参附注射液对糖尿病大鼠心肌缺血再灌注时PTEN和P13 K表达的影响

Objective To investigate the effect of Shenfu injectio (SFI) on the expression of phosphatase and tensin homolog deleted on chromosome 10 (PTEN) and phosphatidylinositol 3-kinase (PI3K) during myocardial ischemia-reperfusion (IR) in diabetic rats.Methods Thirty adult male diabetic SD rats weighing 220-280 g were used in this study. Diabetes mellitus was induced with intraperitoneal streptozotocin 60 mg/kg and confirmed by fasting blood glucose > 16.7 mmol/L. The animals were randomly divided into 3 groups ( n = 10 each): group I sham operation (group S); group II IR and group Ⅲ SFI. Myocardial IR was produced by occlusion of left anterior descending branch (LAD) of coronary artery for 30 min followed by 120 min reperfusion in group IR and SFI. LAD was exposed but not occluded in group S.SFI was infused iv at 10 ml·kg-1 ·h-1 before opening the thoracic cavity and at 3ml·kg-1·h-1 after opening the thoracic cavity in group SFI until the end of operation. Equal volume of Lactated Ringer's solution and hydroxyethyl starch was infused instead of SFI in group S and IR. The rats were killed and hearts removed at 120 min of reperfusion for microscopic examination and determination of cardiomyocyte apoptosis (by TUNEL)and expression of PTEN and PDK (by immunohistochemical method). PTEN/PI3K ratio, myocardial infarct size of left ventricle and apoptosis index were calculated.Correlation between apoptosis index and PTEN/PI3K ratio was analyzed. Results Myocardial infarct size and apoptosis index were significantly increased, while expression of PTEN and PI3K was up-regulated in group IR and SFI as compared with group S ( P < 0.05 or 0.01) . PTEN/PI3K ratio was significantly decreased in group SFI as compared with group S (P< 0.05). Myocardial infarct size and apoptosis index were significantly decreased, PTEN expression was down-regulated, PI3K expression was up-regulated and PTEN/PI3K ratio was significantly decreased in group SFI as compared with group IR( P < 0.05) . Myocardial pathological damage was attenuated in group SFI as compared with group IR. Apoptosis index was positively correlated to PTEN/PI3K ratio (r =0.452,P <0.05) .Conclusion SFI can attenuate myocardial IR injury via down-regulating the expression of PTEN,up-regulating the expression of PBK and activating PI3K/Akt signal pathway in diabetic rats.

Effects of Shenfu injectio on expression of PTEN and PI3K during myocardial ischemia-reperfusion in diabetic rats