Effect of Shenxinning decoction on ventricular remodeling in AT1 receptor-knockout mice with chronic renal insufficiency.

Effect of Shenxinning decoction on ventricular remodeling in AT1 receptor-knockout mice with chronic renal insufficiency.
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肾心宁汤对AT1受体敲除慢性肾功能不全小鼠心室重构的影响

DOI:
10.4103/0253-7613.135950
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发表时间:
2014-07
影响因子:
2.4
通讯作者:
He L
He L
中科院分区:
医学4区
文献类型:
--
作者:
Yang X;Zhou H;Qu H;Liu W;Huang X;Shun Y;He L

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目的:观察参心宁汤(SXND)对慢性肾功能不全(CRI) AT1受体敲除(AT1- ko)小鼠心室重构的影响。材料与方法:采用肾大部切除(5/6)的AT1-KO小鼠模型,给予SXND干预12周。随后,将AT1-KO小鼠的血尿素氮(BUN)、血清肌酐(SCr)、脑利钠肽(BNP)、超声心动图(左心室舒张末期内径(LVDD)、左心室收缩末期内径(LVDS)、缩短分数(FS)、射血分数(EF)、心脏和肾脏I型和III型胶原蛋白、心肌线粒体、心脏转化生长因子-β1 (TGF-β1)与单纯肾切除和未治疗SXND的同一模型进行比较。结果:AT1-KO对小鼠心肌缺血再灌注过程无明显影响,但对心脏重构过程有明显影响。SXND可在一定程度上降低AT1-KO小鼠的BUN、SCr、BNP及心脏LVDD、LVDS、BNP,改善FS和EF,降低心脏和肾脏I型和III型胶原的表达,增加线粒体数量并改善其结构,下调TGF-β1的表达。结论:SXND可拮抗肾素-血管紧张素系统(RAS),减少尿毒症毒素,从而改善CRI心室重构。此外,SXND与心肌能量代谢改善、TGF-β1下调存在相关机制。
Objective: To observe the efficacy of Shenxinning Decoction (SXND) in ventricular remodeling in AT1 receptor-knockout (AT1-KO) mice with chronic renal insufficiency (CRI). Materials and Methods: AT1-KO mice modeled with subtotal (5/6) nephrectomy were intervened with SXND for 12 weeks. Subsequently, blood urea nitrogen (BUN), serum creatinine (SCr), brain natriuretic peptide (BNP), echocardiography (left ventricular end-diastolic diameter, LVDD; left ventricular end-systolic diameter, LVDS; fractional shortening, FS; and ejection fraction, EF), collagen types I and III in the heart and kidney, myocardial mitochondria, and cardiac transforming growth factor-β1 (TGF-β1) of the AT1-KO mice were compared with the same model with nephrectomy only and untreated with SXND. Results: AT1-KO mice did not affect the process of CRI but it could significantly affect cardiac remodeling process. SXND decreased to some extent the AT1-KO mice's BUN, SCr, BNP, and cardiac LVDD, LVDS, and BNP, improved FS and EF, lowered the expression of collagen type I and III in heart and kidney, increased the quantity of mitochondria and ameliorated their structure, and down-regulated the expression of TGF-β1. Conclusion: SXND may antagonize the renin–angiotensin system (RAS) and decrease uremia toxins, thereby ameliorating ventricular remodeling in CRI. Furthermore, SXND has a mechanism correlated with the improvement of myocardial energy metabolism and the down-regulation of TGF-β1.
DOI: 10.1161/circresaha.108.184911
发表时间: 2008-11-21
影响因子: 20.1
作者:
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影响因子: 3.5
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DOI: 10.1016/j.atherosclerosis.2010.06.002
发表时间: 2010-09-01
期刊: ATHEROSCLEROSIS
影响因子: 5.3
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DOI: 10.1159/000313718
发表时间: 2010-01-01
期刊: FLUID OVERLOAD: DIAGNOSIS AND MANAGEMENT
影响因子: --
作者:
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通讯作者: Ronco, Claudio