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细胞间旁分泌在牵张刺激心肌细胞肥大中的作用

冯兵 王德文 何作云

  [摘 要] 目的: 探讨细胞间旁分泌在牵张刺激心肌细胞肥大中的作用。方法: 用牵张刺激培养成纤维细胞、微血管内皮细胞的条件培养基,刺激心肌细胞,观察[3H]-Leu掺入的变化。 结果: 牵张培养成纤维细胞、微血管内皮细胞的条件培养基均可显著刺激心肌细胞[3H]-Leu掺入。条件培养基中血管紧张素II、内皮素含量显著升高。用特异的血管紧张素II、内皮素受体拮抗剂可明显抑制心肌细胞[3H]-Leu掺入率,联合应用时抑制率可达80%以上。结论: 牵张刺激可通过诱导心肌间质细胞内分泌活化启动心肌肥大反应。
  [主题词]  物理刺激; 成纤维细胞; 内皮,血管; 心肌病, 肥大性
  [中图分类号]  R364.3+1     [文献标识码] A
[文章编号] 1000-4718(2000)10-0883-04

Role of cellular paracrine in the mechanism of cardiomyocyte
hypertrophy induced by stretch

FENG Bing
(Institute of radiation medicine, academy of military medicine, Beijing 100850, China;)
WANG De-wen
(Institute of radiation medicine, academy of military medicine, Beijing 100850, China;)
HE Zuo-yun
(Department of Cardiology, Xingiao Hospital, Third Military Medical University, Chongqing 400037, China)

[Abstract]  AIM: To investigate the role of cellular paracrine in the mechanism of cardiomyocyte hypertrophy induced by stretch. METHODS: [3H]-leu incorporation into cultured cardiomyocytes was measured when stimulated by conditioned-media of myocardial fibroblast and microvascular endothelial cell after stretch. RESULTS: [3H]-leu incorporation rate were both elevated significantly stimulated by conditioned-media of myocardial fibroblast and microvascular endothelial cell. And angiotensin II and endothelin of conditioned-media of myocardial fibroblast and microvascular endothelial cell were also elevated significantly. And [3H]-leu incorporation rate were inhibited significantly when the specific angiotensin II and endothelin receptor antagonist losartan(1 μmol/L) and BQ123(1 μmol/L) were added. [3H]-leu incorporation rate were inhibited over 80% when losartan(1 μmol/L) and BQ123(1 μmol/L) were added together. CONCLUSION: The activation of myocardial fibroblast and microvascular endothelial cell endocrine stimulated by stretch play a role through paracrine in the pathogenesis

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