Nicoletti A, Mandet C, Challah M, Bariéty J, Michel J B
Unité 430 INSERM, Hôpital Broussais, Paris, France.
Cardiovasc Res. 1996 Apr;31(4):585-95.
Inflammatory cells invade the fibrotic myocardium of spontaneously hypertensive rats at the same sites as where fibroblasts are produced. The role of these inflammatory cells in myocardial fibrogenesis was studied in the present work.
The production and distribution of proteins that may be implicated in inflammation was examined by immunohistochemistry of sections of left ventricles from 1-month and 4-month renovascular hypertensive and age-matched control rats using antibodies against ICAM-1, LFA-1, TGF beta 1, PDGF-A, T and H kininogens, IgG, IgM, C3, and C5b-9. Infiltrating inflammatory cells were phenotyped by immunohistochemistry. The TGF beta 1 and PDGF-A mRNA levels were checked by RT-PCR.
Infiltrating cells were mainly T helper lymphocytes and macrophages, and there were more inflammatory cells in hypertensive rats than in control rats, localized especially around coronary arteries and in microscars. There were more ICAM-1 and LFA-1 in the ventricles of hypertensive than in control rats at 1 month, but the ICAM-1 expressions in hypertensive and control rats were similar at 4 months. TGF beta 1 and PDGF-A mRNA steady states increased in 4-month hypertensive rats, but there was no labeling for TGF beta or PDGF by immunohistochemistry. There was only faint labeling for T and H kininogens, and it was not increased in hypertensive rats. There were deposits of IgM and C5b-9 only in hypertensive rats.
Thus, inflammatory cells infiltrate the cardiac tissue of renovascular hypertensive rats as in the case of spontaneously hypertensive rats and these cells may use the ICAM-1/LFA-1 system to infiltrate, but neither TGF beta 1 and PDGF-A, nor the kininogen system seem to be associated with cardiac fibrogenesis. Otherwise, the complement system could act as arteriosclerotic and/or leukocyte mobilizing factors.
炎症细胞侵入自发性高血压大鼠的纤维化心肌,其部位与成纤维细胞产生的部位相同。本研究探讨这些炎症细胞在心肌纤维化形成中的作用。
采用抗ICAM-1、LFA-1、转化生长因子β1(TGFβ1)、血小板衍生生长因子A(PDGF-A)、T和H激肽原、IgG、IgM、C3和C5b-9的抗体,通过免疫组织化学方法检测1月龄和4月龄肾血管性高血压大鼠及年龄匹配的对照大鼠左心室切片中可能与炎症相关的蛋白质的产生和分布。通过免疫组织化学对浸润的炎症细胞进行表型分析。采用逆转录聚合酶链反应(RT-PCR)检测TGFβ1和PDGF-A mRNA水平。
浸润细胞主要为辅助性T淋巴细胞和巨噬细胞,高血压大鼠中的炎症细胞比对照大鼠多,尤其集中在冠状动脉周围和微小瘢痕处。1月龄时,高血压大鼠心室中的ICAM-1和LFA-1比对照大鼠多,但4月龄时高血压大鼠和对照大鼠的ICAM-1表达相似。4月龄高血压大鼠中TGFβ1和PDGF-A mRNA稳态增加,但免疫组织化学未检测到TGFβ或PDGF的标记。T和H激肽原仅有微弱标记,且在高血压大鼠中未增加。仅在高血压大鼠中有IgM和C5b-9沉积。
因此,与自发性高血压大鼠一样,炎症细胞浸润肾血管性高血压大鼠的心脏组织,这些细胞可能利用ICAM-1/LFA-1系统进行浸润,但TGFβ1和PDGF-A以及激肽原系统似乎均与心脏纤维化形成无关。此外,补体系统可能作为动脉硬化和/或白细胞动员因子发挥作用。