肺微血管内皮细胞通透性调控的信号转导机制

肺微血管内皮细胞通透性增加是急性呼吸窘迫综合征等疾病的病理基础,多种信号转导系统参与其通透性调控,如细胞内Ca2 、蛋白激酶C、环磷酸腺苷、丝裂原激活蛋白激酶、小G蛋白.这些信号转导系统的激活和调控机制各异,并且相互关联组成复杂的信号网络.肺微血管内皮细胞中信号转导的相互作用将是研究方向之一.     

AMPK激活通过调控氧化应激修复高糖诱导的人脑微血管内皮细胞损伤

目的探究高糖条件下,腺苷酸活化蛋白激酶(adenine monophosphate activated protein kinase, AMPK)调控的氧化应激对血脑屏障通透性的影响。方法采用人脑微血管内皮细胞(human brain microvascular endothelial cells, HBMEC)作为体外血脑屏障细胞模型,采取如下两种方式处理:①不同浓度(5.5mmol/L或27.5mmol/L)葡萄糖处理HBMEC 24h;②AMPK激动剂氨基咪唑-4-甲酰胺核苷酸(4-amino-1H-imida-zole-5-carboxamide, AICAR)预处理2h后,再给予27.5mmol/L葡萄糖处理24h。Western blot及免疫荧光染色检测细胞间血脑屏障相关的闭锁连接蛋白(zonula occludens protein 1, ZO-1)水平,活性氧检测试剂盒检测细胞内活性氧(reactive oxygen species, ROS)水平,透射电镜观察细胞内线粒体超微结构改变。结果高糖处理后HBMEC细胞ZO-1水平显著降低,ROS水平升高,线粒体结构损伤;...     

蛋白激酶在微血管通透性中的作用

微血管内皮细胞层是一层半选择通透性屏障,可以调节血液中的液体、溶质和血浆蛋白进入组织间隙。在炎症刺激作用下,可通过旁细胞途径和跨细胞途径引起内皮通透性上升。旁细胞通路主要由内皮细胞间的紧密连接、黏附连接和细胞与外基质的黏着斑组成。炎症介质,如脂多糖和肿瘤坏死因子α可激活多种蛋白激酶。活化的蛋白激酶主要包括Rho相关的卷曲蛋白激酶、肌球蛋白轻链激酶、蛋白激酶C、酪氨酸激酶和丝裂原活化蛋白激酶等,参与引发内皮屏障生化和结构改变,旁细胞通路开放,导致通透性上升。该文对上述蛋白激酶在微血管通透性中作用机制的研究进展进行综述。     

从皮层细胞骨架到信号分子:ERM蛋白质的调控魔力

埃兹蛋白(Ezrin)、根蛋白(Radixin)和膜突蛋白(Moesin)(ERM)广泛分布于细胞基质、微绒毛和粘着连接处。其N、C末端分别包含与膜蛋白、肌动蛋白相结合的位点,两端之间以α-螺旋区相连。ERM通过分子内N、C两端的相互作用而维持休眠状态,特异有序的信号作用能解除这种分子内作用使其活化。ERM介导着肌动蛋白-膜蛋白的连接并调控信号分子的传导,因此参与了细胞膜的组建、细胞黏附、细胞迁移,甚至肿瘤发展等生理过程。     

木犀草素对高糖诱导的心肌微血管内皮细胞损伤的影响及机制

目的:探讨木犀草素对高糖诱导的心肌微血管内皮细胞(cardiac microvascular endothelial cells,CMECs)损伤的影响及其可能调控机制。方法:消化法分离大鼠CMECs,将原代CMECs随机分为4组:低糖组、低糖+木犀草素组、高糖组和高糖+木犀草素组。低糖+木犀草素组和高糖+木犀草素组分别加入30μmmol/L的木犀草素孵育24 h,低糖组和高糖组分别加入同等体积的DMSO孵育24 h。CCK-8实验检测CMECs增殖;Tunel法检测CMECs凋亡;Transwell检测CMECs的迁移能力;Western blot检测PKC-βⅡ的表达。结果:与低糖组和低糖+木犀草素组相比,高糖组CMECs增殖能力显著降低(0.341±0.018,P0.05),CMECs凋亡显著增加(P0.05),CMECs迁移能力显著降低(116±12.2,P0.05),PKC-βⅡ的表达显著增加(P0.05);与高糖组相比,高糖+木犀草素组CMECs增殖能力显著增加(0.550±0.023,P0.05),CMECs凋亡显著减少(P0.05),CMECs迁移能力显著增加(169±7.3,P0.05),PKC-βⅡ的表达显著降低(P0.05)。结论:木犀草素可能通过抑制PKC-βⅡ激活减少高糖诱导的心肌微血管内皮细胞损伤。     

miR-20b-5p靶向MAPK1调控脑出血过程中脑微血管内皮细胞铁死亡

摘要 目的：探讨miR-20b-5p对氧糖剥夺（OGD）/Hemin处理的脑微血管内皮细胞（BMVEC）功能的影响及机制。方法：将BMVEC分为Control组、agomir-NC组、agomir-miR-20b-5p组、antagomir-NC组和antagomir-miR-20b-5p组。使用Lipofectamine 2000试剂对细胞进行相应的转染处理。BMVEC转染后,将BMVEC再分为Control组、OGD/Hemin组（O/H组）、OGD/Hemin+agomir-NC组（O/H+agomir-NC组）、OGD/Hemin+agomir-miR-20b-5p组（O/H+agomir-miR-20b-5p组）、OGD/Hemin+antagomir-NC组（O/H+antagomir-NC组）和OGD/Hemin+antagomir-miR-20b-5p组（O/H+antagomir-miR-20b-5p组）。Control组BMVEC正常培养,其他组BMVEC进行OGD/Hemin处理。MTT法检测BMVEC增殖,TUNEL染色检测BMVEC凋亡,Transwell检测BMVEC迁移。使用试剂盒检测超氧化物歧化酶（SOD）、谷胱甘肽过氧化物酶（GSH-Px）和丙二醛（MDA）水平。使用Iron Assay试剂盒检测Fe²⁺含量。通过qRT-PCR检测miR-20b-5p和MAPK1 mRNA水平。通过Western blot检测MAPK1、Bax、Bcl-2、谷胱甘肽过氧化物酶4（GPX4）和前列腺素内过氧化物合酶2（PTGS2）蛋白表达水平。通过免疫荧光染色检测MAPK1的荧光强度水平。结果：与Control组和agomir-NC组比较,agomir-miR-20b-5p组BMVEC中的miR-20b-5p水平升高（P<0.05）。与Control组和antagomir-NC组比较,antagomir-miR-20b-5p组BMVEC中的miR-20b-5p水平降低（P<0.05）。与Control组比较,O/H组BMVEC中的miR-20b-5p水平降低,细胞活力降低,TUNEL阳性率和Bax蛋白表达水平升高,Bcl-2蛋白表达水平降低,迁移数量降低,SOD和GSH-Px活性降低,MDA含量升高,Fe²⁺含量和PTGS2的蛋白表达水平升高,GPX4的蛋白表达水平降低,MAPK1的mRNA和蛋白表达水平以及相对荧光强度升高（P<0.05）。与O/H组和O/H+agomir-NC组比较,O/H+agomir-miR-20b-5p组BMVEC中的miR-20b-5p水平升高,细胞活力升高,TUNEL阳性率和Bax蛋白表达水平降低,Bcl-2蛋白表达水平升高,迁移数量升高,SOD和GSH-Px活性升高,MDA含量降低,Fe²⁺含量和PTGS2的蛋白表达水平降低,GPX4的蛋白表达水平升高,MAPK1的mRNA和蛋白表达水平以及相对荧光强度降低（P<0.05）。与O/H组和O/H+antagomir-NC组比较,O/H+antagomir-miR-20b-5p组BMVEC中的miR-20b-5p水平降低,细胞活力降低,TUNEL阳性率和Bax蛋白表达水平升高,Bcl-2蛋白表达水平降低,迁移数量降低,SOD和GSH-Px活性降低,MDA含量升高,Fe²⁺含量和PTGS2的蛋白表达水平升高,GPX4的蛋白表达水平降低,MAPK1的mRNA和蛋白表达水平以及相对荧光强度升高（P<0.05）。结论：本研究表明上调miR-20b-5p通过抑制OGD/Hemin处理的BMVEC中MAPK1的表达从而抑制了铁死亡途径。     

DNA-PK蛋白功能及其调控机制

DNA依赖性蛋白激酶（DNA-dependent protein kinase,DNA-PK）是由3个亚基组成的丝/苏氨酸蛋白激酶,属于磷脂酰肌醇-3激酶相关激酶家族（phosphatidylinositol 3-kinase-related kinases,PIKK）,是基因组DNA损伤修复过程中的关键蛋白激酶,参与并决定着非同源末端连接DNA损伤修复通路的整个进程.此外DNA-PK还参与了电离辐射诱导的凋亡信号转导通路,免疫细胞V（D）J重组、免疫细胞分化、胰岛素刺激下的细胞应答等过程,具有维持端粒稳定性的功能.DNA-PK活性的升高会降低肿瘤对放射的敏感性,其活性主要受自身磷酸化调控,此外活性氧、EGFR、MG132抑制剂、PP1γ1和PP5等蛋白磷酸酶也有调控DNA-PK活性的作用.     

视网膜微血管内皮细胞在糖尿病视网膜病变中的研究现状

糖尿病视网膜疾病是导致成年人失明的主要因素,是糖尿病的一种令人恐惧的并发症,高血糖被认为是促进其发展的主要原因。高血糖不断地破坏视网膜的微血管系统最终导致视网膜的许多代谢,结构和功能的紊乱。视网膜微血管内皮细胞在微脉管系统中形成树枝状供应视网膜神经,这些内皮细胞的解剖和生理符合重要视觉保护的营养需求[1]。一方面,内皮组织务必确保氧的供应和代谢活跃的视网膜营养供应;另一方面,内皮细胞有助于血-视网膜屏障将循环产生的毒素分子,白细胞促炎性物质排出体外来保护视网膜,这种特性也可能会引起疾病,比如:视网膜血管的渗漏和新生血管,炎性物质转移,因此,视网膜内皮细胞在视网膜缺血性病变,血管炎中起到重要作用,包括糖尿病视网膜病变和视网膜炎症或感染尤其是后葡萄膜炎。使用基因表达和蛋白质组学分析等研究方法,有助于了解这些疾病的发病机制。为了进一步开展对糖尿病视网膜疾病的研究,有必要就目前有关糖尿病视网膜病变患者微血管内皮细胞的研究进展予以综述,旨在为糖尿病视网膜病变的深入研究提供参考依据。     

巨噬细胞炎症蛋白1α促进6T-CEM细胞穿过人脑微血管内皮细胞单层

有研究表明,T细胞可能参与阿尔茨海默氏病(AD)免疫过程,但T细胞如何穿过血脑屏障内皮细胞紧密连接,到达脑内还不清楚。我们研究曾发现,AD病人外周血T淋巴细胞穿过人脑微血管内皮细胞(HBMEC)单层能力高于同龄正常人,其T淋巴细胞巨噬细胞炎症蛋白1α(MIP-1α)表达明显增高。为进一步在体外研究促使T淋巴细胞穿过HBMEC单层的机制,选取重组人MIP-1α(rhMIP-1α)作用于HBMEC,同时选用高表达MIP-1α的人急性白血病T淋巴细胞(6T-CEM)作为模式细胞,与HBMEC共同温育。发现rhMIP-1α可促进6T-CEM细胞穿过HBMEC单层,并使HBMEC单层紧密连接结构发生改变。在6T-CEM细胞或rhMIP-1α与HBMEC单层单独温育过程中,均引起HBMEC单层CCR5表达变化。提示MIP-1α可能通过与HBMEC单层上CCR5相互作用介导T淋巴细胞穿过HBMEC单层。     

FAP在乳腺癌间质中的表达及其与微血管密度的关系

目的观察乳腺各组良恶性病变中FAP表达变化及其与微血管密度(MVD)的关系。方法本文应用免疫组织化学,Western Blotting实验方法观察FAP在乳腺腺病、乳腺纤维腺瘤、乳腺非浸润癌(导管原位癌),乳腺浸润性导管癌及MCF-7-CCC-HPF-1、MDA-MB-231-CCC-HPF-1共培养模型中的表达变化并探讨FAP与微血管密度(MVD)的关系。结果FAP在乳腺腺病、乳腺纤维腺瘤间质中表达阴性,在乳腺非浸润癌(导管原位癌)、乳腺浸润性导管癌间质中高表达;FAP在细胞系MDA-MB-231中不表达,在共培养模型MCF-7-CCC-HPF-1,MDA-MB-231-CCC-HPF-1中均有表达;FAP表达与MVD相关(P<0.05)。结论FAP可能作为判定乳腺良恶性病变的指标之一,且可能在促进乳腺癌浸润、生长及转移中发挥一定作用。     

AIBP基因表达下调促进心肌微血管内皮细胞血管新生

目的:探讨阻断载脂蛋白A-I结合蛋白(AIBP)的表达后对心肌微血管内皮细胞(CMECs)血管新生的作用。方法:消化法分离SD大鼠CMECs,通过慢病毒介导的siRNA转染CMECs下调AIBP基因表达,并设立空白对照组及阴性转染组。RT-PCR法检测AIBP基因的表达;CCK-8比色法检测细胞增殖;Transwell小室评价细胞迁移能力;成管实验评价血管新生能力。结果:RT-PCR结果显示,与空白对照组及阴性转染组相比,转染组CMECs中AIBP表达显著降低(P0.01);CCK-8结果显示,与空白对照组及阴性转染组相比,转染组CMECs增值水平显著增高(P0.01);Transwell法结果显示,与空白对照组及阴性转染组相比,转染组CMECs迁移能力显著增高(P0.01);成管实验显示,与空白对照组及阴性转染组相比,转染组CMECs成管能力显著增高(P0.01)。结论:抑制AIBP表达可以明显促进CMECs增殖,促进其迁移和成管。     

Regulation of n-3 and n-6 Fatty Acid Metabolism in Retinal and Cerebral Microvascular Endothelial Cells by High Glucose

Abstract: The present study was undertaken to determine whether polyunsaturated fatty acid metabolism is affected by high glucose levels in cerebral and retinal microvascular endothelial cells. The metabolism of [3-¹⁴C]22:5n-3 and [1-¹⁴C]18:2n-6 was studied in cells previously cultured for 5 days in normal (5 m M ) or high (30 m M ) glucose medium. After incubation of retinal endothelial cells with [3-¹⁴C]22:5n-3 in the high glucose condition, the formation of labeled 24:6n-3 and 22:6n-3 was increased, and that of labeled 24:5n-3 was decreased, compared with the normal glucose condition. The changes were found for fatty acids esterified in cellular lipids and those released into the medium. After incubation with [1-¹⁴C]18:2n-6, levels of all elongation/desaturation products were increased at the expense of the precursor in retinal endothelial cells cultured in high glucose medium. The changes were primarily found for esterified fatty acids, with the release of n-6 fatty acids being minor in both glucose concentrations. By contrast, high glucose levels did not affect the metabolism of [3-¹⁴C]22:5n-3 and [1-¹⁴C]18:2n-6 in cerebral endothelial cells. The changes in metabolic activity of retinal endothelial cells were not reflected in the fatty acid composition. The present data suggest that high glucose can increase the desaturation process in retinal but not cerebral endothelial cells. This may produce some lipid abnormalities in retinal microvasculature and contribute to altered vascular function observed in diabetic retinopathy.     

The Regulation of Vascular Endothelial Growth Factor-induced Microvascular Permeability Requires Rac and Reactive Oxygen Species

Vascular permeability is a complex process involving the coordinated regulation of multiple signaling pathways in the endothelial cell. It has long been documented that vascular endothelial growth factor (VEGF) greatly enhances microvascular permeability; however, the molecular mechanisms controlling VEGF-induced permeability remain unknown. Treatment of microvascular endothelial cells with VEGF led to an increase in reactive oxygen species (ROS) production. ROS are required for VEGF-induced permeability as treatment with the free radical scavenger, N-acetylcysteine, inhibited this effect. Additionally, treatment with VEGF caused ROS-dependent tyrosine phosphorylation of both vascular-endothelial (VE)-cadherin and β-catenin. Rac1 was required for the VEGF-induced increase in permeability and adherens junction protein phosphorylation. Knockdown of Rac1 inhibited VEGF-induced ROS production consistent with Rac lying upstream of ROS in this pathway. Collectively, these data suggest that VEGF leads to a Rac-mediated generation of ROS, which, in turn, elevates the tyrosine phosphorylation of VE-cadherin and β-catenin, ultimately regulating adherens junction integrity.Endothelial cells line the inside of blood vessels and serve as a barrier between circulating blood and the surrounding tissues. Endothelial permeability is mediated by two pathways: the transcellular pathway and the paracellular pathway. In the transcellular pathway material passes through the cells, whereas in the paracellular pathway fluid and macromolecules pass between the cells. The paracellular pathway is regulated by the properties of endothelial cell-cell junctions (1–3). Changes in the permeability of this barrier are tightly regulated under normal physiological conditions. However, dysregulated vascular permeability is observed in many life-threatening conditions, including heart disease, cancer, stroke, and diabetes.VEGF² was first discovered as a potent vascular permeability factor that stimulated a rapid and reversible increase in microvascular permeability without damaging the endothelial cell (4, 5). VEGF was later shown to be a selective growth factor for endothelial cells, capable of promoting migration, growth, and survival (6). Considerable progress has been made toward understanding the signaling events by which VEGF promotes growth and survival (7). However, the mechanism through which VEGF promotes microvascular permeability remains incompletely understood.VE-cadherin is an endothelial cell-specific adhesion molecule that connects adjacent endothelial cells (8, 9). While the barrier function of the endothelium is supported by multiple cell-cell adhesion systems, disruption of VE-cadherin is sufficient to disrupt intercellular junctions (9–11). Earlier studies have demonstrated increased permeability both in vitro and in vivo after treatment with VE-cadherin-blocking antibodies (9, 12). Additionally, VE-cadherin is required to prevent disassembly of blood vessel walls (11, 13) and to coordinate the passage of macromolecules through the endothelium (14, 15). Tyrosine phosphorylation may provide the regulatory link, as increased phosphorylation of cadherins and potential dissociation of the cadherin/catenin complex results in decreased cell-cell adhesion and increased permeability (16, 17).Recent evidence has demonstrated that Rac1-induced reactive oxygen species (ROS) disrupt VE-cadherin based cell-cell adhesion (18). The mechanisms by which ROS affect endothelial permeability have not been fully characterized. VEGF has been reported to induce NADPH oxidase activity and induce the formation of ROS (19, 20). A direct link between Rac and ROS in a non-phagocytic cell was shown in 1996, when it was demonstrated that activated Rac1 resulted in the increased generation of ROS in fibroblasts (21). Several studies have subsequently implicated Rac-mediated production of ROS in a variety of cellular responses, in particular in endothelial cells (22, 23). These data suggest that ROS may play a critical role in integrating signals from VEGF and Rac to regulate the phosphorylation of VE-cadherin and ultimately the integrity of the endothelial barrier.In the present study we sought to determine the mechanism by which VEGF regulates microvascular permeability. Our results show that VEGF treatment of human microvascular endothelial cells results in the Rac-dependent production of ROS and the subsequent tyrosine phosphorylation of VE-cadherin and β-catenin. The phosphorylation of VE-cadherin and β-catenin are dependent on Rac and ROS and result in decreased junctional integrity and enhanced vascular permeability.     

Glycosyltransferase Activities in Cultured Endothelial Cells of Bovine Brain Microvascular Origin

Bovine brain microvascular endothelial cells (BMECs) express GM3 (NeuAc) and GM3 (NeuGc) as the major gangliosides, and GM1, GD1a, GD1b, GT1b as well as sialosylparagloboside and sialosyllactosaminylparagloboside as the minor species. To investigate the metabolic basis of this ganglioside pattern, the activities of eight glycosyltransferases (GM3-, GD1a-, GD3-, LM1-, GM2 (NeuAc)-, GM2 (NeuGc)-, LacCer-, and GM1-synthases) in cultured BMECs were studied. It was found that BMECs possessed high activities of GM3- and GD1a-synthases, and low activities of GM2-, GM1-, and GD3-synthases. Thus, the present study provides evidence that endothelial cells are capable of synthesizing gangliosides in situ and that the high content of GM3 in BMEC is closely associated with high activities of GM3-synthase and low activities of GM2-, GM1-, and GD3-synthases.     

辛伐他汀对雷帕霉素作用下心肌微血管内皮细胞的影响

目的:研究辛伐他汀(SIM)对雷帕霉素(RAPA)引起的体外心肌微血管内皮细胞(CMECs)损害的保护机制。方法:分离、培养大鼠心肌微血管内皮细胞。经形态学及Dil-ac-LDL吞噬试验进行鉴定后,采用RAPA(100 nM)处理24小时建立CMECs损伤模型,然后加入不同浓度的SIM(0,10-2,10-1,100,101μM)培养24小时后,采用MTT,WST-8及Transwell检测受损后CMECs的增殖和迁移;采用Hoechst 33258及Caspase-3检查各组CMECs的凋亡;采用蛋白免疫印迹(Western blotting)检测Akt/p70 S6K磷酸化的程度;格里斯反应及实时逆转录PCR分别检测一氧化氮(NO)含量及一氧化氮合酶(eNOS)mRNA的表达。结果:①经形态学及Dil-ac-LDL吞噬试验均表明,成功培养CMECs;②低浓度SIM 100μM可显著改善100 nM RAPA对CMECs增殖、迁移和凋亡的影响;③SIM可通过上调PI3K/Akt进而上调p70s6K磷酸化(P0.05或P0.01);④SIM通过PI3K/Akt促进CMECs分泌NO及eNOS mRNA的表达(P0.05或P0.01)。结论:一定浓度下的SIM可改善RAPA作用下CMECs的增殖,迁移和凋亡,这些保护作用可能是通过其激活PI3K/Akt/mTOR/p70S6K信号通路实现的。     

大鼠脑微血管内皮细胞培养及其药物转运体Oatp2和P-gp的表达

贴块法培养脑微血管内皮细胞(BMECs),倒置显微镜动态观察细胞生长及形态,Ⅷ因子相关抗原、CD34免疫细胞化学联合鉴定细胞并确定纯度。免疫细胞化学和Western印迹法检测药物转运体有机阴离子转运多肽亚型2(Oatp2)及P-糖蛋白(P-gp)在培养内皮细胞上的表达。结果显示,获得的BMECs呈多角形或铺路石形,单层贴壁生长;培养细胞Ⅷ因子相关抗原免疫细胞化学、CD34免疫荧光染色均为阳性,细胞纯度90%;培养细胞有Oatp2及P-gp表达,且二者均主要表达于BMECs细胞膜。提示贴块法可获得原代培养BMECs,方法简便易行,细胞纯度较高。原代培养的BMECs上有药物转运体Oatp2及P-gp的表达,为血脑屏障上药物转运体的体外研究提供了可能途径。     

运用植块法培养脑微血管内皮细胞

探讨简易可行的脑微血管内皮细胞(brain microvascular endothelial cells,BMECs培)养方法,为研究BMECs细胞在脑血管疾病中的重要作用提供技术支持。分离出生后1~7天内的SD乳鼠大脑皮质区,植块法培养BMECs细胞。用倒置显微镜观察BMECs细胞的形态以及从皮质块迁出的过程;MTT比色法检测BMECs细胞的生长曲线;采用免疫组化染色检测VIII因子相关抗原和CD34抗原,以鉴定内皮细胞。结果发现,大脑皮质块植块法培养的大鼠BMECs细胞呈单层贴壁生长,细胞形态以长梭形、多角形三角形、四边形为主,呈典型的“铺路石”样征象,经鉴定为内皮细胞,第三代纯度达95%以上。提示该方法具有经济、简便、要求条件不高,易于纯化的优点,可作为大鼠BMECs细胞体外培养的良好模型。     

大鼠脑微血管内皮细胞的分离与原代培养

为了建立大鼠脑微血管内皮细胞体外培养模型,探索纯度较高的大鼠脑微血管内皮细胞分离和原代培养的方法并进行形态学观察。采用2～3周龄的SD大鼠,解剖得到大脑皮质,两次酶消化及牛血清白蛋白或葡聚糖和Percoll梯度离心获得较纯的脑微血管段后,接种于涂布基质的培养皿进行原代培养;培养的细胞采用相差显微镜形态学观察、透射电镜观察及Ⅷ因子相关抗原免疫组化检测鉴定。结果发现,培养12h即可见细胞从贴壁的脑微血管段周围长出,细胞呈短梭形,区域性单层生长,5～7天内皮细胞融合,内皮细胞纯度达90％以上;内皮细胞的贴壁和生长有赖于所涂布的基质,纤连蛋白／Ⅳ型胶原优于鼠尾胶和明胶;Ⅷ因子相关抗原免疫组化检测内皮细胞表达阳性,透射电镜观察可见相邻内皮细胞间存在紧密连接结构。提示该方法能成功进行纯度较高的大鼠脑微血管内皮细胞原代培养,可用于脑微血管内皮的生理、生化及药理学研究,亦可用于构建大鼠血脑屏障模型。     

A Role for the Endothelial Glycocalyx in Regulating Microvascular Permeability in Diabetes Mellitus

Diabetic angiopathy is a major cause of morbidity and mortality in diabetes mellitus. Endothelial dysfunction and associated alterations in blood flow, pressure and permeability are widely accepted phenomena in the diabetic milieu and are understood to lead to microangiopathy. Despite the clinical importance of diabetic microangiopathy, the mechanisms of pathogenesis remain elusive. In particular, much is yet to be understood about the nature of the putative increased permeability with respect to diabetes. Microvessel permeability is intrinsically difficult to measure and a surrogate (solute or solvent flux) is usually reported, the measurement of which is hampered by haemodynamic factors, such as flow rate, hydrostatic pressure gradient, solute concentration and surface area available for exchange. Very few studies describing the measurement of permeability with respect to diabetes have controlled for all these factors. As a result, the nature of the increased microvessel permeability in diabetes mellitus and indeed its causes are poorly understood. Recent studies have shown that hyperglycaemia can alter the glycocalyx structure, and parallel findings have shown that the apparent increase in permeability demonstrated in hyperglycaemia may be due to an increase in the permeability of the vessels to water, and not an increase in protein permeability, an effect attributable to altered glycocalyx. This review focuses on the current understanding of microvascular permeability in terms of the endothelial glycocalyx- fibre-matrix theory, those methods used to determine permeability in the context of diabetes, and the more recent developments in our understanding of elevated microvascular permeability in the diabetic circulation.