糖基化终产物诱导心肌细胞炎症反应的研究

目的： 探讨糖基化终产物(AGEs)对乳鼠正常心肌细胞和胰岛素抵抗心肌细胞炎症反应的影响。方法: 原代培养乳鼠心肌细胞并建立胰岛素抵抗心肌细胞模型，用不同浓度葡萄糖孵育的糖化白蛋白（AGE-BSA）干预24 h，采用RT-PCR、免疫细胞化学染色和透射电镜法，观察AGE-BSA对细胞TNF-α mRNA和PPAR-γ mRNA表达、NF-κB活化以及细胞超微结构的影响。结果: AGE-BSA可诱导心肌细胞TNF-α mRNA表达和NF-κB活化,并可抑制PPAR-γ mRNA表达，与对照组及BSA组比较有显著差异（P<0.05）。BSA组与空白对照组比较差异无显著（P>0.05）。随着孵育葡萄糖浓度的增加，各AGE-BSA组间比较有显著差异（P<0.05）。AGE-BSA干预后胞内线粒体和滑面内质网增多、扩大。结论: AGEs能上调心肌细胞TNF-α mRNA表达和NF-κB活化，并可抑制PPAR-γ mRNA表达，提示AGEs在糖尿病心肌病的发生中可能有重要的作用。

Effect of advanced glycation end products on inflammation in cultured cardiomyocytes

AIM: To investigate the effect of advanced glycation end products on inflammation in cultured cardiomyocytes.METHODS: Primary cardiomyocytes were isolated from Sprague-Dawley neonatal (1 to 2 days old) rats ventricles.The insulin resistant cardiomyocyte model was established.Neonatal rat ventricular myocytes were exposed to AGEs for 24 hours.TNF-α mRNA and PPAR-γ mRNA expressions were determined by RT-PCR.Activation of NF-κB in the cells was examined by using immunocytochemistry.The ultrastructure of the cells was detected by transmission electron microscope.RESULTS: The exprssion of TNF-α mRNA and the activation of NF-κB increased,the expression of PPAR-γ mRNA decreased compared with control group (P<0.05).The differences among different AGE-BSA groups were significant (P<0.05).The numbers of chondriosome and smooth endoplasmic reticulum increased.CONCLUSION: AGEs significantly increase TNF-α mRNA expression and NF-κB activation,and restrain the expression of PPAR-γ mRNA.These data suggest that AGEs play an important role in the onset of diabetic cardiomyopathy.