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利拉鲁肽对实验性糖尿病心肌病微循环的影响。

Impact of liraglutide on microcirculation in experimental diabetic cardiomyopathy.

机构信息

Department of Medical Histology and Cell Biology, Faculty of Medicine, Mansoura University, Egypt.

Department of Medical Histology and Cell Biology, Faculty of Medicine, Mansoura University, Egypt; Department of Anatomy, Taibah College of Medicine, Taibah University, Almadina Almonawara, Saudi Arabia.

出版信息

Acta Histochem. 2020 Apr;122(3):151533. doi: 10.1016/j.acthis.2020.151533. Epub 2020 Mar 17.

Abstract

Liraglutide is a new therapy used in diabetes and its effect on diabetic complications particularly cardiovascular ones is still under investigated. In our research, we tried to study the effect of liraglutide on experimental diabetic cardiomyopathy (DCM) induced by streptozotocin. We found that liraglutide nearly preserved normal myocardiac structure and significantly protected against myocardiac inflammation and fibrosis that was found in DCM group, p < 0.05. It also increased the density of coronary arteriolar vasculature markedly indicated by significant increase in α SMA (p < 0.05) compared to both DCM and non-diabetic (ND) groups. Moreover, liraglutide decreased TNFα and increased VEGF proteins expression (P < 0.05) compared to DCM group. Conclusion, liraglutide may have a very important role in protecting against experimentally induced diabetic cardiomyopathy by preventing the degenerative changes in the cardiomyocytes and the associated fibrosis, inflammation and decreased vasculature at structural and molecular levels.

摘要

利拉鲁肽是一种用于治疗糖尿病的新型疗法,其对糖尿病并发症(尤其是心血管并发症)的影响仍在研究中。在我们的研究中,我们试图研究利拉鲁肽对链脲佐菌素诱导的实验性糖尿病心肌病(DCM)的影响。我们发现,利拉鲁肽几乎可以维持正常的心肌结构,并显著防止 DCM 组中发现的心肌炎症和纤维化,p < 0.05。与 DCM 组和非糖尿病(ND)组相比,它还显著增加了冠状动脉小动脉血管密度,α SMA 明显增加(p < 0.05)。此外,与 DCM 组相比,利拉鲁肽降低了 TNFα 并增加了 VEGF 蛋白的表达(P < 0.05)。结论,利拉鲁肽通过防止心肌细胞的退行性变化以及结构和分子水平上的相关纤维化、炎症和血管减少,可能在预防实验性诱导的糖尿病心肌病方面发挥重要作用。

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