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叶酸通过在心肌梗死后的小鼠中使组织金属蛋白酶抑制剂和同型半胱氨酸代谢酶的水平正常化来减轻心脏功能障碍。

Folic acid mitigated cardiac dysfunction by normalizing the levels of tissue inhibitor of metalloproteinase and homocysteine-metabolizing enzymes postmyocardial infarction in mice.

机构信息

Department of Physiology and Biophysics, School of Medicine, University of Louisville, Louisville, Kentucky 40202, USA.

出版信息

Am J Physiol Heart Circ Physiol. 2010 Nov;299(5):H1484-93. doi: 10.1152/ajpheart.00577.2010. Epub 2010 Aug 27.

Abstract

Myocardial infarction (MI) results in significant metabolic derangement, causing accumulation of metabolic by product, such as homocysteine (Hcy). Hcy is a nonprotein amino acid generated during nucleic acid methylation and demethylation of methionine. Folic acid (FA) decreases Hcy levels by remethylating the Hcy to methionine, by 5-methylene tetrahydrofolate reductase (5-MTHFR). Although clinical trials were inconclusive regarding the role of Hcy in MI, in animal models, the levels of 5-MTHFR were decreased, and FA mitigated the MI injury. We hypothesized that FA mitigated MI-induced injury, in part, by mitigating cardiac remodeling during chronic heart failure. Thus, MI was induced in 12-wk-old male C57BL/J mice by ligating the left anterior descending artery, and FA (0.03 g/l in drinking water) was administered for 4 wk after the surgery. Cardiac function was assessed by echocardiography and by a Millar pressure-volume catheter. The levels of Hcy-metabolizing enzymes, cystathionine β-synthase (CBS), cystathionine γ-lyase (CSE), and 5-MTHFR, were estimated by Western blot analyses. The results suggest that FA administered post-MI significantly improved cardiac ejection fraction and induced tissue inhibitor of metalloproteinase, CBS, CSE, and 5-MTHFR. We showed that FA supplementation resulted in significant improvement of myocardial function after MI. The study eluted the importance of homocysteine (Hcy) metabolism and FA supplementation in cardiovascular disease.

摘要

心肌梗死(MI)导致显著的代谢紊乱,导致代谢副产物如同型半胱氨酸(Hcy)的积累。Hcy 是甲硫氨酸核酸甲基化和去甲基化过程中产生的非蛋白氨基酸。叶酸(FA)通过将 Hcy 重新甲基化为蛋氨酸来降低 Hcy 水平,这是由 5-亚甲基四氢叶酸还原酶(5-MTHFR)完成的。尽管关于 Hcy 在 MI 中的作用的临床试验尚无定论,但在动物模型中,5-MTHFR 的水平降低,而 FA 减轻了 MI 损伤。我们假设 FA 通过减轻慢性心力衰竭期间的心脏重构来部分减轻 MI 引起的损伤。因此,通过结扎左前降支在 12 周龄雄性 C57BL/J 小鼠中诱导 MI,并在手术后 4 周内给予 FA(饮用水中 0.03 g/l)。通过超声心动图和 Millar 压力-容积导管评估心脏功能。通过 Western blot 分析估计 Hcy 代谢酶胱硫醚β-合酶(CBS)、胱硫醚γ-裂合酶(CSE)和 5-MTHFR 的水平。结果表明,MI 后给予 FA 可显著改善心脏射血分数并诱导组织金属蛋白酶抑制剂、CBS、CSE 和 5-MTHFR。我们表明,FA 补充在 MI 后可显著改善心肌功能。该研究阐明了同型半胱氨酸(Hcy)代谢和 FA 补充在心血管疾病中的重要性。

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