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[原发性高血压患者红细胞膜主要蛋白成分及其与心血管疾病遗传易感性的关系]

[Contents of the main erythrocyte membrane proteins in patients with primary arterial hypertension and its relationship with hereditary predisposition to cardiovascular diseases].

作者信息

Ivanov V P, Polonikov A V, Solodilova M A, Lukashov A A

出版信息

Ter Arkh. 2000;72(9):73-6.

Abstract

AIM

To study quantitative content of main erythrocyte membrane proteins in patients with primary arterial hypotension and its relationship with hereditary predisposition to cardiovascular disease.

MATERIAL AND METHODS

Quantitative content of main erythrocyte membrane proteins in 109 patients with primary arterial hypotension (PAH) and 124 healthy persons was measured with unidimensional polyacrylamide gel electrophoresis. Hereditary determination of PAH was studied by the clinical-genealogical method.

RESULTS

PAH patients showed quantitative alterations in erythrocyte membrane protein composition: increased content of alpha-spectrin, ankyrin (band 2.1), anion exchange protein (band 3) and decreased content of actin, tropomyosin and glutathione-S-transferase. Patients with aggravated heredity for PAH had higher content of beta-spectrin and ankyrin (band 2.1 and 2.2) then patients without aggravated heredity for PAH.

CONCLUSION

Quantitative alterations of membrane proteins in patients with PAH could significantly modify the structure of cytoskeleton and result in modification of the enzyme activity of transmembrane proteins (ATPases) regulating cation transport across erythrocyte membrane. Moreover, aggravated heredity for PAH predisposes to high content of cytoskeletal proteins (beta-spectrin, 2.1 and 2.2 ankyrin) which could form more compact structure of erythrocyte membrane and limit cation influx into cytoplasma.

摘要

目的

研究原发性动脉低血压患者主要红细胞膜蛋白的定量含量及其与心血管疾病遗传易感性的关系。

材料与方法

采用一维聚丙烯酰胺凝胶电泳法测定109例原发性动脉低血压(PAH)患者和124例健康人的主要红细胞膜蛋白定量含量。采用临床系谱法研究PAH的遗传决定因素。

结果

PAH患者红细胞膜蛋白组成存在定量改变:α-血影蛋白、锚蛋白(2.1带)、阴离子交换蛋白(3带)含量增加,肌动蛋白、原肌球蛋白和谷胱甘肽-S-转移酶含量降低。PAH遗传易感性加重的患者比PAH遗传易感性未加重的患者β-血影蛋白和锚蛋白(2.1和2.2带)含量更高。

结论

PAH患者膜蛋白的定量改变可显著改变细胞骨架结构,并导致调节阳离子跨红细胞膜转运的跨膜蛋白(ATP酶)的酶活性改变。此外,PAH遗传易感性加重易导致细胞骨架蛋白(β-血影蛋白、2.1和2.2锚蛋白)含量升高,这可能形成更紧密的红细胞膜结构并限制阳离子流入细胞质。

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