Department of Neurosurgery, Hospital Affiliated to Jiangsu University, Zhenjiang 215002, Jiangsu Province, China.
Neural Regen Res. 2012 Dec 25;7(36):2915-21. doi: 10.3969/j.issn.1673-5374.2012.36.009.
Surgery or interventional therapy has some risks in the treatment of cerebral aneurysm. We established an internal carotid artery aneurysm model by dripping elastase in the crotch of the right internal and external carotid arteries of New Zealand rabbits. Following model induction, lentivirus carrying basic fibroblast growth factor was injected through the ear vein. We found that the longer the action time of the lentivirus, the smaller the aneurysm volume. Moreover, platelet-derived growth factor expression in the aneurysm increased, but smooth muscle 22 alpha and hypertension-related gene 1 mRNA expression decreased. At 1, 2, 3, and 4 weeks following model establishment, following 1 week of injection of lentivirus carrying basic fibroblast growth factor, the later the intervention time, the more severe the blood vessel damage, and the bigger the aneurysm volume, the lower the smooth muscle 22 alpha and hypertension-related gene 1 mRNA expression. Simultaneously, platelet-derived growth factor expression decreased. These data suggest that recombinant lentivirus carrying basic fibroblast growth factor can repair damaged cells in the aneurysmal wall and inhibit aneurysm dynamic growth, and that the effect is dependent on therapeutic duration.
手术或介入治疗在治疗脑动脉瘤时有一定的风险。我们通过在新西兰兔颈内动脉内外分叉处滴注弹性蛋白酶建立颈内动脉动脉瘤模型。模型建立后,通过耳静脉注射携带碱性成纤维细胞生长因子的慢病毒。我们发现,慢病毒作用时间越长,动脉瘤体积越小。而且,动脉瘤中血小板衍生生长因子的表达增加,而平滑肌 22α 和与高血压相关的基因 1mRNA 的表达减少。在模型建立后的 1、2、3 和 4 周,在注射携带碱性成纤维细胞生长因子的慢病毒 1 周后,干预时间越晚,血管损伤越严重,动脉瘤体积越大,平滑肌 22α 和与高血压相关的基因 1mRNA 的表达越低。同时,血小板衍生生长因子的表达减少。这些数据表明,携带碱性成纤维细胞生长因子的重组慢病毒可以修复动脉瘤壁中的受损细胞,抑制动脉瘤的动态生长,其效果取决于治疗持续时间。