基质金属蛋白酶在心肌缺血大鼠心室间质重构中的作用

目的:探讨大鼠心肌缺血后心肌间质基质金属蛋白酶(MMPs)活性变化与心室间质重构的关系。方法:用异丙肾上腺素(ISP)复制大鼠心肌缺血模型,用酶谱法测定心肌间质MMPs活性,氯胺T法测定胶原含量,免疫组化法测定I/III胶原比例,电镜观察心肌超微结构。结果:心肌缺血组(M组)MMP-2活性在1、2、4周分别是对照组(C组)的5.8倍、2.3倍(P＜0.01)和1.7倍(P＜0.05),MMP-9活性则分别是对照组的4.9倍、1.9倍(P＜0.01)和1.4倍(P＜0.05)。胶原含量、I/III胶原比例在2周、4周时均显著高于对照组。电镜见缺血组心肌细胞坏死、间质胶原大量增生、结构紊乱。结论:心肌缺血后心肌间质内MMPs活性升高,可能是心室重构的重要原因。

Effects of matrix metalloproteinases on ventricular remodeling following myocardial ischemia in the rat

AIM:To examine the relationship between the activity of matrix metallproteinases(MMPs) and ventricular remodeling following myocardial ischemia in the rat.METHODS:The model of myocardial ischemia(MI) in the rat was established by isoprenaline(ISP). The activity of MMPs was measured by zymography and collagen concentration was assessed by the method of chloramine T, so did I/III collagen ratio by immunohistochemical staining. The microstructure of myocardium was also observed by electron microscope.RESULTS:The activity of MMP-2 in myocardial ischemia group (group M) increased by 5.8 folds at 1 st week(P＜0.01), 2.3 folds at 2 nd week(P＜0.01) and 1.7 flods at 4 th week(P＜0.05) compared with control group (group C) and MMP-9's activity in group M increased by 4.9 folds (P＜0.01), 1.9 flods(P＜0.01) and 1.4 folds(P＜0.05), respectively. Collagen amount and I/III collagen ratio in group M increased compared with that in group C at 2 nd week and 4 th week. It showed that cardiac myocytes in group M were necrosed and collagen grew abundantly in interstitium under electron microscope.CONCLUSION:The activity of MMPs in the myocardial interstitium increased following myocardial ischemia, then collagen amount and I/III collagen ratio increased, which may be the major causes of ventricular remodeling.