Wang Lijun, Li Juan, Li Dajun
Department of General Surgery, Tianjin Hospital China.
Tianjin Medical Examination Service, Tianjin Health Human Resources Service China.
Int J Clin Exp Pathol. 2015 Jan 1;8(1):466-73. eCollection 2015.
This study was designed to investigate the effect of losartan on the myocardial interstitial fibrosis in diabetic cardiomyopathy (DCM) rats.
In this study, a total of 48 male Wister rats (3 groups of 16 animals each) were examined, including the control group, DCM group and losartan-treated (DCM + L) group. Control group was fed with standard diet (14 KJ/g); DCM group and losartan-treated (DCM + L) group were both fed with high glucose and fat diet (20 KJ/g). Diabetes was induced by streptozotocin (STZ) intraperitoneal injuction (IP, 30 mg/kg body weight). Rats of DCM + L group were treated with losartan (30 mg/kg body weight) daily by oral gavage for 16 weeks. Biochemical, hemodynamic, histological and western blotting analyses were performed.
Compared with DCM rats, the quantity of p-JAK2 and p-STAT3 in myocardium of rats treated with losartan was lower, the expression of TGF-β1 was down-regulate, the content of collagen in myocardium decreased, LVSP and ± dp/dt increased, LVEDP decreased, the level of myocardial fibrosis reduced, and heart function improved evidently.
Losartan has a protective effect on heart function against myocardial interstitial fibrosis of DCM by inhibiting JAK/STAT signaling pathway and lowering the expression of TGF-β1.
本研究旨在探讨氯沙坦对糖尿病性心肌病(DCM)大鼠心肌间质纤维化的影响。
本研究共检测48只雄性Wister大鼠(每组16只,共3组),包括对照组、DCM组和氯沙坦治疗组(DCM + L组)。对照组给予标准饮食(14千焦/克);DCM组和氯沙坦治疗组(DCM + L组)均给予高糖高脂饮食(20千焦/克)。通过腹腔注射链脲佐菌素(STZ,30毫克/千克体重)诱导糖尿病。DCM + L组大鼠每天经口灌胃给予氯沙坦(30毫克/千克体重),持续16周。进行生化、血流动力学、组织学和蛋白质印迹分析。
与DCM大鼠相比,氯沙坦治疗的大鼠心肌中p-JAK2和p-STAT3的数量降低,TGF-β1的表达下调,心肌中胶原蛋白含量减少,左室收缩压和±dp/dt增加,左室舒张末压降低,心肌纤维化水平降低,心脏功能明显改善。
氯沙坦通过抑制JAK/STAT信号通路并降低TGF-β1的表达,对DCM的心肌间质纤维化具有心脏功能保护作用。