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急性 T3 治疗通过 TRα1 受体保护心脏免受缺血再灌注损伤。

Acute T3 treatment protects the heart against ischemia-reperfusion injury via TRα1 receptor.

机构信息

Department of Pharmacology, University of Athens, 75 Mikras Asias Ave., 11527 Goudi, Athens, Greece.

出版信息

Mol Cell Biochem. 2011 Jul;353(1-2):235-41. doi: 10.1007/s11010-011-0791-8. Epub 2011 Mar 26.

DOI:10.1007/s11010-011-0791-8
PMID:21442236
Abstract

We have previously shown that acute thyroid hormone treatment could limit reperfusion injury and increase post-ischemic recovery of function. In the present study, we further explore potential initiating mechanisms of this response. Thus, isolated rat hearts were subjected to 30 min zero-flow global ischemia (I) followed by 60-min reperfusion (R). Reperfusion injury was assessed by post-ischemic recovery of left ventricular developed pressure (LVDP%) and LDH release. T3 at a dose of 60 nM which had no effect on contractile function of non-ischemic myocardium, significantly increased LVDP% [48% (2.9) vs. 30.2% (3.3) for untreated group, P < 0.05] and reduced LDH release [8.3 (0.3) vs. 10 (0.42) for untreated group, P < 0.05] when administered at R. T4 (60 and 400 nM) had no effect on contractile function either in non-ischemic or ischemic myocardium. Administration of debutyl-dronedarone (DBD), a TRα1 antagonist abolished the T3-limiting effect on reperfusion injury: Thus, co-administration of T3 and DBD resulted in significantly lower LVDP%, [23% (4.7) vs. 48% (2.9) for T3 group, P < 0.05] and higher LDH release [9.9 (0.3) vs. 8.3 (0.3), for T3 group, P < 0.05]. In conclusion, acute T3 and not T4 treatment will be able to protect against reperfusion injury. T3 can exert this beneficial effect on ischemic myocardium at a dose that has no effects on non-ischemic myocardium. Acute T3-limiting effect on reperfusion injury is mediated, at least in part, via TRα1 receptor.

摘要

我们之前已经证明,急性甲状腺激素治疗可以限制再灌注损伤并增加缺血后功能的恢复。在本研究中,我们进一步探讨了这种反应的潜在起始机制。因此,将分离的大鼠心脏置于 30 分钟零流量全缺血(I)后进行 60 分钟再灌注(R)。通过缺血后左心室发展压(LVDP%)和 LDH 释放的恢复来评估再灌注损伤。T3 的剂量为 60 nM,对非缺血心肌的收缩功能没有影响,当在 R 时给予时,显著增加了 LVDP%[48%(2.9)比未治疗组 30.2%(3.3),P<0.05]并降低了 LDH 释放[8.3(0.3)比未治疗组 10(0.42),P<0.05]。T4(60 和 400 nM)对非缺血或缺血心肌的收缩功能均无影响。给予甲状腺激素受体α1 拮抗剂 debutyldronedarone(DBD)可消除 T3 对再灌注损伤的限制作用:因此,T3 和 DBD 的联合给药导致 LVDP%显著降低[23%(4.7)比 T3 组 48%(2.9),P<0.05]和 LDH 释放增加[9.9(0.3)比 T3 组 8.3(0.3),P<0.05]。总之,急性 T3 而非 T4 治疗将能够预防再灌注损伤。T3 可以以对非缺血心肌没有影响的剂量对缺血心肌产生这种有益作用。急性 T3 对再灌注损伤的限制作用至少部分是通过 TRα1 受体介导的。

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