外加低压稳恒直流电场对兔腹主动脉球囊损伤后血管新生内膜增生的影响
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Effects of low-voltage steady direct current electric fields on neointimal hyperplasia after abdominal aorta balloon injury in the rabbit model
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    摘要:

    目的 探讨外加低压稳恒直流电场对血管损伤后新生内膜增生的影响。方法 健康日本大耳白兔65只, 随机分为正常对照组、假手术组以及实验组, 其中实验组分为3.0V, 4.0V两个亚组。建立兔腹主动脉球囊损伤模型后, 在兔腹主动脉两侧腰大肌内埋植一对铂电极, 实验组给予电刺激(3.0V/cm或4.0V/cm, 30min/d)。于术后1周、2周及4周留取血管标本, HE染色观察血管新生内膜增生情况, 天狼猩红染色及Western blot观察血管损伤后Ⅰ型、Ⅲ型胶原蛋白的表达。结果 血管内膜损伤后1周, 实验组与假手术组之间内/中膜面积比无显著差异。血管内膜损伤后2周及4周, 3.0V实验亚组和4.0V实验亚组内/中膜面积比显著低于假手术组(P<0.01)。3.0V和4.0V实验亚组之间差异无统计学意义(P>0.05)。天狼猩红染色显示术后4周, 3.0V实验亚组和4.0V实验亚组的血管新生内膜中Ⅰ型、Ⅲ型胶原蛋白的表达低于假手术组。Western blot结果显示术后4周, 实验组Ⅰ型、Ⅲ型胶原蛋白的表达与假手术组相比,差异无统计学意义。结论 适宜的外加稳恒直流电场抑制血管损伤后新生内膜的增生, 同时抑制新生内膜Ⅰ型、Ⅲ型胶原蛋白的表达, 但对血管壁总Ⅰ型、Ⅲ型胶原蛋白表达无影响。

    Abstract:

    Objective To explore the effects and mechanisms of steady direct current (DC) electric fields (EFs) on neointimal hyperplasia after abdominal aorta balloon injury in rabbit model. Methods A total of 65 healthy Japanese white rabbits were randomly divided into control group, sham-operation group and experiment group. The experiment group was further divided into 3.0V group and 4.0V group, in which corresponding interventions of DC EFs were applied. The abdominal aorta balloon injury models were firstly established, and then the electrodes were implanted into the bilateral psoas major muscle in sham-operation and experiment groups. The rabbits were sacrificed after 1, 2 and 4 weeks, and the vascular specimens were collected. Neointimal hyperplasia was observed using HE staining. Expressions of type-I and type-Ⅲ collagen were detected by sirius red staining and Western blot. Results There was no difference in the tunica intima/media ratio between sham-operation group and experiment group at 1 week post-operatively. Two weeks and four weeks after the balloon injury, the tunica intima/media ratios in the 3.0V and 4.0V groups were smaller than those in control group (P<0.01), but there was no significant difference between 3.0V and 4.0V groups (P>0.05). Sirius red staining showed that the expressions of type-I and type-Ⅲ collagen protein in the neointimal of 3.0V and 4.0V groups were lower than those in control group. Western blot showed that there was no significant difference in type-I and type-Ⅲ collagen expression between experiment group and sham-operation group at 4 weeks after the operations. Conclusion Application of steady DC EFs can inhibit neointimal hyperplasia and reduce collagen expression after the abdominal aorta balloon injury in rabbit model. Steady DC EFs inhibits type-I and type-Ⅲ collagen expression in new formed neointima, but not in the vascular wall.

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刘志涛, 张 萍, 何国祥*, 刘建平.外加低压稳恒直流电场对兔腹主动脉球囊损伤后血管新生内膜增生的影响[J].中华老年多器官疾病杂志,2012,11(6):448~452

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