山东大学学报(医学版) ›› 2017, Vol. 55 ›› Issue (5): 19-22.doi: 10.6040/j.issn.1671-7554.0.2016.1300
张栾1,陈欧2,栾云1,朱晓波1,陈元1,王一彪1
ZHANG Luan1, CHEN Ou2, LUAN Yun1, ZHU Xiaobo1, CHEN Yuan1, WANG Yibiao1
摘要: 目的 观察gemigliptin对野百合碱(MCT)诱导的肺动脉高压大鼠的治疗作用及炎症因子的影响。 方法 40只雄性SD大鼠随机分为对照组、MCT诱导的肺动脉高压模型组(MCT组)及gemigliptin干预组(gemigliptin组)。一次性皮下注射MCT(60 mg/kg)分别建立MCT组和gemigliptin组肺动脉高压大鼠模型;同时,gemigliptin组给予gemigliptin灌胃[150 mg/(kg·d)], 28 d。4周后测平均肺动脉压(mPAP)和肺动脉收缩压(RVSP), 计算右心肥厚指数(RVHI),采用HE 染色法观察肺血管重构情况。采用ELISA法检测大鼠血清中IL-1β和IL-6含量。 结果 与对照组比较,MCT组mPAP、RVSP明显升高, RVHI显著增加,肺动脉重构显著(P<0.001);gemigliptin组mPAP、RVSP较MCT组显著改善; RVHI明显降低;肺动脉重构情况明显改善(P<0.001)。MCT组白细胞介素-6(IL-6)水平比对照组显著升高(P=0.039), gemigliptin组低于MCT组(P= 0.005); MCT组白细胞介素-1β(IL-1β)水平比对照组显著升高,而gemigliptin组低于MCT组(P<0.001)。 结论 gemigliptin可能通过抑制肺血管炎症减缓肺动脉高压的发生发展。
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