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左前降支结扎:心肌梗死的小鼠模型

LAD-ligation: a murine model of myocardial infarction.

作者信息

Kolk Mandy V V, Meyberg Danja, Deuse Tobias, Tang-Quan Karis R, Robbins Robert C, Reichenspurner Hermann, Schrepfer Sonja

机构信息

Transplant and Stem Cell Immunobiology Lab (TSI), University Heart Center Hamburg.

出版信息

J Vis Exp. 2009 Oct 14(32):1438. doi: 10.3791/1438.

Abstract

Research models of infarction and myocardial ischemia are essential to investigate the acute and chronic pathobiological and pathophysiological processes in myocardial ischemia and to develop and optimize future treatment. Two different methods of creating myocardial ischemia are performed in laboratory rodents. The first method is to create cryo infarction, a fast but inaccurate technique, where a cryo-pen is applied on the surface of the heart (1-3). Using this method the scientist can not guarantee that the cryo-scar leads to ischemia, also a vast myocardial injury is created that shows pathophysiological side effects that are not related to myocardial infarction. The second method is the permanent ligation of the left anterior descending artery (LAD). Here the LAD is ligated with one single stitch, forming an ischemia that can be seen almost immediately. By closing the LAD, no further blood flow is permitted in that area, while the surrounding myocardial tissue is nearly not affected. This surgical procedure imitates the pathobiological and pathophysiological aspects occurring in infarction-related myocardial ischemia. The method introduced in this video demonstrates the surgical procedure of a mouse infarction model by ligating the LAD. This model is convenient for pathobiological and pathophysiological as well as immunobiological studies on cardiac infarction. The shown technique provides high accuracy and correlates well with histological sections.

摘要

梗死和心肌缺血的研究模型对于探究心肌缺血的急性和慢性病理生物学及病理生理过程,以及开发和优化未来治疗方法至关重要。在实验啮齿动物中采用两种不同的方法来制造心肌缺血。第一种方法是制造冷冻梗死,这是一种快速但不准确的技术,即将冷冻笔应用于心脏表面(1 - 3)。使用这种方法,科学家无法保证冷冻瘢痕会导致缺血,而且还会造成广泛的心肌损伤,表现出与心肌梗死无关的病理生理副作用。第二种方法是永久性结扎左冠状动脉前降支(LAD)。在此,用单针结扎LAD,几乎立即就会形成缺血。通过封闭LAD,该区域不再有血流,而周围心肌组织几乎不受影响。这种手术过程模拟了梗死相关心肌缺血中发生的病理生物学和病理生理方面。本视频介绍的方法展示了通过结扎LAD建立小鼠梗死模型的手术过程。该模型便于进行关于心脏梗死的病理生物学、病理生理学以及免疫生物学研究。所展示的技术具有很高的准确性,并且与组织学切片相关性良好。

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