糖尿病对大鼠自体移植静脉内膜增生的影响
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张强

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The effect of diabetes mellitus on intimal hyperplasia in autogenous vein graft of rats
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    摘要:

    目的:探讨AGE-RAGE系统对糖尿病大鼠自体移植静脉内膜增生的作用。
    方法:雄性SD大鼠40只,随机分为糖尿病组及正常对照组。两组均建立自体静脉移植模型,制模后的7 d和14 d测定血清AGE含量,取自体静脉移植标本行组织形态学观察,半定量RT-PCR检测RAGE,NF-κB p65及VCAM-1mRNA的表达,Western蛋白印迹和免疫组化方法检测RAGE,NF-κB p65及VCAM-1蛋白表达,并用免疫组化方法检测PCNA的表达。
    结果:术后7 d及14 d,与对照组比较,糖尿病组自体移植静脉内膜增生明显为重,PCNA,RAGE,NF-κB p65及VCAM-1mRNA和蛋白表达均增强,血清AGE含量增加,差异均有统计学意义(均P<0.05)。
    结论:AGE-RAGE系统激活NF-κB,增强黏附分子的表达,可能是糖尿病大鼠自体移植静脉内膜增生加重的原因。

    Abstract:

    Abstract:Objective:To investigate the role of AGE-RAGE system on intimal hyperplasia in autogenous vein graft of diabetic rats.
    Methods :The experiments were performed on 40 male Sprague-Dawley rats which divided into two groups: diabetes group and control group. Autogenous vein graft model was established in all rats. Specimens were harvested 7 days and 14 days after surgery for histological examination, and RAGE, NF-κB p65 and VCAM-1mRNA were measured by semi-quantitative reverse transcription-PCR. Western Blotting and immunohistochemistry were used to detect the protein expression of RAGE, NF-κB p65 and VCAM-1. At the same time, the levels of serum AGE were tested.
    Results:Compared with non-diabetic rats of control group, the intimal hyperplasia of vein graft in diabetic rats obviously increased (P<0.05). At the same time, themRNA and protein expression of RAGE, NF-κB p65 and VCAM-1 obviously increased (P<0.05), and the level of the serum AGE obviously increased (P<0.05).
    Conclusions:AGE-RAGE system activated NF-κB and enhanced the expression of VCAM-1, which might be the cause of increased intimal hyperplasia in autogenous vein graft of diabetic rats.

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王欣,张强,张成作,张宏伟,霍鑫.糖尿病对大鼠自体移植静脉内膜增生的影响[J].中国普通外科杂志,2008,17(6):10-565.
DOI:10.7659/j. issn.1005-6947.2008.06.010

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  • 在线发布日期: 2008-06-25