Ding Lan, Bai Chuanming, Liu Ying
Department of Obstetrics, Cangzhou Central Hospital, Cangzhou, China.
Department of Cardio-Thoracic Surgery, Cangzhou Central Hospital, Cangzhou, China.
Braz J Med Biol Res. 2018 Jun 11;51(8):e6921. doi: 10.1590/1414-431X20186921.
Preeclampsia is one of the most frequent and difficult illnesses in pregnancy, which jeopardizes both mother and fetus. There are several diagnostic criteria for preeclampsia. However, the preeclampsia-associated myocardial damage has not been described. In this study, we employed reduced uterine perfusion pressure (RUPP) to generate a rat model of preeclampsia for the evaluation of myocardial damage in late-gestation rats. The expressions of cardiac injury markers were analyzed by immunohistochemistry and ELISA. The arterial pressure and myocardial tissue velocities were also measured. The role of interleukin (IL)-6 in RUPP-associated myocardial damage was further explored. The results showed that RUPP rats had significant myocardial damage, as demonstrated by the high expressions of myoglobin, creatine kinase isoenzyme, cardiac troponin I, and brain natriuretic peptide. In addition, RUPP increased the mean arterial pressure and the early transmitral flow velocity to mitral annulus early diastolic velocity ratio (E/Ea). Furthermore, IL-6 deteriorated these abnormalities, whereas inhibition of IL-6 significantly relieved them. In conclusion, our study demonstrated that RUPP rats displayed myocardial damage in an IL-6-dependent manner.
子痫前期是妊娠期最常见且棘手的疾病之一,会危及母婴双方。子痫前期有多种诊断标准。然而,子痫前期相关的心肌损伤尚未见报道。在本研究中,我们采用降低子宫灌注压(RUPP)构建子痫前期大鼠模型,以评估妊娠晚期大鼠的心肌损伤。通过免疫组织化学和酶联免疫吸附测定(ELISA)分析心脏损伤标志物的表达。还测量了动脉血压和心肌组织速度。进一步探讨了白细胞介素(IL)-6在RUPP相关心肌损伤中的作用。结果显示,RUPP大鼠存在明显的心肌损伤,表现为肌红蛋白、肌酸激酶同工酶、心肌肌钙蛋白I和脑钠肽的高表达。此外,RUPP增加了平均动脉压以及早期二尖瓣血流速度与二尖瓣环舒张早期速度比值(E/Ea)。此外,IL-6使这些异常情况恶化,而抑制IL-6则显著缓解了这些异常。总之,我们的研究表明,RUPP大鼠以IL-6依赖的方式出现心肌损伤。