【中文摘要】 目的:血管内膜机械损伤后引起新生内膜形成,及血管中膜平滑肌(VSMCs)增殖被认为是经皮冠状动脉腔内成形术(PTCA)及支架术后血管再狭窄的主要机制。一些细胞因子如P-选择素、可溶性细胞间黏附分子-1(sICAM-1)以及纤维蛋白原的浓度变化与血管腔的狭窄程度密切相关。另外,骨髓中的内皮祖细胞(EPCs)被动员到外周血中,并归巢于血管损伤部位,分化为内皮细胞,促进内膜的修复,减少新内膜的生成。本研究在家兔腹主动脉内膜损伤模型中,观察中药乐脉颗粒对血管内皮损伤的修复作用,探讨是否涉及干细胞动员和纤维蛋白原、P-选择素、sICAM-1的浓度变化。 方法:1.新西兰大白兔随机分为4组:即假手术对照组(SC),假手术治疗组(ST),损伤对照组(IC),损伤治疗组(IT),每组7只。2.动物模型建立:使用球囊导管损伤腹主动脉内膜。假手术组仅结扎右侧股总动脉。假手术组观察7天,损伤组观察28天。两治疗组均从术前一天喂饲乐脉颗粒2.5g·kg~(-1)·d~(-1),至取材前一天为止,总观察时间28天。3.观察指标:(1)测定术后7天、14天及28天的血浆纤维蛋白原、P-选择素、sICAM-1浓度、外周血C... 【英文摘要】 Objective: The mechanical injury of arterial endothelium may cause proliferation of vascular smooth muscle cells (VSMCs) and lead to hyperplasia of neointima, which has been considered as the principal reason of restenosis after percutaneous tranluminal coronary angioplasty (PTCA) or stent implantation. The endothelial progenitor cells (EPCs) mobilization is suggested as an important way for proving the repairment of endothelial injury. Some cytokines, such as P-selectin, cellular adhesion molecule (ICAM-1)...
|
|