Hypoxic response elements control expression of human vascular endothelial growth factor(165) genes transferred to ischemia myocardium in vivo and in vitro

BACKGROUND: Vascular endothelial growth factor (VEGF) gene transfer with recombinant adeno-associated viral (rAAV) vector for ischemia heart disease therapy is being increasingly studied. However, uncontrolled long-term expression of VEGF may cause some side effects. Therefore, an attempt to develop an effective gene control system for safeguarding against such side effects should be made. Pathphysiologically, an ideal control system for VEGF gene expression is letting it respond to hypoxia. We used nine copies of hypoxic response element (HRE) to regulate expression of hVEGF(165) in the myocardium, and tried to elucidate the feasibility and safety of the application of the HIF-1-HRE system. METHODS: Cardiomyocytes of neonatal Sprague Dawley rats were cultured and incubated with rAAV-9HRE-hVEGF(165), and pig ischemic heart models were established and rAAV-9HRE-hVEGF(165) was injected into ischemia myocardium. RT-PCR, Western blot, ELISA, and immunohistochemistry were used to determine hVEGF(165) expressions of cultured cardiomyocytes and myocardium under hypoxic and reoxygenation conditions. RESULTS: The results of RT-PCR and ELISA determinations revealed that, in cultured cardiomyocytes, expressions of hVEGF(165)mRNA and protein were up-regulated under hypoxic conditions. After 4 h of reoxygenation, hVEGF(165)mNRA expression was decreased, and disappeared following 8 to 12 h of reoxygenation (P < 0.01). RT-PCR and Western blot also showed that, under myocardial ischemia, hVEGF(165) expression was increased significantly (P < 0.01). Following myocardial reperfusion, both hVEGF(165)mRNA and protein expressions were inhibited (P < 0.01). The new vessels in the reperfusion condition were decreased. CONCLUSIONS: This study suggested that 9HRE can effectively control hVEGF(165) gene expression in vivo and in vitro. It has feasibility for using the HIF-1-HRE system for regulation of angiogenic factor expression in ischemia heart.     

有氧运动对高脂膳食小鼠心肌损伤中Nrf2/GPX4/Ferroptosis通路的作用*

目的: 探讨核因子E2相关因子2(Nrf 2)激活谷胱甘肽过氧化物酶4(GPX4)抑制铁死亡(Ferroptosis)的通路在有氧运动预防高脂膳食小鼠心肌损伤中的保护作用。方法: 40只5周龄SPF 级C57BL/6雄性小鼠随机分为安静对照组(NC)、运动组(NE)、高脂组(HC)和高脂+运动组(HE,高脂与跑台运动同时开始),每组10只。高脂膳食采用60% Kcal SPF级高脂模型饲料喂养,自由进食。有氧运动采用递增负荷跑台运动,每周5 d,60 min/d,速度从13 m/min开始,每两周速度递增1 m/min。14周后取心肌和血液。HE染色观察心肌组织结构变化。Western blot 检测心肌Nrf2/GPX4/ Ferroptosis相关蛋白表达。分光光度法测定心肌过氧化物浓度和抗氧化酶活性。ELISA法检测心肌线粒体8-OHdG和血清胰岛素水平。结果: 与对照组相比,高脂组的心肌纤维间隙脂质集聚增加,FBG和FINS显著增加,而ISI显著下降(P＜0.01);与高脂组相比,高脂运动组的心肌纤维间隙脂质集聚减少, T-AOC、T-SOD、GSH活性显著增强,心肌线粒体8-OHdG和心肌铁含量降低(P＜0.01),FPN1、FTH1、GPX4、GLUT1和细胞核内Nrf2显著升高(P＜0.01)。结论: 有氧运动可促进小鼠心肌Nrf2转位入核增强GPX4表达,抑制心肌Ferroptosis发生,同时促进心肌抗氧化酶活性,抑制心肌线粒体过氧化损伤。     

Characterization of the human myocardium by optical coherence tomography

Imaging of cardiac tissue structure plays a critical role in the treatment and understanding of cardiovascular disease. Optical coherence tomography (OCT) offers the potential to provide valuable, high‐resolution imaging of cardiac tissue. However, there is a lack of comprehensive OCT imaging data of the human heart, which could improve identification of structural substrates underlying cardiac abnormalities. The objective of this study was to provide qualitative and quantitative analysis of OCT image features throughout the human heart. Fifty human hearts were acquired, and tissues from all chambers were imaged with OCT. Histology was obtained to verify tissue composition. Statistical differences between OCT image features corresponding to different tissue types and chambers were estimated using analysis of variance. OCT imaging provided features that were able to distinguish structures such as thickened collagen, as well as adipose tissue and fibrotic myocardium. Statistically significant differences were found between atria and ventricles in attenuation coefficient, and between adipose and all other tissue types. This study provides an overview of OCT image features throughout the human heart, which can be used for guiding future applications such as OCT‐integrated catheter‐based treatments or ex vivo investigation of structural substrates.     

Protective effect of Salvia miltiorrhiza aqueous extract on myocardium oxidative injury in ischemic–reperfusion rats

Salvia miltiorrhiza has strong antioxidative activity. They may have a strong potential as cardioprotective agents in ischemic–reperfusion injury. Experiments were carried out in Sprague–Dawley rats with myocardium ischemia reperfusion (IR). Myocardial injuries during IR were determined by changes in electrocardiogram analysis of arrhythmias, antioxidant enzyme activities, AST, CK-MB, lactate dehydrogenase (LDH) levels, and myocyte apoptosis. Results showed that S. miltiorrhiza aqueous extract (SAME) pre-treatment significantly decreased the ST-segment (ΣST₁₂₀) and myocardium MDA, AST, CK-MB, lactate dehydrogenase (LDH) levels, increased myocardium antioxidant enzyme activities, and inhibit myocardium cell apoptosis. Furthermore, the SAME pre-treatment significantly upregulated p-JAK2 and p-STAT3 protein expression, decreased myocardium TNF-α and IL-6 concentrations in IR rats. The levels of TNF-α and IL-6 were positively correlated with the changes in myocardium p-JAK2 and p-STAT3 protein expression levels in IR rats. It can be concluded that the SAME pre-treatment has anti-ischemic and anti-apoptosis activity in heart IR rats. SAME pre-treatment protects heart against IR injury, at least in part, through its stimulating effects on injury-induced deactivation of JAK2/STAT3 signaling pathway.     

Photon radiation-induced structural and functional changes in the myocardium of hypertensive spontaneously hypertensive rats

Hypertensive SHR rates were irradiated with orange-red light using a Korobkov photon light-emitting diode matrix with a maximum radiation at 612 nm; irradiation was performed daily for 1 h for 13 days. After the course of irradiation, the rhythmoinothropic characteristics of the cardiac papillary muscle significantly improved. Morphological analysis revealed active rearrangement in myocytes, which were observed primarily in the structure of the sarcoplasmic reticulum (SR), whose relative area increased more than twice compared to the control. Apparently, photon therapy of hypertensive rats normalizes calcium homeostasis in myocytes and improves the calcium-transport function of SR. The normalization of structural and functional characteristics of the myocardium with hypertensive rates may result from an increase in the SR buffer capacity and activation of SR Ca²⁺-ATPase. Furthermore, qualitative and quantitative changes in the proportion of capillaries, myofibrils, and mitochondria in myocytes indicate the development of adaptive-compensatory processes leading to the activation of biosynthetic processes and an increase in the energy potential of the myocardium.     

The density of myocardial and pericardial rat mast cells in isoproterenol-induced heart failure

The multifunctional mast cells (MC), located in the myocardium, actively react to the pathology of a cardiovascular system. We investigated MC density in the pericardium and myocardium of rats in intact and experimental heart failure (HF) 24 h and 14, 28, and 60 days after two (at 24 h intervals) injections of Isoproterenol (IP) inducing necrosises in the myocardium. An expressiveness of HF was estimated with the help of ultrasonic scanning of the heart after 28 and 60 days after two IP injections. MC of different degrees of maturity were identified cytochemically on paraffin sections stained with Alcian blue-Safranine. The MC density in the myocardium of intact and experimental rats was relatively low, ranging from 4 to 6 cells/mm², thus the ratio of cells of a different degrees of maturity during HF development was reliably unchanging. In the fibrous layer of pericardium, the MC density was higher than in the myocardium and, for the intact rats, it amounted 48.6 ± 13.0 cells/mm². 24 h to 14 days after IP injections, the MC density in pericardium in contrast to intact sample increased on the average in 1.5 times (P < 0.05) at the expense of increase of density of more differentiated cells stained with Safranine, without density change of less differentiated cells stained with Alcian blue. After 28 days, the MC density in pericardium was 2 times higher than in the intact sample (P < 0.01) and, at the same time, the density of cells of a different maturity degree (P < 0.05) was considerably increased. For 60 days, the MC density and the balance of Alcian-and Safranine-positive cells did not differ reliably from the intact sample. The dynamic of behavior of the MC population of pericardium was corresponding to HF injury on functional parameters. The data obtained indicate the active reaction of MC pericardium on a dysfunction of the myocardium; it stimulates the maturation of resident MCs and the reinforcement of the population at the expense of the migration of cells from the outside, which allows us to propose an intensification of the MC secretory function.     

含血停搏液镁离子浓度对未成熟心肌保护的影响

目的 采用幼兔离体心脏模型。模拟临床上可能出现的含血停搏液Ca^2 浓度变化,探讨适宜于未成熟心肌保护的Mg^2 浓度。方法 3-4周龄长耳白兔,依照含血停搏液不同Mg^2 浓度（0.6mmol/L,4.0mmol/L,8.0mmol/L,120mmol/L,16.0mmol/L）随机分为5组,建立Langendorff离体心脏灌注模型。采用Ca^2 浓度1.2-1.5mmol/L的含血停搏液,运用温血停搏液诱导停搏,冷血停搏液间断灌注,低温保护,终末温血停搏液控制性再灌注技术,观察以下指标：1、血流动力学指标;实验前后恢复率;心率,主动脉流量,冠脉流量,心排量,左室收缩压和左室舒张末压;2、心肌含水量;3、冠脉流出液乳酸盐含量;4、心肌肌酸激酶和乳酸脱氢酶漏出率;5、心肌细胞内Na^2 ,Ca^2 含量;6、心肌组织ATP含量;7、心肌组织SOD活性,MDA含量;8、心肌超微结构。结果 1、心率恢复率,主动脉流量恢复率及左室收缩压恢复率组间总体差异无显著性。而冠脉流量恢复率,心排量恢复率和左室舒张末压恢复率以Mg^2 浓度8.0mmol/L和12.0mmol/L为优,0.4mmol/L组最差。2、心肌含水量以Mg^2 浓度8.0mmol/L和12.0mmol/L为最低。3、冠脉流出液乳酸盐含量0.4mmol/L组,8.0mmol/L和12.0mmol/L组高于欺科2组。4、心肌乳本能部氢酶漏出率以8.0mmol/L组最低,而肌酸激酶漏出率以8.0mmol/L和12.0mmol/L组为最低。5、心肌细胞内Na^ 、Ca^2 含量;6、心肌组织ATP含量;7、心肌组织SOD活性,MDA含量;8、心肌超微结构。结果：1、心率恢复率,主动脉流量恢复率及左室收缩压恢复率组间总体差异无显著性。而冠脉流量恢复率,心排量恢复率和左室舒张末压恢复率以Mg^2 浓度8.0mmol/L和12.0mmol/L为优,0.4mmol/L组最差。2、心肌含水量以Mg^2 浓度8.0mmol/L和12.0mmol/L为最低。3、冠脉流出液乳酸盐含量0.4mmol/L组最差。2、心肌含水量以Mg^2 浓度8.0mmol/L和12.0mmol/L为最低。3、冠脉流出液乳桎卤含量0.4mmol/L组,8.0mmol/L和12.0mmol/L组高于其余2组。4、心肌乳酸脱氢酶漏出率以8.0mmol/L组最低,而肌酸激酶漏出率以8.0mmol/L和12.0mmol/L组为最低。5、心肌细胞内Na^2 含量以8.0mmol/L和12.0mmol/L组为最低,而心肌细胞内Ca^2 含量以8.0mmol/L组最低。6、心肌组织ATP含量以12.0mmol/L组为最高。7、心肌组织SOD活性以8.0mmol/L和12.0mmol/L组库最高,而MDA含量各组间总体差异无显著性。8、心肌超微结构;8.0mmol/L和12.0mmol/L组表现为基本正常未成熟心肌超微结构,而0.4mmol/L组超微结构有明显损伤表现。结论 对于未成熟心肌,当采用温血停搏液诱导停搏,冷血停搏液间断灌注,低温保护,温血停搏液终末控制性再灌注技术时,为避免含血停搏液Ca^2 浓度偏高对未成熟心肌的不利影响。应维持含血停搏液中Mg^2 浓度在8-12mmol/L。     

神经肽Y对心室肌细胞离子通道的影响

采用全细胞膜片钳技术观察神经肽Y(neuropeptide Y,NPY)对心室肌细胞离子通道的影响。结果如下：(1)NPY浓度在1．0～100nmol/L范围内剂量依赖性抑制大鼠心室肌细胞I_(Ca-L),IC_(50)值为1．86nmol/L。NPY对I_(Ca-L)的I-V曲线的最大峰值电位、激活和失活电位均无显著影响。NPY对去甲肾上腺素(norepinephrine,NE)增加的I_(Ca-L)有显著抑制作用。(2)NPY对人鼠心室肌细胞I_(Na/Ca)有显著抑制作用。10nmol/L NPY使前向I__(Na/Ca)由(0．27±0．11)pA/pF减小为(0．06±0．01)pA/pF;反向I__(Na/Ca)由(0．45±0．12)pA/pF降为(0．27±0．09)pA/pF(P＜0．05,n=4)。(3)NPY对大鼠心室肌细胞I_(to)有显著增强作用。10 nmol/L NPY使I_(to)由(12．5±0．70)pA/pF增加至(14．7±0．59)pA/pF(P＜0．05,n=4)。(4)10nmol/L NPY对大鼠心室肌细胞I_(Na)没有显著影响。(5)10nmol/L NPY对豚鼠心室肌细胞I_K无明显影响。研究结果证实,NPY抑制大鼠心室肌细胞I_(Ca-L)和I_(Na/Ca),增强I_(to)对I_Na和豚鼠心审肌细胞I_K没有显著作用,表明NPY对上述主要离子通道的效应与NE的效应相拮抗。     

HOE642对减轻缺氧／复氧致未成熟兔心肌细胞内钙超载的作用

目的观察Na+/H+交换抑制剂HOE642（Cariporide）对缺氧／再复氧前后未成熟兔心肌细胞内游离钙离子浓度(［Ca2+］i）的影响,探讨HOE642对未成熟心肌保护机制。方法6枚新西兰幼兔心脏,用酶解法分离成单个未成熟兔心肌细胞悬液,每份细胞悬液均随机分为基础组、对照组和实验组,基础组未经缺氧直接测量细胞内Ca2+及心肌酶含量（CK、LDH）,而后两组均经受缺氧60min,再复氧30min后测量,其中实验组于缺氧时加入HOE642（1μmol／L）。用Flou-3／AM标记,激光扫描共聚焦显微镜测定单个未成熟免心肌细胞内游离钙浓度。另测定三组心肌细胞悬液中心肌酶含量（CK、LDH）。结果缺氧／再复氧后对照组未成熟兔心肌细胞内［Ca2+］i（2814±236/1375±102）及心肌酶漏出量明显高于缺氧前基础值(P＜0.01);再复氧后HOE642处理组心肌细胞内［Ca2+］i较缺氧前基础值增加不显著（1446±128/1375±102,P>0.05);而较未用药对照组明显减少（1446±128／2814±236,P<0.01）。而HOE642处理组细胞悬液心肌酶漏出量较基础值有所增加,但其相差不显著,而较对照组有心肌酶漏出量明显减少,两者相差非常显著（P＜0．01）。说明HOE642对缺氧／再复氧后未成熟兔心肌细胞内游离钙超载具有明显的抑制作用。结论HOE642对未成熟心肌的保护机制可能是抑制心肌细胞内游离钙超载引起的心肌缺血／再灌注损伤。