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碱性成纤维细胞生长因子抑制 Dahl 盐敏感性高血压大鼠的心室重构。

Basic fibroblast growth factor inhibits ventricular remodeling in Dahl salt-sensitive hypertensive rats.

作者信息

Suzuki Takeya, Akasaka Yoshikiyo, Namiki Atsushi, Ito Kinji, Ishikawa Yukio, Yamazaki Junichi, Ishii Toshiharu

机构信息

Department of Cardiovascular Medicine, Toho University Omori Medical Center, Japan.

出版信息

J Hypertens. 2008 Dec;26(12):2436-44. doi: 10.1097/HJH.0b013e328312c889.

Abstract

OBJECTIVE

Basic fibroblast growth factor (bFGF) inhibits the progression of ventricular remodeling in ischemic and hypertensive heart diseases (HHDs). Recent studies have revealed that bFGF induces the transition from myofibroblasts to fibroblasts with decreased expression of alpha-smooth muscle actin (alpha-SMA). To clarify the mechanisms underlying the reduced ventricular remodeling in hypertensive heart diseases caused by bFGF, we examined the degree of interstitial fibrosis associated with alpha-smooth muscle actin expression and matrix metalloproteinase activity in hypertensive heart diseases.

METHODS

Dahl salt-sensitive rats were fed with a high-salt diet from 6 to 18 weeks of age and injected with a single dose of bFGF (100 microg) into the left myocardium at 15 weeks. Others were administered PBS without bFGF. Control age-matched Dahl salt-sensitive rats were fed with a low-salt diet.

RESULTS

Cardiac systolic function was well preserved and decompensation of heart failure was prevented at 18 weeks in the rats treated with bFGF at 15 weeks. The bFGF-treated rats had significantly fewer interstitial alpha-SMA-positive myofibroblasts and significantly decreased prolyl 4-hydroxylase expression. Increased matrix metalloproteinase-9 gelatinase activity correlated with the downregulation of transforming growth factor-beta1 by bFGF, suggesting that inhibited extracellular matrix deposition is associated with a decreased number of myofibroblasts induced by bFGF.

CONCLUSION

bFGF can inhibit the progression of ventricular remodeling by inhibiting interstitial fibrosis and promoting angiogenesis without decreasing blood pressure in hypertensive heart disease.

摘要

目的

碱性成纤维细胞生长因子(bFGF)可抑制缺血性和高血压性心脏病(HHD)中心室重构的进展。最近的研究表明,bFGF可诱导肌成纤维细胞向成纤维细胞转变,同时α-平滑肌肌动蛋白(α-SMA)表达降低。为阐明bFGF在高血压性心脏病中减轻心室重构的潜在机制,我们检测了高血压性心脏病中与α-平滑肌肌动蛋白表达及基质金属蛋白酶活性相关的间质纤维化程度。

方法

给6至18周龄的Dahl盐敏感大鼠喂食高盐饮食,并在15周时向其左心室注射单剂量的bFGF(100微克)。其他大鼠注射不含bFGF的PBS。将年龄匹配的Dahl盐敏感对照大鼠喂食低盐饮食。

结果

在15周时接受bFGF治疗的大鼠,其心脏收缩功能在18周时得到良好保留,且预防了心力衰竭失代偿。接受bFGF治疗的大鼠间质α-SMA阳性肌成纤维细胞显著减少,脯氨酰4-羟化酶表达显著降低。基质金属蛋白酶-9明胶酶活性增加与bFGF使转化生长因子-β1下调相关,这表明bFGF抑制细胞外基质沉积与诱导的肌成纤维细胞数量减少有关。

结论

在高血压性心脏病中,bFGF可通过抑制间质纤维化和促进血管生成来抑制心室重构进展,而不降低血压。

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