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MD1 的缺失会加重心肌缺血/再灌注损伤和易发性室性心律失常。

Loss of MD1 exacerbates myocardial ischemia/reperfusion injury and susceptibility to ventricular arrhythmia.

机构信息

Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, PR China; Cardiovascular Research Institute of Wuhan University, Wuhan 430060, Hubei Province, PR China; Hubei Key Laboratory of Cardiology, Wuhan 430060, Hubei Province, PR China.

Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, PR China; Cardiovascular Research Institute of Wuhan University, Wuhan 430060, Hubei Province, PR China; Hubei Key Laboratory of Cardiology, Wuhan 430060, Hubei Province, PR China.

出版信息

Eur J Pharmacol. 2019 Feb 5;844:79-86. doi: 10.1016/j.ejphar.2018.11.025. Epub 2018 Nov 17.

DOI:10.1016/j.ejphar.2018.11.025
PMID:30458167
Abstract

Myeloid differentiation protein 1(MD1), also known as lymphocyte antigen 86 (LY86), plays an important role in the toll-like receptor 4 (TLR4) signaling pathway. Recent studies show that MD1 is involved in regulating pressure overload-induced cardiac structural and electrical remodeling. However, the effect of MD1 on myocardial ischemia-reperfusion (I/R) injury and I/R related arrhythmia remains unknown. To further investigate that, the present study used MD1-knockout (MD1-KO) mice to study the role of MD1 in regulating myocardial I/R injury and its electrophysiology. The results demonstrate that the loss of MD1 led to a larger infarct size, increased activity of cardiac injury markers, aggravated histological damage, worsened cardiac function and decreased survival rate after myocardial I/R. Meanwhile, MD1 deficiency also aggravated inflammatory responses, promoted cardiomyocyte apoptosis and increased susceptibility to ventricular arrhythmia in mice subjected to myocardial I/R. Furthermore, loss of MD1 enhanced the activation of toll-like receptor 4 (TLR4) / nuclear factor kappa B (NF-κB) signaling pathway after myocardial I/R. Therefore, loss of MD1 exacerbated myocardial I/R injury and increased the susceptibility to ventricular arrhythmia, both of which are possibly related to the up-regulation of TLR4/NF-κB signaling pathway.

摘要

髓系分化蛋白 1(MD1),也称为淋巴细胞抗原 86(LY86),在 Toll 样受体 4(TLR4)信号通路中发挥重要作用。最近的研究表明,MD1 参与调节压力超负荷诱导的心脏结构和电重构。然而,MD1 对心肌缺血再灌注(I/R)损伤和 I/R 相关心律失常的影响尚不清楚。为了进一步研究这一点,本研究使用 MD1 敲除(MD1-KO)小鼠来研究 MD1 在调节心肌 I/R 损伤及其电生理学中的作用。结果表明,MD1 的缺失导致梗死面积增大,心脏损伤标志物活性增加,组织学损伤加重,心功能恶化,心肌 I/R 后生存率降低。同时,MD1 缺乏也加重了炎症反应,促进了心肌细胞凋亡,并增加了小鼠心肌 I/R 后室性心律失常的易感性。此外,MD1 的缺失增强了心肌 I/R 后 Toll 样受体 4(TLR4)/核因子 kappa B(NF-κB)信号通路的激活。因此,MD1 的缺失加剧了心肌 I/R 损伤,并增加了室性心律失常的易感性,这两者可能与 TLR4/NF-κB 信号通路的上调有关。

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