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[小鼠病毒性心肌炎中结缔组织生长因子表达的实验研究]

[Experimental study on expression of connective tissue growth factor in viral myocarditis in mice].

作者信息

Sun Jing-hui, Zhang Zhen, Zhai Shu-bo, Zhang Yu-tong

机构信息

Department of Pediatric Cardiovascular Diseases, the First Hospital of Jilin University, Changchun 130021, China.

出版信息

Zhonghua Er Ke Za Zhi. 2011 Oct;49(10):782-7.

Abstract

OBJECTIVE

To study the expression of connective tissue growth factor (CTGF) in the myocardial tissue of mice with viral myocarditis (VMC).

METHOD

Balb/c mice were infected with coxsackie virus B3 (CVB3) to establish VMC model. The mice were divided into control group (n = 50) and VMC group (n = 50). on days 4, 7, 14 and 21 after infection, heart specimens of 8 mice were randomly taken and examined after HE staining for myocardial necrosis and cellular infiltration. The area of positive Masson stained myocardium collagen fibers was measured, and collagen volume fraction (CVF) was measured. Then the level of serum creatine phosphokinase-MB (CKMB) was determined. The levels of CTGF and TGF-β₁ were detected by streptavidin peroxidase immunoperoxidase technique. Expression of CTGF and TGF-β₁ were detected with reverse transcription-polymerase chain reaction (RT-PCR). At the same time, the correlations were analyzed.

RESULT

(1) The level of CKMB peaked on day 7, and decreased afterwards (455.45 ± 37.95, 606.95 ± 35.64, 573.62 ± 42.90, 308.60 ± 20.49, respectively, 4 - 21 d points), in which 4, 7, 14 d points, there was significant difference compared with control group (t = 6.144, 12.558, 11.182, respectively, P < 0.01). (2) CVF increased significantly on day 14 (8.22 ± 1.95, t = 4.486, P < 0.01) and day 21 (9.46 ± 1.87, t = 4.486, P < 0.01) in VMC group. (3) Measured by streptavidin peroxidase immunoperoxidase technique, the levels of CTGF (171.50 ± 10.25, 141.70 ± 10.863, 110.35 ± 11.051, 81.05 ± 10.190, respectively, 4 - 21 d points) and TGF-β₁ (184.90 ± 11.480, 150.25 ± 9.915, 103.50 ± 10.455, 84.15 ± 9.848, respectively, 4 - 21 d points) increased after day 4 in VMC (P < 0.01). (4) Measured by RT-PCR, the expression of CTGF mRNA and TGF-β₁ increased in VMC group, and the increase was enhanced with the disease development (P < 0.01). (5) The expression of CTGF and TGF-β₁ was positively linearly correlated (r = 0.987, P < 0.01), the expression of CTGF was negatively correlated with CVF (r = -0.901, P < 0.01), but the expression of CTGF was detected earlier than myocardial fibrosis.

CONCLUSION

The increase of CTGF expression was associated with the severity of myocardial fibrosis in VMC. These results suggest that abnormal expression of CTGF may take part in the development of fibrosis in VMC.

摘要

目的

研究结缔组织生长因子(CTGF)在病毒性心肌炎(VMC)小鼠心肌组织中的表达。

方法

将Balb/c小鼠感染柯萨奇病毒B3(CVB3)以建立VMC模型。将小鼠分为对照组(n = 50)和VMC组(n = 50)。在感染后第4、7、14和21天,随机取8只小鼠的心脏标本,经HE染色后检查心肌坏死和细胞浸润情况。测量Masson染色阳性的心肌胶原纤维面积,计算胶原容积分数(CVF)。然后测定血清肌酸磷酸激酶同工酶(CKMB)水平。采用链霉亲和素过氧化物酶免疫过氧化物酶技术检测CTGF和转化生长因子-β₁(TGF-β₁)水平。用逆转录-聚合酶链反应(RT-PCR)检测CTGF和TGF-β₁的表达。同时,分析它们之间的相关性。

结果

(1)CKMB水平在第7天达到峰值,随后下降(4 - 21天各时间点分别为455.45±37.95、606.95±35.64、573.62±42.90、308.60±20.49),其中第4、7、14天与对照组相比差异有统计学意义(t分别为6.144、12.558、11.182,P < 0.01)。(2)VMC组CVF在第14天(8.22±1.95,t = 4.486,P < 0.01)和第21天(9.46±1.87,t = 4.486,P < 0.01)显著增加。(3)采用链霉亲和素过氧化物酶免疫过氧化物酶技术检测,VMC组第4天后CTGF水平(4 - 21天各时间点分别为171.50±10.25、141.70±10.863、110.35±11.051、81.05±10.190)和TGF-β₁水平(4 - 21天各时间点分别为184.90±11.480、150.25±9.915、103.50±10.455、84.15±9.848)升高(P < 0.01)。(4)采用RT-PCR检测,VMC组CTGF mRNA和TGF-β₁表达增加,且随病情发展增加更明显(P < 0.01)。(5)CTGF与TGF-β₁的表达呈正线性相关(r = 0.987,P < 0.01),CTGF的表达与CVF呈负相关(r = -0.901,P < 0.01),但CTGF的表达较心肌纤维化出现更早。

结论

CTGF表达增加与VMC心肌纤维化的严重程度相关。这些结果提示CTGF的异常表达可能参与了VMC纤维化的发生发展。

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