丹参酮ⅡA对兔髂动脉球囊损伤后胶原生成抑制的效应观察

目的:观察兔髂动脉损伤后,丹参酮ⅡA治疗组中膜平滑肌细胞(SMC)周围胶原变化的趋势.方法:取体重2.5～3kg纯种雄性新西兰大白兔30只,球囊导管扩张法制作左髂动脉内膜球囊损伤模型,术后分配到治疗组和对照组.治疗组丹参酮ⅡA稀释静脉注射,疗程6天;对照组采用等量生理盐水静脉注射.术后7天、14天和28天处死实验兔,将左侧髂动脉取出制作石蜡切片,并作胶原染色.结论:术后7天治疗组和对照组胶原纤维染色均不明显,术后14天和28天对照组SMCs周围可见胶原染色阳性,红染增多;治疗组14天SMCs周围也可见红染增多,但28天红染不明显;两组差异以术后28天明显(P=0.017);胶原染色随时间变化的趋势有统计学意义(P=0.005).结论:丹参酮ⅡA有抑制血管损伤后细胞外基质堆积的作用,从而可能有防治术后再狭窄的效应.

Inhibitive Effect to Collagen Fiber of Tanshinone Ⅱ A in Iliac Artery Following Balloon Injury in Rabbit

OBJECTIVE: To observe change of iliac artery SMC collagen fiber after balloon injury in tanshinone II A treatment group. METHODS: Thirty male pure breed New Zealand white rabbits were underwent experimental balloon injury in left iliac artery. Then the rabbits were assigned into treatment group (n = 15) and control group (n = 15). Tanshinone II A sulfonic acid natrium was injected intravenously in treatment group. Saline was venously injected in control group. The balloon injured arteries were harvested in the 7th, 14th, and 28th days after surgery. RESULTS: Analysis of Collagen fibers staining found that a weak positive staining was shown at the 7th day post-operation in both groups,while a strong positive result was seen at the 14th day in control group. Positive results were even shown at the 14th day in treatment group,but less strong than that of the control. At the 28th day post-operation, collagen fiber staining become weak in treatment group, but increased in the control. Difference between both group in the 28th day post-operation was significant (P = 0.017). Time-dependence tendency of collagen fiber changing was statistically significant (P = 0.005). CONCLUSION: Tanshinone II A suppress stack of extracellular matrix after balloon injury so as to prevent restenosis.