联用cmyb ASON与VEGF防治血管成形术后再狭窄的研究
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赵宪琪

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The combined use of cmyb antisense oligonucleotide and vascular endothelial growth factor gene for preventment and treatment of restenosis after angioplasty
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    摘要:

    目的:评估联合应用cmyb反义寡核苷酸(ASON)和血管内皮生长因子(VEGF)对血管成形术后再狭窄的效果。
    方法:28只中国长耳白兔随机分成狭窄对照(Ⅰ)组, 狭窄cmyb ASON处理(Ⅱ)组, 狭窄VEGF处理(Ⅲ)组和狭窄cmyb ASON +VEGF处理(Ⅳ)组。测定治疗后各组血管狭窄程度, 并进行比较分析。
    结果:处理后各组均呈不同程度的血管内膜及血管平滑肌增生, 以Ⅰ组最重, Ⅱ, Ⅲ组增生情况较Ⅰ组明显减轻, 差异有统计学意义(P<0.01)。Ⅳ组增生情况较Ⅱ, Ⅲ组更轻, 差异均有统计学意义(P<0.01), 但Ⅱ, Ⅲ组间差异无统计学意义(P>0.05)。Western blotting结果显示, 各组间灰度均有明显差别。
    结论:cmyb ASON与VEGF联合应用能显著减轻血管成形术后的再狭窄, 但两者之间无协同作用。

    Abstract:

    Objective:To investigate the effect of combined use of antisense oligonucleotide (cmyb ASON) and vascular endothelial growth factor (VEGF) on restenosis after angioplasty.
    :Methods :China rabbits were randomly divided to control group, VEGF treatment group, cmyb ASON treatment group, cmyb ASON +VEGF treatment group. Each group consisted of 7 rabbits with the same lesion of left common carotid artery. Evaluation on restenosis was done by pathological section and immunohistochemistry, and WesternBlotting for the expression of PCNA.
    :Results:All groups had varying degrees of vascular endothelial and smooth muscle hyperplasia, especially in control group. The hyperplasia in cmyb ASON and VEGF groups were better than control group (P<0.01), and cmyb ASON + VEGF combination group was baller than cmyb ASON or VEGF groups (P<0.01). The results of WesternBlotting were similar to those of pathological section.
    :Conclusions:Combined use of cmyb ASON and VEGF has definite effect in preventing restenosis after angioplasty, but cmyb ASON and VEGF do not have interrelated synergism.

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张铁民, 赵宪琪, 杨予川, 史春颖, 陈颖, 郭欣, 朴大勋, 姜洪池.联用cmyb ASON与VEGF防治血管成形术后再狭窄的研究[J].中国普通外科杂志,2008,17(12):11-120.
DOI:10.7659/j. issn.1005-6947.2008.12.011

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  • 在线发布日期: 2008-12-25