强力霉素影响基质金属蛋白酶活性和血管重构的实验研究

目的：观察强力霉素对损伤动脉组织中基质金属蛋白酶（MMP）活性的抑制作用，并探讨强力霉素对血管平滑肌细胞增殖、动脉内膜增生、管腔重构的影响。方法:球囊导管扩张动脉的方法建立大鼠颈总动脉损伤模型。治疗组用强力霉素30 mg·kg^-1·d^-1干预。明胶酶谱法测定损伤动脉组织中MMPs的活性。用HE染色、VVG染色、免疫组化标记α-actin和增殖细胞核抗原的方法观察损伤动脉内膜厚度、管腔重构及平滑肌细胞增殖的情况。结果:①强力霉素治疗组MMP-9活性在术后24 h、3 d分别比对照组低26.3％、34.5％（P<0.01）；MMP-2活性在术后7 d比对照组低40.0％（P<0.01）。②强力霉素治疗使术后7 d内膜平滑肌细胞增殖率（43.23％±1.06％）显著低于对照组（62.76％±1.02％）（P<0.01）；使术后14 d、28 d新生内膜厚度比对照组分别少32.0％、38.8％（P<0.01），而管腔面积比对照组多58.0％、90.4％（P<0.01） 。结论：强力霉素可以显著降低血管损伤后MMPs活性，抑制内膜平滑肌细胞的增殖、新生内膜增生以及管腔重构，提示它可能具有防治PTCA术后再狭窄的作用。

Effect of doxycycline on matrix metalloproteinase activity and vascular remodeling in balloon-injured rat carotid arteries

AIM:To examine the inhibition of matrix metalloproteinase (MMP) activity by doxycycline (Doxy) and its effect on vascular smooth muscle cells (SMCs) proliferation,neointimal hyperplasia and vascular remodeling. METHODS: The model of rat common carotid artery injury was established by balloon-dilatation.Doxy was administered to the animals of treatment group at dose of 30 mg·kg^-1·d^-1.The activity of MMPs in the tissue of injured carotid arteries was measured by gelatin zymography.The thickness and area of neointimal,lumen area and the proliferation of SMCs were measured by histological and morphometric analysis.RESULTS:1.After Doxy treatment,the activity of MMP-9 in the carotid arteries was reduced by 26.3% and 34.5% compared to that in rats without Doxy treatment at 24 hours and 3 days after balloon injury,respectively (P<0.01).The activity of MMP-2 was also reduced by 40.0% at 7 days after injury (P<0.01).2.The thickness of neointimal were significantly decreased by 32.0% and 38.8% (P<0.01) and the lumen area was increased by 58.0% and 90.4 % at 14 and 28 days after injury in the Doxy-treated rats compared to those in control rats,respectively (P<0.01).Doxy treatment significantly reduced intimal SMCs proliferation from 62.76%±1.02 % in the controls to 43.23%±1.06% at 7 days after injury (P<0.01).CONCLUSION: Doxy treatment inhibits the activity of MMPs,the SMCs proliferation of intimal,neointimal hyperplasia and vascular remodeling,suggesting that Doxy treatment is useful in preventing restenosis after PTCA.