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辛伐他汀对缺氧/复氧诱导的心肌细胞凋亡的拮抗作用及其作用机制

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2011年第2期
页码:
189-192,213
栏目:
基础研究
出版日期:
2010-12-10

文章信息/Info

Title:
Protective effects and mechanism of simvastatin on hypoxia/reoxygenation-induced apoptosis in rat cardiomyocyte
作者:
张申伟高好考陈江红李聪叶潘云虎曹丰郭文怡
第四军医大学西京医院心内科,陕西 西安 710032
Author(s):
ZHANG Shen-wei GAO Hao-kao CHEN Jiang-hong LI Cong-ye PAN Yun-hu CAO Feng Guo Wen-yi
Department of Cardiology, Xijing Hospital, Fourth Military Medical University, Xi’an 710032, Shaanxi, China
关键词:
辛伐他汀缺氧/复氧凋亡TLR4心肌细胞
Keywords:
simvastatin hypoxia/reoxygenation apoptosis TLR4 cardiac myocytes
分类号:
R972.6
DOI:
-
文献标识码:
A
摘要:
目的: 探讨辛伐他汀对缺氧/复氧诱导的心肌细胞损伤的拮抗作用及潜在机制。方法: 分离培养 Sprague-Dawley(SD)大鼠(乳鼠)心肌细胞,随机分为对照组、缺氧2h/复氧4h(H/R4h)组、不同浓度(0.1、1.0及10 μmol/L)的辛伐他汀干预组及Toll样受体4(TLR4)中和性抗体MTS510组(浓度为10 μg/L)。H/R4h组给予缺氧2 h后,随即复氧4 h。细胞处理后,进行PI-AnnexinV染色用流式细胞仪检测心肌细胞的凋亡率,用ELISA法检测心肌乳酸脱氢酶(LDH)的活性;用免疫印迹法测TLR4蛋白的含量。结果:与H/R4h组相比,辛伐他汀干预组可显著降低心肌细胞的凋亡率(16.0% vs. 28.6%,P<0.01)及LDH 的活性(P<0.01),并呈剂量依赖性。中浓度的辛伐他汀组开始出现拮抗作用,峰值出现在高浓度辛伐他汀组, 加入MTS510阻断剂可降低心肌细胞的凋亡率及LDH的活性(P<0.01)。结论:辛伐他汀对H/R造成的心肌细胞损伤具有拮抗作用,并呈剂量依赖性,其作用机制可能与TLR4信号通路有关。
Abstract:
AIM: To explore the protective effects and mechanism of simvastatin on hypoxia/reoxygenation-induced cardiac injury. METHODS: Cultured cardiomyocytes from neonatal rats subjected to hypoxia for 2 h and reoxygenation for 4 h were divided randomly into four groups: control group, hypoxia 2h/reoxygenation 4 h group (H/R4h), simvastatin (SIM) pretreated group (concentration: 0.1 μmol/L, 1 μmol/L, 10 μmol/L), and neutralizing antibody group of TLR4: MTS510 (10 μg/L). Cardiomyocyte apoptosis was detected by flow cytometry, concentration of LDH was measured by ELISA and expression of TLR4 protein was measured by Western blot. RESULTS: Compared with that in control and H/R4h groups, H/R-induced apoptosis was markedly attenuated in SIM group in a dose-dependent manner. Protective effects of simvastatin began at 0.1 μmol/L and the maximal effects reached at 10 μmol/L. After the addition of neutralizing antibody of TLR4, cardiocyte apoptosis and activities of LDH decreased. CONCLUSION: Simvastatin protects hypoxia/reoxygenation-induced cardiac injury in a dose-dependent manner, and the protective effects are in association with TLR4 signalling pathway.

参考文献/References

[1]Schulze CJ, Wang W, Suarez-Pinzon WL, et al. Imbalance between tissue inhibitor of metalloproteinase-4 and matrix metalloproteinases during acute myocardial[correction of myoctardial] ischemia-reperfusion injury[J]. Circulation, 2003, 107(19):2487-2492.

[2]Scarabelli TM, Knight R, Stephanou A, et al. Clinical implications of apoptosis in ischemic myocardium[J]. Curr Probl Cardiol, 2006, 31(3):181-264.

[3]Yang J, Yang J, Ding JW, et al. Sequential expression of TLR4 and its effects on the myocardium of rats with myocardial ischemia-reperfusion injury[J]. Inflammation, 2008, 31(5):304-312.

[4]Effect of simvastatin on coronary atheroma: the Multicentre Anti-Atheroma Study (MAAS)[J]. Lancet, 1994, 344(8923):633-638.

[5]Szarszoi O, Maly J, Ostadal P, et al. Effect of acute and chronic simvastatin treatment on post-ischemic contractile dysfunction in isolated rat heart[J]. Physiol Res, 2008, 57(5):793-796.

[6]Bergmann M W, Rechner C, Freund C, et al. Statins inhibit reoxygenation-induced cardiomyocyte apoptosis: role for glycogen synthase kinase 3beta and transcription factor beta-catenin[J]. J Mol Cell Cardiol, 2004, 37(3):681-690.

[7]Baumgarten G, Knuefermann P, Nozaki N, et al. In vivo expression of proinflammatory mediators in the adult heart after endotoxin administration: the role of toll-like receptor-4[J]. J Infect Dis, 2001, 183(11):1617-1624.

[8]Takeda K, Akira S. Toll-like receptors[J]. Curr Protoc Immunol, 2007, Chapter 14:Unit14.12.

[9]Takeda K, Kaisho T, Akira S. Toll-like receptors[J]. Annu Rev Immunol, 2003, 21:335-376.

[10]Verma S, Rao V, Weisel RD, et al. Novel cardioprotective effects of pravastatin in human ventricular cardiomyocytes subjected to hypoxia and reoxygenation: beneficial effects of statins independent of endothelial cells[J]. J Surg Res, 2004, 119(1):66-71.

[11]Shang F, Zhao L, Zheng Q, et al. Simvastatin inhibits lipopolysaccharide-induced tumor necrosis factor-alpha expression in neonatal rat cardiomyocytes: The role of reactive oxygen species[J]. Biochem Biophys Res Commun, 2006, 351(4):947-952.

[12]Lefer DJ. Statins as potent antiinflammatory drugs[J]. Circulation, 2002, 106(16):2041-2042.

[13]Wallace CK, Stetson SJ, Kucuker SA, et al. Simvastatin decreases myocardial tumor necrosis factor alpha content in heart transplant recipients[J]. J Heart Lung Transplant, 2005, 24(1):46-51.

[14]Zhang J, Cheng X, Liao YH, et al. Simvastatin regulates myocardial cytokine expression and improves ventricular remodeling in rats after acute myocardial infarction[J]. Cardiovasc Drugs Ther, 2005, 19(1):13-21.

[15]Schnare M, Barton GM, Holt AC, et al. Toll-like receptors control activation of adaptive immune responses[J]. Nat Immunol, 2001, 2(10):947-950.

[16]Akira S, Takeda K, Kaisho T. Toll-like receptors: critical proteins linking innate and acquired immunity[J]. Nat Immunol, 2001, 2(8):675-680.

[17]Le MSA, Bonnard A, Barreau F, et al. Expression of TLR-2, TLR-4, NOD2 and pNF-kappaB in a neonatal rat model of necrotizing enterocolitis[J]. PLoS One, 2007, 2(10):e1102.

[18]Otsui K, Inoue N, Kobayashi S, et al. Enhanced expression of TLR4 in smooth muscle cells in human atherosclerotic coronary arteries[J]. Heart Vessels, 2007, 22(6):416-422.

[19]Frantz S, Kobzik L, Kim YD, et al. Toll4 (TLR4) expression in cardiac myocytes in normal and failing myocardium[J]. J Clin Invest, 1999, 104(3):271-280.

[20]Chong AJ, Shimamoto A, Hampton CR, et al. Toll-like receptor 4 mediates ischemia/reperfusion injury of the heart[J]. J Thorac Cardiovasc Surg, 2004, 128(2):170-179.

[21]Niessner A, Steiner S, Speidl WS, et al. Simvastatin suppresses endotoxin-induced upregulation of toll-like receptors 4 and 2 in vivo[J]. Atherosclerosis, 2006, 189(2):408-413.

[22]Xu XH, Shah PK, Faure E, et al. Toll-like receptor-4 is expressed by macrophages in murine and human lipid-rich atherosclerotic plaques and upregulated by oxidized LDL[J]. Circulation, 2001, 104(25):3103-3108.

[23]Vakeva AP, Agah A, Rollins SA, et al. Myocardial infarction and apoptosis after myocardial ischemia and reperfusion: role of the terminal complement components and inhibition by anti-C5 therapy[J]. Circulation, 1998, 97(22):2259-2267.

[24]张小玲,陈坷,严激. 辛伐他汀对心肌缺血/再灌注损伤防治的研究进展[J]. 安徽医学, 2008, 29(6):747-749.

[25]Lin KI, Kao YY, Kuo HK, et al. Reishi polysaccharides induce immunoglobulin production through the TLR4/TLR2-mediated induction of transcription factor Blimp-1[J]. J Biol Chem, 2006, 281(34):24111-24123.

[26]Oyama J, Jr Blais C, Liu X, et al. Reduced myocardial ischemia-reperfusion injury in toll-like receptor 4-deficient mice[J]. Circulation, 2004, 109(6):784-789.

[27]Edfeldt K, Swedenborg J, Hansson G K, et al. Expression of toll-like receptors in human atherosclerotic lesions: a possible pathway for plaque activation[J]. Circulation, 2002, 105(10):1158-1161.

[28]Vink A, Schoneveld AH, van der Meer JJ, et al. In vivo evidence for a role of toll-like receptor 4 in the development of intimal lesions[J]. Circulation, 2002, 106(15):1985-1990.

[29]Methe H, Kim JO, Kofler S, et al. Statins decrease Toll-like receptor 4 expression and downstream signaling in human CD14+ monocytes[J]. Arterioscler Thromb Vasc Biol, 2005, 25(7):1439-1445.

[30]Ikushima H, Nishida T, Takeda K, et al. Expression of Toll-like receptors 2 and 4 is downregulated after operation[J]. Surgery, 2004, 135(4):376-385.

[31]Tiefenbacher CP, Kapitza J, Dietz V, et al. Reduction of myocardial infarct size by fluvastatin[J]. Am J Physiol Heart Circ Physiol, 2003, 285(1):H59-H64.

[32]Konat GW, Krasowska-Zoladek A, Kraszpulski M. Statins enhance toll-like receptor 4-mediated cytokine gene expression in astrocytes: implication of Rho proteins in negative feedback regulation[J]. J Neurosci Res, 2008, 86(3):603-609.

备注/Memo

备注/Memo:
收稿日期:2010-04-13.通讯作者:郭文怡,主任医师, 主要从事冠心病介入治疗研究Email:guowenyi@tom.com 共同通讯作者:曹丰,教授,主要从事分子影像及干细胞治疗的研究Email:wind8828@gmail.com 作者简介:张申伟,硕士生Email:free214@sina.com
更新日期/Last Update: 2010-12-10