Cannon R O, Butany J W, McManus B M, Speir E, Kravitz A B, Bolli R, Ferrans V J
Am J Cardiol. 1983 Aug;52(3):390-5. doi: 10.1016/0002-9149(83)90145-5.
After acute myocardial infarction (MI), proteolysis of necrotic myocardium is mediated by infiltrating inflammatory cells at the infarct margins. Collagen forms a structural fibroskeleton in healthy myocardium, and after MI this collagen may continue to provide significant tensile strength to the necrotic muscle wall. To determine whether collagen is also degraded (which might decrease infarct wall strength) and, if so, whether inflammatory cell proteases are implicated, hydroxyproline was measured from infarct zone and normal zone tissue from 24-hour infarcts produced in control rats and in rats made leukopenic (white blood cell count less than 300/mm3) by prior whole-body irradiation. Hydroxyproline was measured after precipitation of tissue homogenates with trichloroacetic acid to separate partially degraded collagen from larger collagen molecules that might retain structural importance. At 24 hours, there was significant (25%) collagen degradation in the infarct zone (p less than 0.01) in control rats but not in leukopenic rats. Tissue cell counts revealed a paucity of inflammatory cells in the infarct margins in leukopenic rats. Electron microscopic studies revealed greater preservation of collagen in the 24-hour-old infarcts of irradiated leukopenic rats compared with those of control rats. These results suggest that at 24 hours after experimental MI in the rat, there is significant collagen degradation mediated by inflammatory cell proteases.
急性心肌梗死(MI)后,坏死心肌的蛋白水解由梗死边缘浸润的炎性细胞介导。胶原蛋白在健康心肌中形成结构性纤维骨架,MI后这种胶原蛋白可能继续为坏死的心肌壁提供显著的抗张强度。为了确定胶原蛋白是否也会降解(这可能会降低梗死壁强度),如果是,炎性细胞蛋白酶是否与之有关,我们从对照组大鼠以及经全身照射导致白细胞减少(白细胞计数低于300/mm³)的大鼠产生的24小时梗死灶的梗死区和正常区组织中测量了羟脯氨酸。在用三氯乙酸沉淀组织匀浆以将部分降解的胶原蛋白与可能保留结构重要性的较大胶原蛋白分子分离后,测量羟脯氨酸。在24小时时,对照组大鼠梗死区有显著的(25%)胶原蛋白降解(p<0.01),而白细胞减少的大鼠则没有。组织细胞计数显示白细胞减少的大鼠梗死边缘炎性细胞较少。电子显微镜研究显示,与对照组大鼠相比,经照射的白细胞减少的大鼠24小时龄梗死灶中的胶原蛋白保存得更好。这些结果表明,在大鼠实验性MI后24小时,存在由炎性细胞蛋白酶介导的显著胶原蛋白降解。