Blood V F, Magno M G, Bailey W F, Shi Y, Yurgenev L, DiMeo F, Edie R N, Mannion J D
Department of Surgery, Jefferson Medical College, Philadelphia, Pennsylvania 19107.
Ann Thorac Surg. 1994 Nov;58(5):1320-5; discussion 1326. doi: 10.1016/0003-4975(94)91905-4.
In the presence of myocardial ischemia, chronic electrical stimulation of a latissimus dorsi (LD) cardiomyoplasty enhances extramyocardial collateral blood flow. We postulated that basic fibroblast growth factor (bFGF) may mediate extramyocardial collateral formation. To test this hypothesis, LDs from goats with cardiomyoplasties were probed for the presence of bFGF by Western blot analysis and immunohistochemistry. Three groups were studied: static LD cardiomyoplasty (group 1); LD cardiomyoplasty stimulated at a 2-Hz frequency for 6 weeks (group 2); and LD cardiomyoplasty electrically stimulated and given human recombinant bFGF (group 3). There was no evidence of bFGF in the left LDs of group 1 by Western blot. Basic fibroblast growth factor-like immunoreactive evidence was found in the left LDs of group 2 goats by both Western blot and immunohistochemistry. In the right LDs of group 2, bFGF-like material was found by immunohistochemistry but not by Western blot, which suggests that the tissue concentrations were low (near the limits of detection). The left LDs of group 3 were positive for bFGF by Western blot and immunohistochemistry. Group 3 right LDs were positive for bFGF by immunohistochemistry. Immunohistochemical findings in group 2 indicate that bFGF is present in goat skeletal muscle. Western blot data from groups 1 and 2 suggest that bFGF may be increased in chronically stimulated cardiomyoplasties. From findings in group 3, we conclude that exogenous bFGF does not downregulate, and may upregulate, endogenous production. These results support the possibility that skeletal muscle bFGF is an important factor in extramyocardial collateral formation.
在心肌缺血的情况下,慢性电刺激背阔肌(LD)心肌成形术可增强心肌外 collateral 血流。我们推测碱性成纤维细胞生长因子(bFGF)可能介导心肌外 collateral 形成。为验证这一假设,通过蛋白质印迹分析和免疫组织化学检测了接受心肌成形术山羊的 LD 中 bFGF 的存在情况。研究了三组:静态 LD 心肌成形术(第 1 组);以 2Hz 频率刺激 6 周的 LD 心肌成形术(第 2 组);电刺激并给予人重组 bFGF 的 LD 心肌成形术(第 3 组)。蛋白质印迹分析显示第 1 组左 LD 中没有 bFGF 的证据。蛋白质印迹分析和免疫组织化学均在第 2 组山羊的左 LD 中发现了碱性成纤维细胞生长因子样免疫反应性证据。在第 2 组的右 LD 中,免疫组织化学发现了 bFGF 样物质,但蛋白质印迹分析未发现,这表明组织浓度较低(接近检测极限)。蛋白质印迹分析和免疫组织化学显示第 3 组的左 LD 中 bFGF 呈阳性。第 3 组右 LD 的免疫组织化学检测显示 bFGF 呈阳性。第 2 组的免疫组织化学结果表明山羊骨骼肌中存在 bFGF。第 1 组和第 2 组的蛋白质印迹数据表明,慢性刺激的心肌成形术中 bFGF 可能会增加。根据第 3 组的结果,我们得出结论,外源性 bFGF 不会下调,反而可能上调内源性产生。这些结果支持骨骼肌 bFGF 是心肌外 collateral 形成的重要因素这一可能性。