]. J Cardiovasc Pharmacol, 2002, 40(2) : 246-254.
    [18] Gradman AH, AlfayoumiF. From leftventricularhypertrophy to congestive heart failure: management of hypertensive heart disease[J]. Prog Cardiovasc Dis, 2006, 48(5) : 326-341.
    [19]赵连友.治疗原发性高血压的现代概念[J].新医学,2004, 35(8) : 454-458.
    [20]朱伟旺,赵凤琴.替米沙坦对自发性高血压大鼠左心室重塑的影响[J]国心血管病研究.国心血管病研究, 2007, 5(8) : 600-602.
    [21] SchannwellCM, HennersdorfMG, Strauer BE. Hypertensive myocardial fibrosis [J]. Internist(Berl), 2007, 48(9) : 909-920.
    [22] KawaiM, Morimoto S, KomukaiK, et al. The novelangiotensin receptorblocker, telmisartan preventsmyocardial hypertrophy and fibrosis in renovascular hypertensive (Goldblatt) rat[J]. J Mol Cell Cardiol, 2008, 44(2) : 435-448.
    [23] Anan F, TakahashiN, OoieT, et al. Effects ofvalsartan and perindoprilcombination therapy onleftventricularhypertrophy and aortic arterial stiffness in patients with essentialhypertension[J].Eur J Clin Pharmacol, 2005, 61(5-6) : 353-359.
    [24] Der Sarkissian S, Marchand EL, Duguay D, Hamet P, et al. Reversal of interstitial fibroblast hyperplasia Via apoptosis in hypertensive rat heart with valsartan or enalapril[J]. Cardiovasc Res, 2003, 57(3) :775-83.
    [25]吕立文,韦金儒,李醒三.缬沙坦与依那普利对心肌梗死后心肌胶原重构的影响[J].广东医学,2005,26(5) :603-605.
    [26] Martin van Eickels, Hans Vetter, Christian Grohe. Angiotensin-convertingenzyme (ACE) inhibition attenuates insulin-like growth factor-I (IGF-I) induced cardiac fibroblast proliferation. BritishJournal of Pharmacology, 2000, 131 : 1592-1596.
    [27] Zannad F, Alla F, Dousset B,et al. Limitation of excessive extracellular matrix turnover may contribute to survival benefit of spironolactone therapy in patients with congestive heart failure[J]. Circulation, 2000, 102(2) :2700-2703.
    [28] TakedaY, ZhuA, YonedaT, et al. Effects ofaldosterone and angiotensinⅡreceptorblockade on cardiac angiotensinogen and angiotensin-converting enzyme2 expression in Dahl salt-sensitive hypertensive rats[ J]. Am J Hypertens, 2007, 20(10) : 1119-1124.
    [29] NagataK, ObataK, Xu J, et alMineralocorticoid receptor antagonist attenuates cardiac hypertrophy and failure in low-aldosterone hypertensive rats [J]. Hypertension, 2006, 47(4) : 656-664.
    [30] Hayashidani S, Tsutsui H,Shiomi T, Suematsu N, et al. Fluvastatin, a 3-hydroxy-3-methylglutaryl coenzyme,a reductase inhibitor,attenuates left ventricular remodeling and failure after experimental myocardial infarction[J]. Circulation, 2002, 105(7) : 868-73.
    [31] SakaM, ObataK, Ichihara S. Attenuation ofventricularhypertrophy and fibrosisin rats by pitavastatin: potential role of the RhoA-extracellular signal-regulated kinase-serum response factor signalling pathway[J]. Clin Exp Pharmacol Physio, 2006, 33(12) : 1164-1171.
    [32] Yagi S, Aihara K, Ikeda Y, et al Pitavastatin, anHMG-CoA reductase inhibitor, exerts eNOS-independent protective actions against angiotensin II induced cardiovascular remodeling andrenal insufficiency[J]. CircRes, 2008, 102(1) : 68-76.
    [33] ZhangGG, Zhang SD. Effect of simvastatin reduces human artialmyofibroblast proliferation independently of cholesterol lowering via inhibition of RhoA[J]. Cardiovasc Res, 2004, 61(4) : 745-755.
    [34] Lindsey ML, Gannon J, Aikawa M, Schoen FJ, et al. Selective matrix-metallo proteinase inhibition reduces left ventricular remodeling but does not inhibit angiogenesis after myocardial infarction[J]. Circulation, 2002, 105(6) :753-8.
    [35] Pu Q, NevesMF, VirdisA, TouyzRM, et, al. Endothelin antagonism on aldosterone induced oxidative stress and vascular remodeling[J]. Hypertension, 2003, 42(1) : 49-55.
    [36]唐忠志,郑智,唐瑛等.丹参对自发性高血压大鼠心肌纤维化的逆转作用及其机制研究[J].华中科技大学学报(医学版),2002,313(3) :292-294.
    [37]陈静,许喜泳,刘淑华.银杏叶片对冠心病心绞痛患者血浆内皮素和一氧化氮含量的影响[J].数理医药学杂志,2002,15(6) :517-518.
    [1] Amara S G, Jonas V, Rosenfeld M G, et al. Alternative RNA processing in calcitonin gene expression generates mRNAs encoding different polypeptide products[J]. Nature, 1982, 298(5) : 240-4.
    [2] Roh J, Chang CL, Bhalla A, et al. Intermedin is a calcitonin/calcitonin gene-related peptide family peptide acting through the calcitonin receptor-like receptor/receptor activity-modifying protein receptor complexes [J].J Biol Chem, 2004, 279(8) : 7264-74.
    [3] Takei Y, Inoue K, Ogoshi M , et al. Identication of novel adrenomedullin in mammals: a potent cardiovascular and renal regulator[J ]. FEB S L ett, 2004, 556 (123) : 5.
    [4] Pan C S, Yang J H, Cai D Y, et al. Cardiovascular effects of newly discovered peptide intermedin/adrenomedullin 2[J]. Peptides, 2005, 26(9) : 1640-6.
    [5] Ren Y S, Yang JH, Zhang J, et al. Intermedin 1-53 in central nervous system elevates arterial blood pressure in rats[J]. Peptides, 2005, 27(1) : 74-9.
    [6] Yang J H, Jia Y X, Pan C S, et al. Effects of intermedin(1-53) on cardiac function and ischemia/reperfusion injury in isolated rat hearts[J]. Biochem Biophys Res Commun, 2005, 327(3) : 713-9.
    [7] Yang JH, Qi YF, Jia YX, et al. Protective effects of intermedin/adrenomedullin2 on ischemia/reperfusion injury in isolated rat hearts[J]. Peptides, 2005, 26(3) : 501-7.
    [8] Jia YX, et al. Intermedin1-53 protects the heart against isoproterenol induced ischemic injuty in rats. Eur J Pharmacol, 2006, 549(1-3) : 117-23.
    [9] Hirose T, Totsune K, Mori N, et al. Increased expression of adrenomedullin 2/intermedin in rat hearts with congestive heart failure[J]. Eur J Heart Fail, 2008, 10(9) : 840-9.
    [10] Zeng Q, Yuan Y, Wang X, et al. Upregulated expression of intermedin and its receptor in the myocardium and aorta in spontaneously hypertensive rats[J]. Peptides, 2009, 30(2) : 391-9.
    [11] Yu XM, Liu XM, Qi YF, et al. The protective effects of intermedin 1-53 on oleic acid induced acute lung injury in rats[J]. Zhonghua Jie He He Hu Xi Za Zhi, 2006, Dec; 29(12) : 808-11.
    [12] Yu XM, Liu XM, Qi YF, et, al. Alterations of intermedin and its receptor system in oleic acid-induced acute lung injury of rats[J]. Beijing Da Xue Xue Bao, 2006, 38(5) : 496-500.
    [13] Gong YS, Fan XF, Wu XM, et,al. Changes of intermedin/adrenomedullin 2 and its receptors in the right ventricle of rats with chronic hypoxic pulmonary hypertension[J]. Sheng Li Xue Bao, 2007, 59(2) : 210-4.
    [14] Chauhan M, Ross GR, Yallampalli U, Yallampalli C. et al. Adrenomedullin-2, a novel calcitonin/calcitonin-gene-related peptide family peptide, relaxes rat mesenteric artery: influence of pregnancy[J]. Endocrinology, 2007, 148(4):1727-35.
    [15] Chauhan M, Yallampalli U, Reed L, et, al.Adrenomedullin 2 antagonist infusion to rats during midgestation causes fetoplacental growth restriction through apoptosis[J]. Biol Reprod, 2006, 75(6) : 940-7.
    [16] Fujisawa Y, Nagai Y. Renal effects of a newmember of adrenomedullin family, adrenomedullin2, in rats[J]. Eur J Pharmacol, 2004, 497(5) : 75-80.
    [17] Takei Y, Inoue K, Ogoshi M, et al. Identification of novel adrenomedullin in mammals:a potentcardiovascular and renal regulator[J]. FEBS Lett, 2004 , 556(1-3):53-8.
    [18] Hagiwara M, Bledsoe G, Yang ZR, et, al. Intermedin ameliorates vascular and renal injury by inhibition of oxidative stress[J]. Am J Physiol Renal Physiol, 2008, 295(6) : F1735-43.
    [19] Taylor M M, Samson W K. Stress hormone secretion is altered by central administration of intermedin/adrenomedullin22 [J].Brain Res, 2005, 1045 (1-2) : 199-205.
    [20] Hashimoto H, Kitamura K, Kawasaki M, et, al. Adrenomedullin 2/intermedin-like immunoreactivity in the hypothalamus and brainstem of rats[J]. Auton Neurosci. 2008 May 30;139(1-2):46-54. Epub 2008 Mar 4.
    [21] Hashimoto H, Hyodo S, Kawasaki M, Shibata M,et. Adrenomedullin 2 (AM2)/intermedin is a more potent activator of hypothalamic oxytocin-secreting neurons than AM possibly through an unidentified receptor in rats[J]. Peptides. 2007, 28(5):1104-12.
    [22] Martínez-álvarez RM, Volkoff H, Mu?oz-Cueto JA, Delgado MJ,et.Effect of calcitonin gene-related peptide (CGRP), adrenomedullin and adrenomedullin-2/intermedin on food intake in goldfish (Carassius auratus)[J]. Peptides. 2008 Dec 27.
    [23] Kindt F, Wiegand S, L?ser C, Nilles M, Niemeier V, Hsu SY, et.Intermedin: a skin peptide that is downregulated in atopic dermatitis [J].Invest Dermatol. 2007 Mar;127(3):605-13. Epub 2006 Sep 28.
    [24] Morimoto R, Satoh F, Murakami O, et, al. Expression of adrenomedullin 2/intermedin in human adrenal tumors and attached non-neoplastic adrenal tissues[J]. J Endocrinol, 2008, 198(1) : 175-83.
    [25] Fischer J A, Muff R, Born W. Functional relevance of G-protein-coupled-receptor- associated proteins, exemplified by receptor-activity-modifying proteins (RAMPs) [J].Biochem Soc Trans, 2002, 30(4) : 455-60.
    [26] Beltowski J, Jamroz A. Adrenomedullin-what do we know 10 years since its discovery [J]Pol J Pharmacol, 2004, 56(1) : 5-27.
    [27]苏家林,汪丽蕙,张继峰,等.肾上腺髓质素前体不同肽段的心血管效应[J].基础医学与临床, 1999, 19(1):33-7.
    [28] Terata K, Miura H , Liu Y, et al . Human coronary arteriolar dilation to adrenomedullin : role of nitric oxide and K( +)channels [J].Am J Physiol Heart Circ Physiol, 2000, 279 (6):H2620-6.
    [29] Sata M ,Kakoki M ,Nagata D , et al . Adrenomedullin and nitric oxide inhibit human endothelial cell apoptosis via acyclic GMP2 independent mechanism[J].Hypertension, 2000, 36 (1) : 83-8.
    [30] Yang J H, Pan CS, Jia Y X, et al. Intermedin1-53 activates L-arginine/nitric oxide synthase/nitric oxide pathway in rat aortas. Biochem Biophys Res Commun, 2006, 341(2) : 567-72.

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