Absence of inducible nitric oxide synthase reduces myocardial damage during ischemia reperfusion in streptozotocin-induced hyperglycemic mice

Absence of inducible nitric oxide synthase reduces myocardial damage during ischemia reperfusion in streptozotocin-induced hyperglycemic mice
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DOI:
10.2337/diabetes.53.2.454
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发表时间:
2004-02-01
期刊:
影响因子:
7.7
通讯作者:
D'Amico, M
D'Amico, M
中科院分区:
医学1区
文献类型:
--
作者:
Marfella, R;Di Filippo, C;D'Amico, M

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我们研究了诱导型一氧化氮合酶(iNOS)在基因缺陷型(iNOS(-/-))小鼠和野生型(iNOS(+/+))小鼠缺血性心肌损伤和血管生成过程中的作用,有和没有链脲佐菌素诱导(70 mg/kg静脉注射)糖尿病。缺血25 min再灌注120 min后,iNOS(+/+)和iNOS(-/-)糖尿病小鼠(血糖22 mmol/l)的心肌梗死面积均大于其相应的非糖尿病同窝小鼠(P < 0.01)。与非糖尿病iNOS(+/+)小鼠相比,非糖尿病iNOS(-/-)小鼠的心肌梗死面积(P <0.05)、凋亡指数(P <0.005)、肿瘤坏死因子(P <0.01)、白细胞介素-6(P <0.01)和白细胞介素-18(P < 0.01)组织水平均较高。与糖尿病iNOS(-/-)小鼠相比,糖尿病iNOS(+/+)小鼠表现出更大的梗死面积(P < 0.01),与最高的组织硝基酪氨酸和促炎细胞因子水平以及细胞凋亡相关。iNOS在调节缺血/再灌注损伤防御反应中的有益作用似乎在糖尿病小鼠中被取消。糖尿病53:454-462,2004年。
We investigated the role of inducible nitric oxide synthase (iNOS) on ischemic myocardial damage and angiogenic process in genetically deficient iNOS (iNOS(-/-)) mice and wild-type littermates (iNOS(+/+)), with and without streptozotocin-induced (70 mg/kg intravenously) diabetes. After ischemia (25 min) and reperfusion (120 min), both iNOS(+/+) and iNOS(-/-) diabetic mice (blood glucose 22 mmol/l) had myocardial infarct size greater than their respective nondiabetic littermates (P < 0.01). Myocardial infarct size (P < 0.05), apoptotic index (P < 0.005), and tissue levels of tumor necrosis factor (P < 0.01), interleukin-6 (P < 0.01), and interleukin-18 (P < 0.01) were higher in nondiabetic iNOS(-/-) mice compared with nondiabetic iNOS(+/+) mice. As compared with diabetic iNOS(-/-) mice, diabetic iNOS(+/+) mice showed a greater infarct size (P < 0.01) associated with the highest tissue levels of nitrotyrosine and proinflammatory cytokines, as well as apoptosis. The beneficial role of iNOS in modulating defensive responses against ischemia/reperfusion injury seems to be abolished in diabetic mice. Diabetes 53:454-462, 2004.