Chang K-C, Tseng C-D, Chou T-F, Cho Y-L, Chi T-C, Su M-J, Tseng Y-Z
Department of Physiology, College of Medicine, National Taiwan University, Taipei, Taiwan.
Eur J Clin Invest. 2006 Jan;36(1):1-7. doi: 10.1111/j.1365-2362.2006.01588.x.
We determined the effects of NIDDM on haemodynamic parameters describing arterial wall elasticity and cardiac hypertrophy in rats administered streptozotocin (STZ) and nicotinamide (NA), using the aortic impedance analysis.
Male Wistar rats at 2 months were administered intraperitoneally 180 mg kg(-1) of NA, 30 min before an intravenous injection of 50 mg kg(-1) STZ, to induce type 2 diabetes. The STZ-NA rats were divided into two groups, 4 weeks and 8 weeks after induction of diabetes, and compared with untreated age-matched controls. Pulsatile aortic pressure and flow signals were measured by a high-fidelity pressure sensor and electromagnetic flow probe, respectively, and were then subjected to Fourier transformation for the analysis of aortic input impedance.
In each diabetic group, the experimental syndrome was characterized by a moderate and stable hyperglycaemia and a relative deficiency of insulin secretion. However, the 8-week but not the 4-week STZ-NA diabetic rats showed a decrease in cardiac output in the absence of any significant changes in mean aortic pressure, having increased total peripheral resistance. The diabetic syndrome at 8 weeks also contributed to an increase in aortic characteristic impedance, from 1.49 +/- 0.33 (mean +/- SD) to 1.95 +/- 0.28 mmHg s mL(-1) (P < 0.05), suggesting a detriment to the aortic distensibility in NIDDM. Meanwhile, the STZ-NA diabetic animals after 8 weeks had an increased wave reflection factor (0.46 +/- 0.09 vs. 0.61 +/- 0.13, P < 0.05) and decreased wave transit time (25.8 +/- 3.8 vs. 20.6 +/- 2.8 ms, P < 0.05). Ratio of the left ventricular weight to body weight was also enhanced in the 8-week STZ-NA diabetic rats.
The heavy intensity with early return of the pulse wave reflection may augment systolic load of the left ventricle coupled to the arterial system, leading to cardiac hypertrophy in the rats at 8 weeks after following STZ and NA administration.
我们使用主动脉阻抗分析,确定了2型糖尿病(NIDDM)对给予链脲佐菌素(STZ)和烟酰胺(NA)的大鼠动脉壁弹性和心脏肥大相关血流动力学参数的影响。
2月龄雄性Wistar大鼠在静脉注射50mg/kg STZ前30分钟腹腔注射180mg/kg NA,以诱导2型糖尿病。将STZ-NA大鼠在糖尿病诱导后4周和8周分为两组,并与未处理的年龄匹配对照进行比较。分别用高保真压力传感器和电磁流量探头测量搏动性主动脉压力和血流信号,然后进行傅里叶变换以分析主动脉输入阻抗。
在每个糖尿病组中,实验综合征的特征是中度且稳定的高血糖和胰岛素分泌相对不足。然而,8周而非4周的STZ-NA糖尿病大鼠在平均主动脉压力无任何显著变化的情况下心输出量降低,总外周阻力增加。8周时的糖尿病综合征也导致主动脉特征阻抗增加,从1.49±0.33(平均值±标准差)增加到1.95±0.28mmHg·s·mL⁻¹(P<0.05),表明NIDDM对主动脉扩张性有损害。同时,8周后的STZ-NA糖尿病动物波反射因子增加(0.46±0.09对0.61±0.13,P<0.05)且波传播时间减少(25.8±3.8对20.6±2.8ms,P<0.05)。8周的STZ-NA糖尿病大鼠左心室重量与体重之比也增加。
脉搏波反射早期返回的高强度可能增加与动脉系统相连的左心室收缩负荷,导致给予STZ和NA后8周的大鼠出现心脏肥大。