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[三七总皂苷对心肌梗死后心室重构大鼠肿瘤坏死因子-α及基质金属蛋白酶-2表达的影响及其机制]

[Effects of Panax notoginsenoside on TNF-alpha and MMP-2 expressions in rats with post-myocardial infarction ventricular remodeling and the mechanism].

作者信息

Guo Jie-wen, Deng Zhi-jun, Fu Yong-heng, Yang Min, Ren Bin, Pan Jing-qiang, Liu Ruo-xuan

机构信息

Departement of Pharmacy, Guangzhou Municipal Hospital of Traditional Chinese Medicine, Guangzhou 510130, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2009 Oct;29(10):2048-50.

PMID:19861263
Abstract

OBJECTIVE

To observe the effects of Panax notoginsenoside (PNS) on tumor necrosis factor-alpha (TNF-alpha) and matrix metalloproteinases-2 (MMP-2) expressions in rats with post-myocardial infarction ventricular remodeling and explore the mechanism.

METHODS

Rat models of acute infarction ventricular (AMI) were established by ligation of the left anterior descending coronary artery. Twenty-four hours after the operation, the rats were randomized into control and experimental groups for intragastric administration of normal saline (control), fosinopril and PNS at the low, medium and high doses for 4 consecutive weeks. The effects of PNS on the cardiac function index including the left ventricular end-diastolic dimension (LVIDd), left ventricular end-systolic diameter (LVIDs), ejection fraction (EF), percentage of left ventricular systole (FS), mitral early diastolic flow velocity mouth (MV), and heart rate (HR) were observed, and the changes in TNF-alpha and MMP-2 expression were detected after post-myocardial infarction ventricular remodeling.

RESULTS

Compared with the control group, PNS at the medium and high doses produced significant improvements in the EF, FS and MV of the rats (P<0.01 or 0.05). TNF-alpha and MMP-2 expressions were significantly decreased by PNS treatment at low, medium and high doses (P<0.01).

CONCLUSION

PNS can inhibit or reduce the expression of TNF-alpha and MMP-2, thereby enhancing left ventricular systolic and diastolic functions, decreasing peripheral resistance, and improving the cardiac function of rats with post-myocardial infarction left ventricular remodeling.

摘要

目的

观察三七总皂苷(PNS)对心肌梗死后心室重构大鼠肿瘤坏死因子-α(TNF-α)和基质金属蛋白酶-2(MMP-2)表达的影响并探讨其机制。

方法

通过结扎左冠状动脉前降支建立大鼠急性心肌梗死(AMI)模型。术后24小时,将大鼠随机分为对照组和实验组,分别给予生理盐水(对照组)、福辛普利以及低、中、高剂量的PNS连续灌胃4周。观察PNS对心功能指标包括左心室舒张末期内径(LVIDd)、左心室收缩末期内径(LVIDs)、射血分数(EF)、左心室短轴缩短率(FS)、二尖瓣舒张早期血流速度峰值(MV)和心率(HR)的影响,并检测心肌梗死后心室重构后TNF-α和MMP-2表达的变化。

结果

与对照组相比,中、高剂量PNS可使大鼠的EF、FS和MV显著改善(P<0.01或0.05)。低、中、高剂量PNS治疗均可显著降低TNF-α和MMP-2表达(P<0.01)。

结论

PNS可抑制或降低TNF-α和MMP-2的表达,从而增强左心室收缩和舒张功能,降低外周阻力,改善心肌梗死后左心室重构大鼠的心功能。

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