三七总皂苷对异丙肾上腺素所致大鼠心肌肥厚和纤维化的影响

目的：研究三七总皂苷（PNS）对异丙肾上腺素所致大鼠心肌肥厚和纤维化的保护作用。方法： 用异丙肾上腺素（ISO）5 mg·kg^-1·d^-1,sc,连续7 d，建立大鼠心肌肥厚和纤维化模型。造模第2 d开始给大鼠腹腔注射PNS 25和50 mg· kg^-1·d^-1,连续14 d，测定全心重量指数（HW/BW）、左心室重量指数（LVW/BW即LVI）；采用试剂盒用分光光度法检测左心室心肌组织中羟脯氨酸（Hyp）、丙二醛（MDA）、一氧化氮（NO）含量和超氧化物歧化酶（SOD）、谷光苷肽过氧化酶（GSH-Px）、一氧化氮合酶（NOS）活性；用放免分析法检测左心室心肌组织中血管紧张素Ⅱ（AngⅡ）含量。结果： ISO模型组大鼠的HW/BW、LVI、左心室HyP、AngⅡ、MDA含量和诱生型NOS(iNOS)活性显著高于生理盐水对照组，SOD、GSH-Px及结构型NOS(cNOS)活性和NO含量明显比生理盐水对照组低；PNS治疗组左心室心肌组织中NO含量、cNOS 、SOD和GSH-Px活性明显高于ISO模型组；MDA和AngⅡ含量及iNOS活性和心脏重量指数比ISO模型组低。结论： PNS有抗心肌肥厚和纤维化作用，该作用与清除氧自由基及升高NO含量有关。

Protective effects of total saponins of panax notoginseng on myocardial hypertrophy and fibrosis induced by isoproterenol in rats

AIM: To investigate the protective effects of total saponins of panax notoginseng (PNS) on myocardial hypertrophy and fibrosis induced by isoproterenol (ISO) in rats.METHODS: Myocardial hypertrophy and fibrosis model of rats were induced by injection of ISO (5 mg·kg^-1·d^-1,sc) for 7 days.From day 2,the rats were administered with PNS at dose of 25 and 50 mg·kg^-1·d^-1,ip for 14 days,the control and ISO model group were received saline injection.Then,the heart-weight (HW),left ventricular weight (LVW),the ratio of HW/BW and LVW/BW (LVI) were measured;the hydroxyproline and malondialdehyde (MDA) and angiotensin (AngII) content of left ventricle.The level of nitric oxide (NO),nitric oxide synthase (NOS),superoxide disrnutase (SOD) and glutathione peroxidase (GSH-Px) activities in left ventricle were determined by spectrophotemetry and radioimmunoassay,respectively. RESULTS: Compared with NS control group,the ratio of HW/BW,LVW/BW and the content of hydroxyproline,AngII,MDA and iNOS activity in the left ventricle were significantly increased.The cNOS,SOD,GSH-Px activities and NO content were obriously decreased in the ISO model group.After treatment with PNS,the left ventricular NO content,cNOS,SOD and GSH-Px activities were markedly higher than those in ISO model group.The content of MDA,AngII and iNOS activities and the ratio of HW/BW,LVI were significantly lower than those in ISO model group.CONCLUSION: PNS reverses the myocardial hypertrophy and fibrosis induced by isoproterenol in rats.This effect may be related to eliminating the oxygen free radicals and raising NO level.