Li Xu, Meng Ying, Zhang Zhen-shu, Yang Xi-shan, Wu Ping-sheng
The PLA Institute for Digestive Diseases, Nanfang Hospital, The First Medical University of PLA, Guangzhou, 510515, China.
Zhonghua Yi Xue Za Zhi. 2003 Jul 25;83(14):1241-5.
The aim of the present study was to determine the effects of angiotensin-converting enzyme inhibitor (ACE-I) and angiotensin II type 1 receptor (AT-1 receptor) blocker on the progression of rat hepatic fibrosis induced by CCl4.
60 male wistar rats weighting about 250 g were divided into 4 groups. Model group (Mo): The rats were injected with 40% CCl(4) 0.25 ml/100 g subcutaneously three times a week. Perindopril group (Pe): The rats were injected with 40% CCl(4). Perindopril, equivalent to 2 mg x kg(-1) x d(-1), was given i.g. Losartan group (Lo): The rats were injected with 40% CCl(4). Losartan, equivalent to 50 mg x kg(-1) x d(-1), was given i.g. Control group (Nc): the rats were injected with olive oil only. After 4, 6 weeks, morphological examination was based on microscopy. RT-PCR was utilized to detect gene expression of AT-1 receptor in the liver. Meanwhile, the protein expressions of AT-1 receptor, TGF-beta1 and PDGF-BB in liver tissue were examined by Western blot. The activity of matrix metalloproteinase-2 (MMP-2) was assessed by zymography. Serum laminin (LN) and hyaluronic acid (HA) were measured using radioimmunoassays.
RT-PCR and Western blot revealed that there was a up-regulation in AT-1 receptor expression in model group compared with control group. Both of perindopril and losartan treatment significantly reduced mean fibrosis score, messenger RNA and protein levels of AT1 receptor, protein levels of TGF-beta1 and PDGF-BB, Serum levels of HA and LN, and MMP-2 activity.
These results suggest that angiotensin IImay play an important role in fibrosis of liver. Perindopril and losartan may have inhibiting effects on CCl(4)-induced hepatic fibrogenesis of rat.
本研究旨在确定血管紧张素转换酶抑制剂(ACE-I)和血管紧张素II 1型受体(AT-1受体)阻滞剂对四氯化碳诱导的大鼠肝纤维化进展的影响。
将60只体重约250 g的雄性Wistar大鼠分为4组。模型组(Mo):大鼠每周皮下注射3次40%四氯化碳0.25 ml/100 g。培哚普利组(Pe):大鼠注射40%四氯化碳。给予相当于2 mg·kg-1·d-1的培哚普利灌胃。氯沙坦组(Lo):大鼠注射40%四氯化碳。给予相当于50 mg·kg-1·d-1的氯沙坦灌胃。对照组(Nc):大鼠仅注射橄榄油。4、6周后,基于显微镜进行形态学检查。利用RT-PCR检测肝脏中AT-1受体的基因表达。同时,通过蛋白质印迹法检测肝组织中AT-1受体、转化生长因子-β1(TGF-β1)和血小板衍生生长因子-BB(PDGF-BB)的蛋白表达。通过酶谱法评估基质金属蛋白酶-2(MMP-2)的活性。使用放射免疫分析法测定血清层粘连蛋白(LN)和透明质酸(HA)。
RT-PCR和蛋白质印迹法显示,与对照组相比,模型组AT-1受体表达上调。培哚普利和氯沙坦治疗均显著降低平均纤维化评分、AT1受体的信使核糖核酸和蛋白水平、TGF-β1和PDGF-BB的蛋白水平、HA和LN的血清水平以及MMP-2活性。
这些结果表明血管紧张素II可能在肝纤维化中起重要作用。培哚普利和氯沙坦可能对四氯化碳诱导的大鼠肝纤维化具有抑制作用。