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自体骨髓来源的单核细胞疗法可预防急性前壁心肌梗死后存活心肌的损伤并改善大鼠心脏功能。

Autologous bone marrow-derived mononuclear cell therapy prevents the damage of viable myocardium and improves rat heart function following acute anterior myocardial infarction.

作者信息

Yip Hon-Kan, Chang Li-Teh, Wu Chiung-Jen, Sheu Jiunn-Jye, Youssef Ali A, Pei Sung-Nan, Lee Fan-Yen, Sun Cheuk-Kwan

机构信息

Division of Cardiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.

出版信息

Circ J. 2008 Aug;72(8):1336-45. doi: 10.1253/circj.72.1336.

Abstract

BACKGROUND

We examined the effects of bone marrow-derived mononuclear cells (BMDMNCs) on preventing viable myocardium damage from myocardial infarction (MI) in a rat MI model.

METHODS AND RESULTS

Saline (group 1) or BMDMNCs (group 2) were implanted into the infarct area (IA) of 1-week-old anterior wall MI Sprague-Dawley (SD) rats. Twenty SD rats without MI served as the controls (group 3). The results demonstrated that in remote viable myocardium, the integrated area (microm2) of connexin43 spots was lower, whereas the number of apoptotic nuclei were higher in group 1 than in groups 2 and 3 on day 90 following BMDMNC implantation (all p<0.001). Additionally, the number of vessels and survival myocardium in the IA was lower in group 1 than in groups 2 and 3 (all p<0.005). Furthermore, the mRNA expressions of nitric oxide synthase, interleukin-8/Gro-alpha, interleukin-10 and matrix metalloproteinase-9 were higher in group 2 than in groups 1 and 3 in peri-IA (all p<0.05). On days 42 and 90, the left ventricular (LV) function was lower in group 1 than in groups 2 and 3 (p<0.001).

CONCLUSIONS

Autologous BMDMNC therapy improves LV function, and mitigates molecular and cellular perturbation following MI.

摘要

背景

我们在大鼠心肌梗死(MI)模型中研究了骨髓来源的单核细胞(BMDMNCs)对预防心肌梗死所致存活心肌损伤的作用。

方法与结果

将生理盐水(第1组)或BMDMNCs(第2组)植入1周龄前壁心肌梗死的Sprague-Dawley(SD)大鼠的梗死区域(IA)。20只无心肌梗死的SD大鼠作为对照(第3组)。结果显示,在植入BMDMNCs后第90天,在远隔存活心肌中,第1组连接蛋白43斑点的积分面积(平方微米)较低,而凋亡细胞核数量高于第2组和第3组(均p<0.001)。此外,第1组梗死区域的血管数量和存活心肌低于第2组和第3组(均p<0.005)。而且,梗死区域周围第2组一氧化氮合酶、白细胞介素-8/Gro-α、白细胞介素-10和基质金属蛋白酶-9的mRNA表达高于第1组和第3组(均p<0.05)。在第42天和第90天,第1组左心室(LV)功能低于第2组和第3组(p<0.001)。

结论

自体BMDMNC治疗可改善左心室功能,并减轻心肌梗死后的分子和细胞紊乱。

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