兔动脉壁剪切力改变对MMP-2表达及动脉瘤形成的影响
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刘晟

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Effect of leporine arterial wall shear stress change on matrix metalloproteinase 2 expression and aneurysm formation
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    摘要:

    目的: 观察局部动脉壁剪切力改变对基质金属蛋白酶2(MMP-2)表达的影响及其与动脉瘤形成的关系。
    方法:新西兰大白兔48只,实验组和对照组各24只。实验组行同种异体腹主动脉补片腹主动脉成瘤术,于术后1,7,14,28d取标本,并在取标本时测量动脉管径。免疫组化观察MMP-2的动态表达。
    结果:腹主动脉成瘤术后7d,瘤体、流入道、流出道外径均增大(均P<0.05);管壁炎性细胞浸润,中层弹力纤维病变;MMP-2表达于术后1d达高峰(P<0.01),并持续性高表达(P<0.01)。
    结论:动脉壁剪切力的改变可使局部血管直径增加,管壁MMP-2表达上调。瘤体直径的增大与MMP-2的持续高表达有关;MMP-2可能在动脉壁剪切力改变与动脉瘤形成之间起到一定作用。

    Abstract:

    Abstract:Objective:To observe the relation between the change of arterial wall shear stress and the expression of matrix metalloproteinase 2(MMP-2), and analyze its role in aneurysm formation.
    Methods :Forty-eight New Zealand rabbits were equally divided into experimental and control groups. During the operation of the experiment group, a homogenic patch was implanted to the abdominal aorta to form an aneurysm, while sham operation was done in the control group. The arterial wall was harvested 1d, 7d, 14d, and 28d after operation, respectively. The diameter of the aorta was measured before harvesting. The level change of MMP-2 was observed by immunohistochemistry.
    Results:In experimental group, the diameter of the aneurysm and its inflow and outflow tracts were enlarged at the 7-day after operation (P<0.05). Large amount of inflammatory cells infiltrated the arterial wall, and with pathologic change of elastic fibers of the media. MMP-2 reached the peak value in 1d after operation (P<0.01), and remained at a high level of expression continually (P<0.01).
    Conclusions:When shear stress changes, the diameter of arteries increases and the expression of MMP-2 in the vessel wall is up-regulated. The enlargement of the aneurysm has a relationship with the continuous high expression of MMP-2. MMP-2 may be involved in the relationship between arterial wall shear stress changes and the formation of the aneurysm.

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刘晟, 舒畅.兔动脉壁剪切力改变对MMP-2表达及动脉瘤形成的影响[J].中国普通外科杂志,2007,16(6):15-.
DOI:10.7659/j. issn.1005-6947.2007.06.015

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  • 在线发布日期: 2007-06-25