Department of Anesthesiology, First Affiliated Hospital of Kunming Medical University, Kunming, China.
Department of Anesthesiology, First Affiliated Hospital of Kunming Medical University, Kunming, China; Department of Anesthesiology, Yan'an Hospital of Kunming City, Kunming Medical University, Kunming, China.
Peptides. 2020 Aug;130:170333. doi: 10.1016/j.peptides.2020.170333. Epub 2020 Jun 1.
The cardioprotective effect of oxytocin (OT) has been well established. However, there are no related studies on the role of endothelia in oxytocin-induced cardioprotection. Endothelial dysfunction (ED) model was established by injection of 0.01 % Triton X-100 in the isolated rat heart. Oxytocin pretreatment was conducted at the end of stabilization for 40 min, followed by 30 min global ischemia and 60 min reperfusion to induce I/R injury. Coronary perfusion pressure, hemodynamics and arrhythmia severity scores were measured respectively. High-sensitivity cardiac troponin T (hs-cTnT) was evaluated by enzyme-linked immunosorbent assay. Infarct size was detected by triphenyltetrazolium chloride staining. The morphological changes in coronary endothelium were observed by scanning electron microscopy. Injection of 0.01 % Triton X-100 caused significant reduction of CPP induced by histamine and endothelium removal from scanning electron microscopy, but SNP had no significant effect. Oxytocin pretreatment showed significant recovery in LVDP, ±dp/dt, RPP and SI after reperfusion (P < 0.05). Additionally, I/R injury led to a rise of arrhythmia severity score, hs-cTnT and infarct size. No significant differences between ED-OT-I/R and OT-I/R groups were found in arrhythmia severity score, hs-cTnT, and infarct size (P > 0.05). I/R injury exacerbated the decrease in CPP and worsened the migration, deformation, and fracture of coronary endothelium, while oxytocin reversed these injuries. Despite the presence of endothelial damages, oxytocin partially alleviated I/R- and Triton-induced endothelial damages. The cardioprotective effects of oxytocin are independent of endothelial function in alleviating I/R injury and I/R-induced coronary endothelial dysfunction.
催产素(OT)具有心脏保护作用已得到充分证实。然而,关于内皮在催产素诱导的心脏保护中的作用,目前尚无相关研究。通过在分离的大鼠心脏中注射 0.01%Triton X-100 建立内皮功能障碍(ED)模型。OT 预处理在稳定期结束时进行 40min,随后进行 30min 整体缺血和 60min 再灌注,以诱导 I/R 损伤。分别测量冠状动脉灌注压、血液动力学和心律失常严重程度评分。通过酶联免疫吸附试验评估高敏心肌肌钙蛋白 T(hs-cTnT)。用氯化三苯基四氮唑染色检测梗死面积。通过扫描电子显微镜观察冠状动脉内皮的形态变化。注射 0.01%Triton X-100 导致组胺诱导的 CPP 显著减少,从扫描电子显微镜观察内皮去除,但 SNP 没有显著作用。OT 预处理后再灌注时 LVDP、±dp/dt、RPP 和 SI 显著恢复(P<0.05)。此外,I/R 损伤导致心律失常严重程度评分、hs-cTnT 和梗死面积升高。ED-OT-I/R 和 OT-I/R 组之间在心律失常严重程度评分、hs-cTnT 和梗死面积方面无显著差异(P>0.05)。I/R 损伤加剧 CPP 下降,加重冠状动脉内皮迁移、变形和断裂,而催产素逆转这些损伤。尽管存在内皮损伤,催产素部分缓解 I/R 和 Triton 诱导的内皮损伤。在减轻 I/R 损伤和 I/R 诱导的冠状动脉内皮功能障碍方面,催产素的心脏保护作用独立于内皮功能。