缬沙坦与福辛普利对儿茶酚胺诱导的心肌肥厚的影响(英文)

目的:研究血管紧张素Ⅱ受体拮抗剂缬沙坦和新型血管紧张素转化酶抑制剂福辛普利对心肌肥厚的影响.方法:SD大鼠ip去甲肾上腺素1.5 mg·kg~(-1)·d~(-1)×15 d,造成心肌肥厚模型.缬沙坦ig 15 mg· kg~(-1)·d~(-1)×15 d,福辛普利ig 30 mg·kg~(-1)·d~(-1)×15 d.测量心重指数,心肌胶原含量,肌球蛋白ATP酶及细胞膜和线粒体Na~ ,K~ -ATP酶,Ca~(2 )-ATP酶的活性,并检测此模型中心肌细胞的凋亡水平.结果:缬沙坦和福辛普利均能阻止心肌肥厚的发生,减少胶原合成,提高肌球蛋白ATP酶及细胞膜和线粒体Na~ ,K~ -ATP酶、Ca~(2 )-ATP酶的活力,抑制心肌细胞的凋亡.结论:缬沙坦和福辛普利可防止儿茶酚胺诱导的心肌重塑,心肌细胞凋亡可能在儿茶酚胺诱导的心肌重塑中起重要作用.

Effect of valsartan and fosinopril on catecholamine-induced cardiac hypertrophy

AIM: To study the influence of angiotensin (Ang) II receptor antagonist (AT1) valsartan and angiotensin-converting enzyme (ACE) inhibitor fosinopril on the cardiac hypertrophy induced by catecholamine. METHODS: A cardiac hypertrophy model was produced by i.p. norepinephrine (NE) 1.5 mg.kg-1.d-1 x 15 d. The animals were divided into four groups: 1) control (sodium chloride), 2) NE, 3) NE + fosinopril, 4) NE + valsartan. Fosinopril ig 15 mg.kg-1.d-1 x 15 d, valsartan ig 30 mg.kg-1.d-1 x 15 d. RESULTS: Valsartan ig 30 mg.kg-1.d-1 x 15 d and fosinopril ig 15 mg.kg-1.d-1 x 15 d prevented left ventricular hypertrophy induced by NE and decreased the content of collagen in myocardium; valsartan and fosinopril both elevated the myosin ATPase activity, Na+, K(+)-ATPase activity in membrane, and Ca(2+)-ATPase activity in mitochondrias. Apoptosis was induced in cardiomyocytes by catecholamine. Valsartan and fosinopril both inhibited apoptosis, and no significant differences were found in the apoptotic index between the two treatment groups. CONCLUSION: Valsartan and fosinopril prevent the remodeling of cardiac hypertrophy induced by norepinephrine. Cardiac myocyte apoptosis may play a key role in the heart remodeling.