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小鼠冷冻损伤诱导心肌梗死的新模型:与冠状动脉结扎模型的比较。

A novel model of cryoinjury-induced myocardial infarction in the mouse: a comparison with coronary artery ligation.

作者信息

van den Bos Ewout J, Mees Barend M E, de Waard Monique C, de Crom Rini, Duncker Dirk J

机构信息

Experimental Cardiology, Thoraxcenter, Erasmus MC, Univ. Medical Center, Rm. Ee 2355, PO Box 1738, Rotterdam 3000 DR, The Netherlands.

出版信息

Am J Physiol Heart Circ Physiol. 2005 Sep;289(3):H1291-300. doi: 10.1152/ajpheart.00111.2005. Epub 2005 Apr 29.

Abstract

Mouse myocardial infarction (MI) models are frequently used research tools. The most commonly applied model is coronary artery ligation. However, coronary ligation often gives rise to apical aneurysmatic infarcts of variable size. Other infarct models include cryoinfarction, which produces reproducible infarcts of the anterior wall. Thus far, this model has not been extensively described in mice. Therefore, we developed a murine cryoinfarction model and compared it with coronary ligation. Studies were performed under isoflurane anesthesia with a follow-up of 4 and 8 wk. Cryoinfarction was induced using a 2- or 3-mm cryoprobe. Two-dimensional guided M-mode echocardiography was used to assess fractional shortening and left ventricular (LV) dimensions at baseline and end point. At end point, hemodynamics were assessed using a 1.4-Fr Millar catheter. Pressure-diameter relations were constructed by combining echocardiography and hemodynamic data. Histological and morphometric analyses of infarct and remote areas were performed. At 4 wk, 3-mm cryoinfarction resulted in decreased LV fractional shortening as well as decreased global LV contractility and relaxation, which was comparable with coronary ligation. No adverse remodeling was observed at this time point, in contrast with the ligation model. However, progressive LV remodeling occured between 4 and 8 wk after cryoinfarction with a further decline in hemodynamic parameters and LV pump function. Histologically, cryoinfarction resulted in highly reproducible, transmural, cone-shaped infarcts with reperfusion at the macrovascular level. These results indicate that the cryoinfarction model represents the anterior myocardial infarct with modest adverse remodeling and may thus be representative for infarcts encountered in clinical practice.

摘要

小鼠心肌梗死(MI)模型是常用的研究工具。最常用的模型是冠状动脉结扎。然而,冠状动脉结扎常常导致大小不一的心尖部动脉瘤样梗死。其他梗死模型包括冷冻梗死,它可在前壁产生可重复的梗死灶。到目前为止,该模型在小鼠中尚未得到广泛描述。因此,我们开发了一种小鼠冷冻梗死模型,并将其与冠状动脉结扎模型进行比较。研究在异氟烷麻醉下进行,随访4周和8周。使用2毫米或3毫米的冷冻探头诱导冷冻梗死。二维引导M型超声心动图用于评估基线和终点时的缩短分数和左心室(LV)尺寸。在终点时,使用1.4法国米拉尔导管评估血流动力学。通过结合超声心动图和血流动力学数据构建压力-直径关系。对梗死区和远隔区进行组织学和形态计量学分析。在4周时,3毫米冷冻梗死导致左心室缩短分数降低,以及左心室整体收缩和舒张功能降低,这与冠状动脉结扎相当。与结扎模型不同,此时未观察到不良重塑。然而,冷冻梗死后4至8周出现进行性左心室重塑,血流动力学参数和左心室泵功能进一步下降。组织学上,冷冻梗死导致高度可重复的透壁锥形梗死灶,在大血管水平有再灌注。这些结果表明,冷冻梗死模型代表前壁心肌梗死,不良重塑程度较轻,因此可能代表临床实践中遇到的梗死情况。

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