室旁核内脂肪酸酰胺水解酶上调介导慢性心衰大鼠交感神经兴奋亢进

目的:探讨慢性心衰大鼠室旁核(PVN)内脂肪酸酰胺水解酶(FAAH)表达失衡导致中枢交感传出增加的机制。方法:雄性Wistar大鼠左冠状动脉结扎8周后,用超声心动图检测心功能,并通过组织病理学测定心肌梗死面积,鉴定大鼠心衰模型构建成功;酶联免疫吸附法测血浆去甲肾上腺素(NE)水平;Western blot测定PVN内FAAH蛋白表达量;高效液相色谱法测定PVN内N-花生四烯酰乙醇胺(AEA)的生成量;PVN微量注射AEA、FAAH抑制剂PF3845或r AAV2-FAAH sh RNA病毒,记录交感驱动和心功能指标的变化。结果:与假手术组相比,心衰组心功能显著降低,血浆NE显著增加,PVN内FAAH表达量显著上调,AEA生成量显著减少(P0.05);PVN微量灌注PF3845、AEA或r AAV2-FAAH sh RNA病毒后,心衰组交感驱动指标显著降低,心功能明显改善。结论:心衰状态下PVN内FAAH蛋白表达上调可能引起AEA生成量的减少,从而增强交感神经兴奋性,恶化心衰。

Upregulated FAAH expression in PVN contributes to sympathoexcitation in rat with chronic heart failure

AIM: To investigate the expression of fatty-acid amide hydrolase (FAAH) in paraventricular nucleus (PVN) and its contribution to renal sympathetic nerve activity in rats with chronic heart failure (CHF). METHODS: A rat model of CHF was established by ligation of the left coronary artery to induce acute myocardial infarction. Eight weeks after ischemia, the rat model of CHF was identified by echocardiogram and histopathological observation. The plasma level of norepinephrine (NE) was detected by ELISA. The protein expression levels of FAAH in the PVN were determined by Western blot. The N-arachidonoylethanolamide (AEA) generation in PVN was analyzed by high-performance liquid chromatography. After microinjection of AEA, PF3845 (an FAAH inhibitor) or rAAV2-FAAH shRNA virus in PVN, the sympathetic drive indexes were recorded in different experiment groups. RESULTS: Compared with the rats in sham group, the cardiac function and AEA concentration in PVN were significantly reduced, while the plasma NE level and FAAH expression in PVN were obviously increased in the CHF rats (P<0.05). After microinjecion of PF3845, AEA or rAAV2-FAAH shRNA virus in PVN, the sympathetic drive indexes were decreased significantly and the cardiac function were improved in the CHF rats. CONCLUSION: Upregulated FAAH expression in PVN may result in sympathoexcitation in the rat with CHF.