他汀类药物对异丙基肾上腺素致心功能不全大鼠的心肾保护作用
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Cardiorenal protective effects of statins on isoproterenol-induced cardiac insufficiency in rat models
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    目的 研究他汀类药物对心、肾损害的防治作用, 同时探讨心、肾交互影响的病理机制。方法 24只Wistar大鼠分为3组: 空白对照组(n=4), 他汀组(n=10), 异丙肾组(n=10)。空白对照组生理盐水2ml/d灌胃; 他汀组瑞舒伐他汀4mg/(kg?d)灌胃; 异丙肾组生理盐水2ml/d灌胃; 两周时, 空白对照组腹腔注射生理盐水2ml, 他汀组与异丙肾组给予异丙肾(85mg/kg)腹腔注射2d。15周后用心脏超声评价大鼠心脏功能, 测定肾素?血管紧张素?醛固酮系统、抗氧化系统、炎症因子部分相关生化指标, 心、肾组织行病理切片检查脏器损害情况。结果 他汀组大鼠的心功能明显优于异丙肾组[左室射血分数: (73.18±7.89)% vs(58.58±6.41)%, P<0.05]; 他汀组的血管紧张素Ⅱ水平显著低于异丙肾组[(928.50±536.87) vs (1886.80±718.89) pg/ml, P<0.05]; 他汀组的丙二醛[(10.10±0.74) vs (12.36±2.11)nmol/ml, P=0.073]及白介素-6[(44.46±24.57) vs (76.31±20.79) ng/ml, P=0.058]水平与异丙肾组相比下降, 但两组间的差异没有统计学意义; 他汀组大鼠的心脏、肾脏病理异常改变明显轻于异丙肾组。结论 在异丙基肾上腺素致心功能不全大鼠模型中, 瑞舒伐他汀可以改善心脏功能, 减轻心脏和肾脏的结构改变。可能通过抑制RAAS系统激活、活性氧损伤和抗炎症的机制削弱心肾之间的不良交互作用。

    Abstract:

    Objective To investigate the cardiorenal protective effects of statins, and the pathophysiologic mechanism between cardiac insufficiency and renal insufficiency was also discussed. Methods Twenty-four Wistar rats were divided into three groups: blank control group (n=4), statins group(n=10), and isoproterenal(ISO) group(n=10). Rats in blank control group and ISO group received normal saline (2ml/d) by intragastric administration. Rats in statins group received rosuvastatin [4mg/(kg?d)] by intragastric administration. Two weeks later, rats in ISO group and statins group received isoproterenol injection twice [85 mg/(kg?d)] intraperitoneally, while rats in blank control group received normal saline (2ml/d). After 15 weeks, the heart function of the rats was evaluated by cardiac ultrasound; a series of blood detections on renin angiotensin aldosterone system (RAAS), antioxidase, and inflammation factors were performed; additionally, heart and kidney tissues were also examined histopathologically to analyze the organ damage. Results Compared with ISO group, rats in statins group exhibited a signi?cant improvement in heart function [LVEF: (73.18±7.89)% vs (58.58±6.41)%, P<0.05] and reduction in serum AngⅡ level [(928.50±536.87) vs (1886.80±718.89) pg/ml, P<0.05]. In addition, rats in statins group showed a decrease in serum malondialdehyde [(10.10±0.74) vs (12.36±2.11) nmol/ml, P=0.073], and interleukin-6 [(44.46±24.57) vs (76.31±20.79) ng/ml, P=0.058] levels compared with rats in ISO group, but not reaching statistical significance. Histopathological examination showed significant protective effect of rosuvastatin on heart and kidney. Conclusion Rosuvastatin could protect cardiac and renal structure and function in ISO-induced cardiac insufficiency rats, possibly through RAAS inhibition and anti-oxidation or anti-inflammation.

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赵 华, 周必业, 叶 平.他汀类药物对异丙基肾上腺素致心功能不全大鼠的心肾保护作用[J].中华老年多器官疾病杂志,2012,11(1):26~29

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