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慢性肾衰竭及甲泼尼龙治疗对正常胆固醇血症家兔主动脉摄取标记血浆胆固醇的影响。

Effect of chronic renal failure and methylprednisolone treatment on the uptake of labelled plasma cholesterol into the aorta of normocholesterolemic rabbits.

作者信息

Tvedegaard E, Szpirt W, Nielsen M

出版信息

Atherosclerosis. 1983 May;47(2):199-209. doi: 10.1016/0021-9150(83)90155-7.

DOI:10.1016/0021-9150(83)90155-7
PMID:6871000
Abstract

The effects of chronic renal failure (CRF) and corticosteroid treatment on the aortic uptake of labelled free and esterified cholesterol (FC and EC) were investigated in normocholesterolemic rabbits. Methylprednisolone, 0.4 mg/day, or placebo was administered for 14 weeks to rabbits with normal renal function and with CRF. Then [3H]- and [14C]cholesterol were administered intravenously and orally, respectively. The radioactivity levels of FC and EC in plasma were measured at regular intervals. After 48 h the accumulation of 3H and 14C radioactivity of FC and EC in the intima-media of the thoracic aorta was determined. An aortic uptake coefficient was calculated by dividing the tissue radioactivity (dpm/cm2/h) by the mean plasma radioactivity (dpm/ml). The mean uptake coefficient of EC in normal rabbits was 6 nl/cm2/h, the value for FC being 180 nl/cm2/h. In normal rabbits treated with methylprednisolone the uptake coefficients of both FC and EC were significantly decreased to about 50% of the values in normal rabbits receiving placebo. A similar significant decrease in the uptake coefficients was found in the CRF rabbits receiving placebo. No further decrease was observed in the CRF rabbits treated with methylprednisolone. The cholesterol content of the aortic intima-media was significantly decreased only in CRF rabbits on methylprednisolone treatment. The results do not indicate an acceleration of uremic arterial disease by steroid treatment in the rabbit.

摘要

在正常胆固醇水平的兔子中,研究了慢性肾衰竭(CRF)和皮质类固醇治疗对主动脉摄取标记的游离胆固醇和酯化胆固醇(FC和EC)的影响。对肾功能正常和患有CRF的兔子分别给予0.4毫克/天的甲基强的松龙或安慰剂,持续14周。然后分别静脉内和口服给予[3H] - 和[14C]胆固醇。定期测量血浆中FC和EC的放射性水平。48小时后,测定胸主动脉内膜中层中FC和EC的3H和14C放射性积累。通过将组织放射性(dpm/cm2/h)除以平均血浆放射性(dpm/ml)来计算主动脉摄取系数。正常兔子中EC的平均摄取系数为6 nl/cm2/h,FC的值为180 nl/cm2/h。在用甲基强的松龙治疗的正常兔子中,FC和EC的摄取系数均显著降低至接受安慰剂的正常兔子中值的约50%。在接受安慰剂的CRF兔子中发现摄取系数有类似的显著降低。在用甲基强的松龙治疗的CRF兔子中未观察到进一步降低。仅在接受甲基强的松龙治疗的CRF兔子中,主动脉内膜中层的胆固醇含量显著降低。结果并不表明类固醇治疗会加速兔子的尿毒症性动脉疾病。

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