Luo Fan-Yan, Chen Sheng-Xi, Wang Lin
Department of Cardiothoracic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2008 Jun;33(6):507-11.
To detect the expression of bcl-2 and bax genes after heterotopic heart transplantation in rats that died of warm ischemia, and to explore the effect of cariporide on the protection of the ratos non heart-beating donors.
One hundred and twelve clearing Sprague-Dawley male rats were divided into 7 groups at random (each group contained 16 rats): the control group (Group C), the groups of transplanted hearts after 10, 30, and 45 min of asystolia (Group S10,S30,and S45), and the groups of transplanted hearts after 10,30, and 45 min of asystolia and infused with cariporide(Group SH10,SH30, and SH45).The experimental groups were sacrificed totally by warm ischemia, and heterotopic heart transplantation was processed by the Cuff method. The heart samples of S10,SH10,S30, and SH30 groups were taken at 48 hours after the transplantation, and the heart samples of S45, and SH45 groups were taken just after transplantation. The expression of bcl-2 and bax genes were detected by RT-PCR.
The death of rats was affirmed when cardiac electric waves vanished after 9~11 minutes of transsection of abdominal aorta. On the RT-PCR test, the expression of bcl-2 gene was the highest and ROD value was maximum in the control group. The expression of bax gene was the lowest and ROD value was minimum in the control group. The ROD value of bcl-2 genes in S10 and S30 groups was less than that in SH10 and SH30 group. The ROD value was just the opposite, and there was stastistical difference (P<0.05).There was no statistical difference between Group S45 and Group SH45 (P>0.05).
The model of heteroto-pic neck heart transplantation is a convenient animal model for the cardiac muscle protection. Cariporide can suppress the apoptosis of cardiac muscle cells in rats (within 30 min) after death caused by warm ischemia.
检测死于热缺血的大鼠异位心脏移植后bcl-2和bax基因的表达,探讨卡立泊来德对大鼠非心跳供体的保护作用。
112只清洁级Sprague-Dawley雄性大鼠随机分为7组(每组16只):对照组(C组)、心脏停搏10、30和45分钟后移植心脏组(S10、S30和S45组),以及心脏停搏10、30和45分钟后并注入卡立泊来德的移植心脏组(SH10、SH30和SH45组)。实验组均经热缺血处死,采用袖套法进行异位心脏移植。S10、SH10、S30和SH30组的心脏样本在移植后48小时采集,S45和SH45组的心脏样本在移植后即刻采集。采用RT-PCR检测bcl-2和bax基因的表达。
切断腹主动脉9~11分钟后心脏电波消失,确定大鼠死亡。RT-PCR检测显示,对照组bcl-2基因表达最高,相对光密度(ROD)值最大;对照组bax基因表达最低,ROD值最小。S10和S30组bcl-2基因的ROD值低于SH10和SH30组,bax基因的ROD值则相反,差异有统计学意义(P<0.05)。S45组与SH45组比较,差异无统计学意义(P>0.05)。
异位颈部心脏移植模型是一种便于进行心肌保护研究的动物模型。卡立泊来德可抑制热缺血致大鼠死亡后(30分钟内)心肌细胞凋亡。