Keeling W Brent, Hackmann Amy E, Colter Mary E, Stone Patrick A, Johnson Brad L, Back Martin R, Bandyk Dennis F, Shames Murray L
University of South Florida Division of Vascular and Endovascular Surgery, Tampa, Florida 33606, USA.
J Surg Res. 2007 Aug;141(2):192-5. doi: 10.1016/j.jss.2006.12.544. Epub 2007 Jun 14.
Experimental abdominal aortic aneurysm (AAA) development can be pharmacologically suppressed by inhibiting matrix metalloproteinase-9 (MMP-9). Cyclooxygenase-2 (COX-2) inhibitors are potent anti-inflammatory agents that have been demonstrated to inhibit experimental aneurysm development. We hypothesized that treatment with MF-tricyclic, a selective COX-2 inhibitor, incorporated into rodent chow would inhibit aneurysm development in a rat AAA model.
Twelve male Sprague Dawley rats underwent induction of experimental AAA using intra-aortic porcine elastase infusion. Six rats received control feed, and six received MF-tricyclic rodent chow for a period of 14 days. Aortic diameters were measured pre- and postinfusion as well as at harvest. Aortic tissue samples were evaluated by real-time polymerase chain reaction (RT-PCR) for MMP-9, by immunohistochemistry for elastin.
Elastase infusion produced AAA in all untreated rats. At 14 days MF-tricyclic-treated rats had significantly reduced aortic diameter (1.9 +/- 0.1 mm versus 2.4 +/- 0.0 mm, P = 0.00001). Percent increase in aortic diameter was also significantly less in animals receiving MF-tricyclic (65.7 +/- 8.5% versus 132.3 +/- 7.3%, P = 0.0001). RT-PCR demonstrated a decrease in the mean expression of MMP-9 in the treated animals (0.414 ng of RNA versus 1.114 ng of RNA) (P = 0.07). Sections stained for elastin demonstrated preserved elastin integrity in MF-tricyclic treated aortas.
COX-2 inhibition helps to retard the growth of experimental AAAs possibly through inhibition of MMP-9. Experimentally treated animals demonstrated smaller aortic diameters and lower levels of tissue MMP-9 when compared to untreated animals. Selective COX-2 inhibition may offer an additional method to pharmacologically inhibit AAAs.
通过抑制基质金属蛋白酶-9(MMP-9),实验性腹主动脉瘤(AAA)的发展可在药理学上得到抑制。环氧合酶-2(COX-2)抑制剂是强效抗炎药,已被证明可抑制实验性动脉瘤的发展。我们假设,将选择性COX-2抑制剂MF-三环类药物掺入啮齿动物饲料中进行治疗,会抑制大鼠AAA模型中动脉瘤的发展。
12只雄性Sprague Dawley大鼠通过主动脉内注入猪弹性蛋白酶诱导实验性AAA。6只大鼠接受对照饲料,6只接受MF-三环类啮齿动物饲料,为期14天。在注入前后以及处死时测量主动脉直径。通过实时聚合酶链反应(RT-PCR)评估主动脉组织样本中的MMP-9,通过免疫组织化学评估弹性蛋白。
所有未治疗的大鼠经弹性蛋白酶注入后均产生了AAA。在14天时,接受MF-三环类药物治疗的大鼠主动脉直径显著减小(1.9±0.1毫米对2.4±0.0毫米,P = 0.00001)。接受MF-三环类药物治疗的动物主动脉直径的增加百分比也显著更低(65.7±8.5%对132.3±7.3%,P = 0.0001)。RT-PCR显示治疗组动物中MMP-9的平均表达降低(RNA为0.414纳克对1.114纳克)(P = 0.07)。弹性蛋白染色切片显示,MF-三环类药物治疗的主动脉中弹性蛋白完整性得以保留。
COX-2抑制可能通过抑制MMP-9有助于延缓实验性AAA的生长。与未治疗的动物相比,经实验治疗的动物主动脉直径更小,组织MMP-9水平更低。选择性COX-2抑制可能为药理学抑制AAA提供一种额外方法。