国际麻醉学与复苏杂志   2015, Issue (9): 4-4
    
糖尿病大鼠心肌降钙素基因相关肽下调与心肌缺血/再灌注损伤加剧相关性研究
李兔平, 刘超杰, 郭政1()
1.山西医科大学麻醉学系
Study on the association of down-regulation of calcitonin gene-related peptide in myocardium with exaggerated myocardial injury after ischemia/reperfusion in diabetic rats
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摘要:

目的 探讨糖尿病大鼠心肌降钙素基因相关肽(calcitonin gene-related peptide, CGRP)的变化与糖尿病心肌易损性增加的相关性。 方法 180 g~200 g雄性Sprague-Dawley(SD)大鼠40只,采用随机数字表法分为两组:正常组(C组)和糖尿病组(DM组),每组20只。DM组采用高糖高脂饲料喂养, C组采用基础饲料喂养。在高糖高脂饲料喂养的第4周,采用小剂量(30 mg/kg)链脲佐菌素(streptozocin, STZ)腹腔注射建立糖尿病DM模型。注射STZ 10周后将DM组和C组采用随机数字表法分为糖尿病缺血/再灌注(ischemia/reperfusion, I/R)组(DM+I/R组)、糖尿病假手术组(DM+Sham组)、正常I/R组(C+I/R组)、正常假手术组(C+Sham组),每组10只。采用结扎冠状动脉左前降支的方法制备心肌I/R模型,采用免疫荧光技术和酶联免疫吸附法(enzyme-linked immuno sorbent assay, ELISA)对CGRP的表达进行定量分析,采用伊文蓝(evans blue, EB)与氯化三苯基四氮唑(triphenyltetrazolium chloride, TTC)染色的方法测量心肌缺血区及梗死区面积。 结果 心肌组织内 CGRP免疫反应阳性神经纤维多见于心外膜和心肌层,尤其是血管周围及血管内皮。DM+Sham组心肌CGRP含量[(2 271±339) ng/g]显著低于C+Sham组[(4 369±310) ng/g](P<0.05)。经过I/R后,虽然糖尿病大鼠与非糖尿病大鼠心肌组织中CGRP含量均比假手术组显著上调(P<0.05),但DM+I/R组心肌CGRP量[(3 138±423) ng/g]显著低于C+I/R组[(6 192±406) ng/g](P<0.05)。DM+I/R组心肌梗死面积(62.79%)显著大于 C+I/R组(43.35%)(P<0.01)。 结论 糖尿病导致心肌组织内感觉神经肽CGRP显著减少,该变化可能与糖尿病大鼠心脏I/R损伤加剧有关,相关的机制需进一步研究。

关键词: 糖尿病; 心肌缺血/再灌注损伤; 降钙素基因相关肽
Abstract:

Objective The aim of the study was to investigate the association of change of calcitonin gene-related peptide(CGRP) in myocardium with increase of myocardial vulnerability in diabetic rats. Methods Forty male Sprague-Dawley(SD) rats, weighing 180 g-200 g, were randomly divided into control group (group C, n=20) and diabetes mellitus group (group DM, n=20), in accordance with a random number table. Animals in group DM were fed with high sugar-fat diet, while those in group C were fed with standard laboratory diet. At the end of 4 weeks of high fat-sugar diet feeding, streptozotocin (STZ) was given (30 mg/kg, i.p.) to induce diabetes. At the end of 10 weeks after injection of STZ, animals in group DM and group C were randomly divided into ischemia/reperfusion(I/R) groups(group DM+I/R, group C+I/R) and sham operation groups(group DM+Sham, group C+Sham)respectively. Myocardial I/R was induced by occlusion and release of left anterior descending branch of coronary artery, under anesthesia. At the end of the reperfusion, histological immunofluorescence assay and enzyme-linked immuno sorbent assay(ELISA) were performed to evaluate the changes of CGRP. The infarct size of myocardium was examined using evans blue(EB) and triphenyltetrazolium chloride(TTC) staining. Results Cardiac CGRP positive nerve fibers mainly located in epicardium and the myocardium, especially around coronary vessels and endothelium. Compared with group C+sham[(4 369±310) ng/g], the cardiac CGRP in group DM+sham was significant decreased[(2 271±339) ng/g](P<0.05). Although, After I/R, the amount of cardiac CGRP in diabetic and non-diabetic rats was significant up-regulated compared the sham operation group (P<0.05), the content of cardiac CGRP in group DM+I/R was significant reduced[(3 138±423) ng/g], compared to the group C+I/R[(6 192±406) ng/g](P<0.05). In the meantime, significantly larger infarct size was found in group DM+I/R(62.79%), compared to the group C+I/R(43.35%)(P<0.01). Conclusions Diabetes caused significant down-regulation of CGRP in myocardium of diabetic rats, which may be associated with extended injury caused by acute myocardial I/R while the underlying mechanism needs further investigation.

Key words: Diabetes mellitus; Myocardial ischemia/reperfusion injury; Calcitonin gene-related peptide