Higashiyama Hiroyuki, Sugai Masaki, Inoue Hirotaka, Mizuyachi Kaori, Kushida Hiroshi, Asano Satoshi, Kinoshita Mine
Pharmacology Department, Tsukuba Research Laboratories, GlaxoSmithKline KK, Ibaraki, Japan.
Int J Exp Pathol. 2007 Feb;88(1):31-8. doi: 10.1111/j.1365-2613.2006.00514.x.
The left ventricular hypertrophy (LVH) in response to pressure overload is an important risk factor in cardiac morbidity and mortality. To investigate the time course of histopathological alterations in the LVH in response to pressure overload, histopathological and immunohistochemical examination was performed using the aortic banding-induced mouse LVH model. Five-week-old male CD-1 mice were subjected to the inter-renal aortic banding. Major organs were sampled on 3, 10, 14, 21, 28 or 42 days after banding. Haematoxylin and eosin (H&E) staining, Masson's trichrome staining and immunohistochemistry for proliferating cell nuclear antigen (PCNA), alpha-smooth muscle actin (aSMA), ICAM-1, type I collagen and CD31 was performed and microscopically examined. Three days after aortic banding, acute inflammatory changes, such as macrophages/neutrophil infiltration and vascular wall injury were observed on/around the coronary arteries/arterioles of both ventricles. Intense ICAM-1 immunostaining was observed on the endothelium of the coronary arteries/arterioles. After day 10, vascular wall thickening and perivascular fibrosis was induced on the coronary arteries/arterioles. Immunohistochemistry for aSMA and PCNA demonstrated the proliferation of vascular smooth muscle cells in the media. After day 28, minimal cardiomyocyte hypertrophy was observed at the light microscope level. In the inter-renal aortic banding LVH model, histopathological alterations in early phase were mainly observed on coronary arteries/arterioles. These early phase alterations were thought to be hypertension-related changes in the coronary vasculatures. The cardiomyocyte hypertrophy observed in later phase was minimal at the light microscope level. These evidences would facilitate the understanding of pathophysiology of pressure overload LVH.
压力超负荷引起的左心室肥厚(LVH)是心脏发病和死亡的重要危险因素。为了研究压力超负荷引起的LVH组织病理学改变的时间进程,我们使用主动脉缩窄诱导的小鼠LVH模型进行了组织病理学和免疫组织化学检查。对5周龄雄性CD-1小鼠进行肾间主动脉缩窄。在缩窄后3、10、14、21、28或42天采集主要器官。进行苏木精和伊红(H&E)染色、Masson三色染色以及增殖细胞核抗原(PCNA)、α-平滑肌肌动蛋白(aSMA)、细胞间黏附分子-1(ICAM-1)、I型胶原蛋白和CD31的免疫组织化学检测,并进行显微镜检查。主动脉缩窄后3天,在两个心室的冠状动脉/小动脉上/周围观察到急性炎症变化,如巨噬细胞/中性粒细胞浸润和血管壁损伤。在冠状动脉/小动脉的内皮上观察到强烈的ICAM-1免疫染色。10天后,冠状动脉/小动脉出现血管壁增厚和血管周围纤维化。aSMA和PCNA的免疫组织化学显示中膜血管平滑肌细胞增殖。28天后,在光学显微镜水平观察到最小程度的心肌细胞肥大。在肾间主动脉缩窄LVH模型中,早期的组织病理学改变主要在冠状动脉/小动脉上观察到。这些早期改变被认为是冠状动脉血管系统中与高血压相关的变化。后期观察到的心肌细胞肥大在光学显微镜水平上最小。这些证据将有助于理解压力超负荷LVH的病理生理学。