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维生素 D 通过抑制 RhoA/ROCK/NF-κB 通路抑制炎症来减轻心肌缺血再灌注损伤。

Vitamin D attenuates myocardial ischemia-reperfusion injury by inhibiting inflammation via suppressing the RhoA/ROCK/NF-ĸB pathway.

机构信息

Department of Cardiology, The Affiliated Zhangjiagang Hospital of Soochow University, Suzhou, China.

Department of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

出版信息

Biotechnol Appl Biochem. 2019 Sep;66(5):850-857. doi: 10.1002/bab.1797. Epub 2019 Jul 22.

Abstract

The aim of this study was to investigate the protective effects of vitamin D (VD) against myocardial ischemia-reperfusion (I/R) injury in hearts. An I/R injury model was induced by left coronary artery ligation in Sprague-Dawley rats (in vivo) and Langendorff perfusion of isolated hearts (in vitro). The infarction areas were determined by triphenyltetrazolium chloride (TTC) staining. Changes in the ST segment, cardiac function, lactate dehydrogenase (LDH) activity, creatine kinase (CK) activity, inflammatory cytokine (interleukin-6 (IL-6), IL-1β, and tumor necrosis factor-α (TNF-α)) levels and the RhoA/ROCK/NF-ĸB pathway were tested in rats with I/R injury treated with or without VD. VD notably alleviated myocardial injury with decreased infarction areas and had a restorative effect on cardiac function, which was specifically manifested as a restored ST segment, increased myocardial contractility and increased coronary blood flow in the isolated hearts. The levels of CK and LDH were also suppressed by VD. In addition, VD significantly decreased the expression of inflammatory cytokines in rat sera and isolated hearts. The RhoA/ROCK/NF-κB pathway in I/R-injured rats was also obviously inhibited with VD treatment. The present study demonstrates that VD plays a protective role against myocardial injury by inhibiting inflammation through repressing the RhoA/ROCK/NF-κB pathway.

摘要

本研究旨在探讨维生素 D(VD)对心肌缺血再灌注(I/R)损伤的保护作用。采用左冠状动脉结扎法(体内)和 Langendorff 离体心脏灌流法(体外)建立 I/R 损伤模型。通过氯化三苯基四氮唑(TTC)染色确定梗死面积。检测 I/R 损伤大鼠给予或不给予 VD 后心电图 ST 段变化、心功能、乳酸脱氢酶(LDH)活性、肌酸激酶(CK)活性、炎症细胞因子(白细胞介素-6(IL-6)、IL-1β和肿瘤坏死因子-α(TNF-α))水平及 RhoA/ROCK/NF-κB 通路的变化。VD 显著减轻心肌损伤,减少梗死面积,并对心功能具有恢复作用,具体表现为 ST 段恢复、心肌收缩力增强和离体心脏冠状动脉血流量增加。VD 还抑制 CK 和 LDH 的表达。此外,VD 明显降低了大鼠血清和离体心脏中炎症细胞因子的表达。VD 治疗还明显抑制了 I/R 损伤大鼠 RhoA/ROCK/NF-κB 通路的表达。本研究表明,VD 通过抑制炎症反应发挥对心肌损伤的保护作用,其机制可能与抑制 RhoA/ROCK/NF-κB 通路有关。

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