Grover-McKay M, Scholz T D, Burns T L, Skorton D J
Department of Internal Medicine, University of Iowa, Iowa City 52242.
Invest Radiol. 1991 Mar;26(3):227-32. doi: 10.1097/00004424-199103000-00006.
In order to test the hypothesis that the increased myocardial collagen concentration in the older, spontaneously hypertensive (SH) rat is associated with altered T2 and T1, we performed in vitro studies of 70 left ventricles from 8-, 22-, and 33-week-old SH and Wistar-Kyoto (WKY) rats. We also measured the left ventricle/body weight (LV/BW) ratio (as a measure of hypertrophy), left ventricular water and fat content, and hydroxyproline concentration (as a measure of collagen). The LV/BW ration was not significantly different between 8-week-old SH rats and WKY rats but was significantly greater in SH rats than in WKY rats at 22 and 33 weeks of age. Comparing SH rats with WKY rats at 22 weeks of age, no significant difference existed in T1, T2, water content, or hydroxyproline concentration. However, at 33 weeks of age in SH rats compared with WKY rats, hydroxyproline concentration was significantly greater (4.3 +/- 0.6 mg/g, respectively; P less than .0005), water content was significantly greater (77.1% +/- 0.3% vs. 76.2% +/- 0.3%, respectively; P less than .0001), and T2 and T1 were significantly longer (T2: 52.6 +/- 2.1 msec vs. 48.6 +/- 2.2 msec, respectively; P less than .0001; T1: 656 +/- 14 msec vs. 619 +/- 12 msec, respectively; P less than .0001). In all SH rats combined, T2 and hydroxyproline concentration were significantly correlated (r = .63; P less than .0001). Thus, in SH rats, myocardial hypertrophy precedes increased collagen deposition. These data suggest that estimation of magnetic resonance relaxation times may permit noninvasive identification of increased myocardial collagen deposition independent from changes in myocardial hypertrophy.
为了验证老年自发性高血压(SH)大鼠心肌胶原浓度增加与T2和T1改变相关的假说,我们对8周龄、22周龄和33周龄的SH大鼠及Wistar-Kyoto(WKY)大鼠的70个左心室进行了体外研究。我们还测量了左心室/体重(LV/BW)比值(作为肥大的指标)、左心室水和脂肪含量以及羟脯氨酸浓度(作为胶原的指标)。8周龄的SH大鼠与WKY大鼠的LV/BW比值无显著差异,但在22周龄和33周龄时,SH大鼠的LV/BW比值显著高于WKY大鼠。比较22周龄的SH大鼠和WKY大鼠,T1、T2、水含量或羟脯氨酸浓度无显著差异。然而,在33周龄时,与WKY大鼠相比,SH大鼠的羟脯氨酸浓度显著更高(分别为4.3±0.6 mg/g;P<0.0005),水含量显著更高(分别为77.1%±0.3%对76.2%±0.3%;P<0.0001),T2和T1显著更长(T2:分别为52.6±2.1毫秒对48.6±2.2毫秒;P<0.0001;T1:分别为656±14毫秒对619±12毫秒;P<0.0001)。在所有合并的SH大鼠中,T2与羟脯氨酸浓度显著相关(r = 0.63;P<0.0001)。因此,在SH大鼠中,心肌肥大先于胶原沉积增加。这些数据表明,磁共振弛豫时间的估计可能允许独立于心肌肥大变化的情况下无创识别心肌胶原沉积增加。