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肌生成抑制蛋白缺失改善心肌梗死后的心功能。

Absence of Myostatin Improves Cardiac Function Following Myocardial Infarction.

作者信息

Lim Sarina, McMahon Chris D, Matthews Kenneth G, Devlin Gerard P, Elston Marianne S, Conaglen John V

机构信息

Waikato Clinical Campus, Faculty of Medical and Health Sciences, University of Auckland, New Zealand.

Developmental Biology Group, AgResearch Limited, Hamilton, New Zealand.

出版信息

Heart Lung Circ. 2018 Jun;27(6):693-701. doi: 10.1016/j.hlc.2017.05.138. Epub 2017 Jun 15.

Abstract

BACKGROUND

Myostatin inhibits the development of skeletal muscle and regulates the proliferation of skeletal muscle fibroblasts. However, the role of myostatin in regulating cardiac muscle or myofibroblasts, specifically in acute myocardial infarction (MI), is less clear. This study sought to determine whether absence of myostatin altered left ventricular function post-MI.

METHODS

Myostatin-null mice (Mstn) and wild-type (WT) mice underwent ligation of the left anterior descending artery to induce MI. Left ventricular function was measured at baseline, days 1 and 28 post-MI. Immunohistochemistry and immunofluorescence were obtained at day 28 for cellular proliferation, collagen deposition, and myofibroblastic activity.

RESULTS

Whilst left ventricular function at baseline and size of infarct were similar, significant differences in favour of Mstn compared to WT mice post-MI include a greater recovery of ejection fraction (61.8±1.1% vs 57.1±2.3%, p<0.01), less collagen deposition (41.9±2.8% vs 54.7±3.4%, p<0.05), and lower mortality (0 vs. 20%, p<0.05). There was no difference in the number of BrdU positive cells, percentage of apoptotic cardiomyocytes, or size of cardiomyocytes post-MI between WT and Mstn mice.

CONCLUSIONS

Absence of myostatin potentially protects the function of the heart post-MI with improved survival, possibly by limiting extent of fibrosis.

摘要

背景

肌肉生长抑制素抑制骨骼肌发育并调节骨骼肌成纤维细胞的增殖。然而,肌肉生长抑制素在调节心肌或肌成纤维细胞中的作用,特别是在急性心肌梗死(MI)中的作用尚不清楚。本研究旨在确定缺乏肌肉生长抑制素是否会改变心肌梗死后的左心室功能。

方法

对肌肉生长抑制素基因敲除小鼠(Mstn)和野生型(WT)小鼠进行左前降支动脉结扎以诱导心肌梗死。在基线、心肌梗死后第1天和第28天测量左心室功能。在第28天进行免疫组织化学和免疫荧光检测,以评估细胞增殖、胶原沉积和肌成纤维细胞活性。

结果

虽然基线时左心室功能和梗死面积相似,但与野生型小鼠相比,心肌梗死后肌肉生长抑制素基因敲除小鼠有显著差异,包括射血分数恢复更好(61.8±1.1%对57.1±2.3%,p<0.01)、胶原沉积更少(41.9±2.8%对54.7±3.4%,p<0.05)和死亡率更低(0对20%,p<0.05)。野生型和肌肉生长抑制素基因敲除小鼠心肌梗死后BrdU阳性细胞数量、凋亡心肌细胞百分比或心肌细胞大小无差异。

结论

缺乏肌肉生长抑制素可能通过限制纤维化程度,在心肌梗死后保护心脏功能并提高生存率。

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