内源性内皮素转化酶在自体移植静脉术后的动态变化
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刘喜财

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Dynamic effect of endothelin-converting enzyme on intimal hyperplasia after venous autograft
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    摘要:

    目的:探讨ET-1及内源性ECE对自体静脉移植术后内膜增生的作用。
    方法:通过建立自体静脉移植模型,采用RT-PCR和免疫组织化学方法,从mRNA水平和蛋白质水平分析ECE和ET-1在移植静脉的表达及影响。
    结果:移植术后6 h,吻合口处中膜即出现PCNA阳性平滑肌细胞,并随着时间推移逐渐增高,在1~2周左右达到高峰。2周后,中膜PCNA阳性SMC开始逐渐减少,于术后8周趋于平稳。随着移植术后时间的推移,ET-1的表达与ECE的表达逐渐增高,手术后1~2周达到高峰,2周后表达逐渐下降,于8周左右趋于平衡,ET-1与ECE密切相关(r=0.975)。
    结论:静脉内膜增生病理过程的发生时间和变化规律与ET-1和ECE表达的动态变化过程吻合,提示ECE参与移植静脉内膜的增殖过程。

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    Abstract:Objective:To study the effet of ET-1 and ECE on endothelial proliferation of autografted vein.
    Methods :An animal model of the autogenous vein graft was established in 80 Wistar rats. The expression of ECE and EF-1 gene was determined by RT-PCR and immunohistological method to test the mRNA and protein expresion level respectively.
    Results: PCNA positive smooth muscle cells appeared 6 hours after transplantation, increased with time, and reached a peak at 1 to 2 weeks. After 2 weeks, PCNA positive SMC in the tunica media began to decline and recovered to the 6 hour level at 8 weeks after the operation. mRNA of ECE increased with the time after the operation, reached a peak after 1-2 weeks, declined afterwards, and became stable at around 8 weeks. Expression change of ET1 was similar to the change of ECE, reached the peak after 1-2 weeks and was stable after 8 weeks (r=0.975).
    Conclusions:The time and pattern of change of the pathologic process of intimal hyperplasia are in agreement with the expression of ET-1 and ECE, and suggests that ECE is involved in the process of intimal hyperplasia of vein graft.

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刘喜财,宋清斌,张灿刚.内源性内皮素转化酶在自体移植静脉术后的动态变化[J].中国普通外科杂志,2008,17(6):12-573.
DOI:10.7659/j. issn.1005-6947.2008.06.012

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  • 在线发布日期: 2008-06-25