Huijberts M S, Wolffenbuttel B H, Boudier H A, Crijns F R, Kruseman A C, Poitevin P, Lévy B I
Department of Internal Medicine, University Hospital Maastricht, The Netherlands.
J Clin Invest. 1993 Sep;92(3):1407-11. doi: 10.1172/JCI116716.
The accumulation of advanced glycosylation end-products (AGEs) on collagen and the subsequent stiffening of this matrix protein in diabetes has been described many years ago. Structural modification of collagen in the arterial wall might have important effects on arterial elasticity. Aminoguanidine is known to decrease the formation of AGEs. In this study we evaluated the effects of aminoguanidine treatment on different parameters reflecting arterial wall elasticity in diabetic rats. We demonstrated that treatment of diabetic rats with aminoguanidine resulted in a significant increase in carotid static compliance (+39%, P < 0.01 under control conditions, and +27%, P < 0.01 after abolition of vascular tone by KCN), and a decrease in characteristic aortic input impedance (-40%, P < 0.01). The arterial pulse pressure in aminoguanidine-treated rats was decreased (-15%, P < 0.05) and the pulsatile component of left ventricular power output was relatively diminished (-35%, P < 0.05). In addition, we observed a lower fluid filtration across the carotid wall. These results indicate an increased vascular elasticity, an improved left ventricular-arterial coupling, and a decreased vascular permeability in diabetic rats after aminoguanidine treatment, suggesting that AGE-accumulation on collagen negatively affects arterial wall properties in experimental diabetes.
许多年前就已描述过糖尿病患者体内胶原蛋白上晚期糖基化终产物(AGEs)的积累以及该基质蛋白随后的硬化情况。动脉壁中胶原蛋白的结构改变可能对动脉弹性产生重要影响。已知氨基胍可减少AGEs的形成。在本研究中,我们评估了氨基胍治疗对反映糖尿病大鼠动脉壁弹性的不同参数的影响。我们证明,用氨基胍治疗糖尿病大鼠可使颈动脉静态顺应性显著增加(在对照条件下增加39%,P<0.01;用氰化钾消除血管张力后增加27%,P<0.01),并使主动脉特征输入阻抗降低(-40%,P<0.01)。氨基胍治疗的大鼠动脉脉压降低(-15%,P<0.05),左心室输出功率的脉动成分相对减少(-35%,P<0.05)。此外,我们观察到颈动脉壁的液体滤过减少。这些结果表明,氨基胍治疗后糖尿病大鼠的血管弹性增加、左心室-动脉耦合改善以及血管通透性降低,提示胶原蛋白上AGEs的积累对实验性糖尿病中的动脉壁特性产生负面影响。