Matthias D, Becker C H, Riezler R, Kindling P H
Max-Delbrück-Center for Molecular Medicine, Berline Buch, Germany.
Atherosclerosis. 1996 May;122(2):201-16. doi: 10.1016/0021-9150(95)05740-4.
Following oral administration of methionine in high doses to normotensive (NR) and spontaneously hypertensive (SHR) rats, its degradation product, homocysteine (HC), which is markedly elevated in serum, exerts an angiotoxic action directed to the aorta. This is accompanied by considerable loss of endothelium and degeneration, partly with dissolution of the media cells with formation of characteristic processes of the degenerating mitochondria, and by elevated HC and cystathion (CT) values in the aortic wall. At the arterial vessels of other organs similar alterations did not occur. There are quantitative differences between NR and SHR. In SHR, serum shows higher HC and CT concentrations than in NR, and the methionine-related aortic alterations are considerably more pronounced and develop earlier, with the additional formation of connective tissue. Here, a certain dependence on the methionine dose is noted, in contrast to NR, for which the magnitude of the reaction appears to be more related to the length of time of methionine application. Additional administration of atherogenic substances (cholestane-3 beta, 5 alpha, 6 beta-triol, cholesterol, angiotensin II, cholic acid with methylthiouracil) in SHR causes an exacerbation of the methionine-related aortic alterations. Only cholestane-triol has the same effect on the aortic wall in NR and SHR, with more accentuation in SHR. Cholestane-triol has, in NR as well as in SHR, a high coincidence with methionine-induced morphological reactions including the formation of mitochondrial processes. Simultaneous application of these two substances did not cause a potentiation of the effect. High doses of cholesterol bring about aortic alterations in SHR but not in NR. Thus, in addition to the disorder of fat and carbohydrate metabolism, disturbed protein metabolism is of decisive importance as a risk factor for coronary and other vascular diseases.
给正常血压(NR)大鼠和自发性高血压(SHR)大鼠口服高剂量蛋氨酸后,其降解产物同型半胱氨酸(HC)在血清中显著升高,对主动脉产生血管毒性作用。这伴随着内皮细胞的大量丧失和变性,部分伴有中膜细胞溶解,形成退化线粒体的特征性过程,同时主动脉壁中HC和胱硫醚(CT)值升高。在其他器官的动脉血管中未出现类似改变。NR和SHR之间存在定量差异。在SHR中,血清中HC和CT浓度高于NR,与蛋氨酸相关的主动脉改变更为明显且出现更早,还伴有结缔组织的额外形成。在此,与NR不同,注意到对蛋氨酸剂量有一定依赖性,NR的反应程度似乎与蛋氨酸应用时间的长短更相关。在SHR中额外给予致动脉粥样硬化物质(胆甾烷 - 3β,5α,6β - 三醇、胆固醇、血管紧张素II、胆酸与甲基硫氧嘧啶)会使与蛋氨酸相关的主动脉改变加剧。只有胆甾烷 - 三醇对NR和SHR的主动脉壁有相同作用,在SHR中更明显。胆甾烷 - 三醇在NR和SHR中都与蛋氨酸诱导的形态学反应高度一致,包括线粒体过程的形成。同时应用这两种物质不会导致作用增强。高剂量胆固醇会导致SHR出现主动脉改变,但不会导致NR出现这种改变。因此,除了脂肪和碳水化合物代谢紊乱外,蛋白质代谢紊乱作为冠状动脉和其他血管疾病的危险因素具有决定性意义。