Cuevas P, Carceller F, Cuevas B, Giménez-Gallego G, Martinez-Coso V
Servicio de Histolog-ia, Hospital Ram-on y Cajal, Carretera de Colmenar, Km. 9,100, Madrid E-28034 Spain.
Eur J Med Res. 1997 Apr 21;2(4):139-43.
We studied the effects of a non-mitogenic form of acidic fibroblast growth factor (aFGF) on neutrophil infiltration in a rat model of myocardial ischemia (20 min) and reperfusion (24 hr). Neutrophil infiltration, as assessed by measurement of myeloperoxidase (MPO) activity was compared in homogenates of the infarcted left ventricle and the non-infarcted septum which was used as a reference of normal tissue. Myocardial ischemia followed by reperfusion resulted in severe myocardial injury and high cardiac MPO activity indicative of neutrophil accumulation in the ischemic myocardium. A systemic bolus (i.v.) of aFGF (2.6 microg) administered immediately after myocardial ischemia, significantly reduced (p<0.001) the MPO activity in the ischemic reperfused left ventricle compared to vehicle-treated rats. Furthermore, aFGF significantly attenuated tissue damage and neutrophil accumulation in the area at risk after myocardial ischemia and reperfusion as assessed by conventional histology. The mechanism of this protective effect appears to be related to inhibition of neutrophil extravasation, a critical step in neutrophil-induced myocardial reperfusion injury. Thus, non-mitogenic aFGF appears as an effective cardioprotective treatment for myocardial infarction.
我们研究了非促有丝分裂形式的酸性成纤维细胞生长因子(aFGF)对大鼠心肌缺血(20分钟)及再灌注(24小时)模型中性粒细胞浸润的影响。通过测量髓过氧化物酶(MPO)活性评估中性粒细胞浸润情况,并在梗死左心室匀浆与用作正常组织对照的非梗死间隔组织之间进行比较。心肌缺血后再灌注导致严重心肌损伤以及心脏MPO活性升高,提示中性粒细胞在缺血心肌中聚集。心肌缺血后立即静脉推注(i.v.)aFGF(2.6微克),与给予赋形剂处理的大鼠相比,缺血再灌注左心室中的MPO活性显著降低(p<0.001)。此外通过传统组织学评估发现,aFGF显著减轻心肌缺血再灌注后危险区域的组织损伤和中性粒细胞聚集。这种保护作用的机制似乎与抑制中性粒细胞渗出有关,而中性粒细胞渗出是中性粒细胞诱导的心肌再灌注损伤中的关键步骤。因此,非促有丝分裂的aFGF似乎是一种有效的心肌梗死心脏保护治疗方法。