Luther Daniel J, Thodeti Charles K, Meszaros J Gary
Department of Integrative Medical Sciences, Northeast Ohio Medical University, Rootstown, OH, USA.
Methods Mol Biol. 2013;1037:325-42. doi: 10.1007/978-1-62703-505-7_19.
Deep tissue wound healing requires a complex sequence of several factors working in unison to repair the organ at risk. Myocardial infarction (MI) is particularly complex due to several local and systemic factors mediating the repair process within the heart. The wound healing process during this time is critical-the cardiac myocytes are at risk of apoptotic cell death, autophagy, and necrosis. During the early remodeling period, the fibroblasts and myofibroblasts play critical roles in infarct scar formation, a process that is greatly influenced by a robust inflammatory response. Construction of the infarct scar is a "necessary evil" that helps to limit expansion of the infarction; however, the collagen and matrix deposition will often spread to the healthy areas of the heart, causing reactive fibrosis in areas remote from the original damage. This chapter outlines in detail the procedures for two myocardial infarction injury models as well as how to quantify the size of the experimentally induced injury. These procedures are critical to the development of in vivo approaches to study myocardial injury, particularly for use in knockout and transgenic mice.
深部组织伤口愈合需要多个因素协同作用,按照复杂的顺序修复处于危险中的器官。由于有多种局部和全身因素介导心脏内的修复过程,心肌梗死(MI)尤其复杂。在此期间的伤口愈合过程至关重要——心肌细胞有发生凋亡性细胞死亡、自噬和坏死的风险。在早期重塑阶段,成纤维细胞和肌成纤维细胞在梗死瘢痕形成中起关键作用,这一过程受到强烈炎症反应的极大影响。梗死瘢痕的形成是一种“必要之恶”,有助于限制梗死范围的扩大;然而,胶原蛋白和基质沉积往往会扩散到心脏的健康区域,在远离原始损伤的区域引起反应性纤维化。本章详细概述了两种心肌梗死损伤模型的操作步骤以及如何量化实验性诱导损伤的大小。这些操作步骤对于开发研究心肌损伤的体内方法至关重要,尤其适用于基因敲除和转基因小鼠。