雄激素对高盐所致左室肥厚的影响及坎地沙坦的干预作用
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Roles of androgen in high-salt diet induced left ventricular hypertrophy and interventional effect of candesartan
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    摘要:

    目的探讨高盐饮食对大鼠心脏损伤过程中雄激素所发挥的作用及机制,以及Ⅰ型血管紧张素Ⅱ受体(AT1R)拮抗剂的干预作用。方法将Wistar大鼠40只随机分为假手术组(Sham)、去势组(Cas)、睾酮补充组(Tes)和坎地沙坦干预组(Cand),每组10只。各组均以8%NaCl高盐颗粒饲料喂食;Sham组施以假手术,Cas、Tes及Cand组均施以去势手术。Tes及Cand组予以十一酸睾酮4mg/(kg.2week)肌注,Cand组同时予以坎地沙坦3mg/(kg·d)胃灌,持续8周。分别在实验前、实验4周、8周后测定尾动脉血压;8周后称左心室重量(LVW),计算左室/体重指数(LVI),观察心肌病理改变,放射免疫法测定血清睾酮浓度。结果高盐喂养8周后,较基础血压比,Sham和Tes组明显升高(均P<0.01);Cand组或Cas组与Sham组比较,明显降低(均P<0.01)。Cand或Cas组LVW和LVI与Sham组比较均明显降低(均P<0.01);与Sham组心肌病理改变比较,Cand或Cas组心肌形态完整清晰。结论雄激素参与了高盐喂食导致的血压升高以及心肌肥厚;在高盐喂食大鼠,AT1R拮抗剂干预能有效降低雄激素所诱导的血压升高和心肌肥厚。

    Abstract:

    ObjectiveTo demonstrate the roles of androgen in the heart injury of high-salt fed male rats,and to explore the interventional effect of angiotensin Ⅱ receptor type 1(AT1R) antagonist. MethodsForty Wistar rats were randomly assigned to sham-operation (Sham) group,castration (Cas) group,testosterone (Tes) supplement group,and candesartan (Cand) intervention group,with 10 in each group. All animals fed high-salt diet (8% NaCl) for 8 weeks. Animals in Sham group received sham operation,while those in Cas,Tes and Cand groups received surgical castration. Intramuscular injection of testosterone 4mg/(kg·2week) was performed in Tes and Cand groups,and intragastric administration of candesartan 3mg/(kg·d) in Cand group. The blood pressure of tail artery was measured at baseline,4 and 8 weeks after experiment respectively. At 8 weeks after experiment,the left ventricular weight (LVW),and left ventricle/body mass index (LVI) were determined; pathological changes in myocardium were observed; and serum testosterone concentration was measured by RIA. ResultsAfter 8 weeks of high-salt diet feeding,compared with the basic level,the blood pressure increased significantly in Sham and Tes groups (P<0.01); compared with Sham group,it decreased significantly in Cand or Cas group (P<0.01). LVW and LVI in Cand or Cas group decreased significantly compared with Sham group(P<0.01). Compared with Sham group,the morphological features of myocardium in Can or Cas group remained and intact and clear. ConclusionAndrogen plays a role in high-salt-induced left ventricular hypertrophy and blood pressure elevation. AT1R antagonist can exert some interventional effects.?更多

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谈世进,胡剑平.雄激素对高盐所致左室肥厚的影响及坎地沙坦的干预作用[J].中华老年多器官疾病杂志,2010,9(4):355~358

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