| 美托洛尔对急进海拔3400 m大鼠的心肌保护作用研究 |
| 投稿时间：2018-02-23 修订日期：2018-04-04 点此下载全文 |
| 引用本文：谢华,王延玲,王昌,李文斌,贾正平,王荣.美托洛尔对急进海拔3400 m大鼠的心肌保护作用研究[J].药学实践杂志,2018,36(3):238~242 |
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| 基金项目:国家科技重大专项（2008ZXJ09014-010）；国家自然科学基金（81403004，81401552，81673508）；全军后勤科研"十二五"重大项目（AWS14L0005）；全军医学科研"十二五"重点项目（BWS12J012）；甘肃省自然基金（145RJZA111，1606RJZA176） |
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| 中文摘要:目的 探讨急进海拔3 400 m高原地区对大鼠心肌线粒体相关指标的影响，及美托洛尔干预后对心肌的保护作用。方法 将36只雄性Wistar大鼠随机分为A组（正常组，海拔55 m）、B组（缺氧组，海拔3 400 m）、C组（美托洛尔组，海拔3 400 m），每组12只，从平原（上海55 m）急进至高原（碌曲3 400 m）。检测大鼠心率及血压，水合氯醛麻醉，腹主动脉采血，测定大鼠血气指标，解剖获取大鼠心脏组织，进行组织匀浆，测定氧化应激相关参数：超氧化物歧化酶（SOD）、丙二醛（MDA）、一氧化氮（NO）；线粒体功能相关参数：复合体-Ⅰ、Ⅱ、Ⅲ、Ⅳ（COM-Ⅰ、Ⅱ、Ⅲ、Ⅳ），琥珀酸脱氢酶（SDH），苹果酸脱氢酶（MDH），三磷酸腺苷（ATP）。结果 血气实验结果表明，大鼠急进高原后，美托洛尔组大鼠血氧分压和血氧饱和度有一定程度升高，与正常组比较，缺氧组体内MDA含量显著升高，而SOD、NO含量显著下降（P<0.01），线粒体复合体Ⅰ、Ⅱ、Ⅲ、Ⅳ分别较正常组下降44.49%、32.38%、34.43%、20.16%。给予美托洛尔后，大鼠体内MDA下降13.72%，SOD、NO分别上升25.73%、168.55%，线粒体复合体活性较缺氧组分别上升44.92%、33.73%、37.11%、10.09%。缺氧组呼吸链SDH及MDH较正常组下降29.51%、42.79%，Na+-K+-ATP酶、Ca2+-Mg2+-ATP酶、T-ATP酶的活性分别下降20.24%、27.56%、33.32%；给予美托洛尔干预后，SDH和MDH较缺氧组上升47.36%、88.57%，Na+-K+-ATP酶、Ca2+-Mg2+-ATP酶、T-ATP酶的活性较缺氧组上升了31.92%、26.95%和44.93%，实验结果表明美托洛尔能够增强ATP酶的活性。结论 在海拔3 400 m的急性缺氧条件下，心肌损伤与氧化应激指标和线粒体相关酶活性改变有关，而给予美托洛尔干预，有利于相关指标恢复正常，具有一定的缺氧心肌损伤的保护作用。 |
| 中文关键词:急性高原缺氧 氧化应激 线粒体 心肌 |
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| The protective effects of metoprolol on rat myocardium at 3 400 m |
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| Abstract:Objective To investigate the effects on myocardial mitochondria-related indexes in rats after rapid elevation to 3 400 m altitude and myocardial protection effects with metoprolol. Methods Male Wistar rats were randomly divided into three groups with 12 rats in each group as follows, group A (normal group, 55 m above sea level), group B (hypoxia group, 3 400 m above sea level), group C (metoprolol group, 3 400 m above sea level). Heart rate and blood pressure were measured during the rapid transfer from the plain (Shanghai 55 m) to plateau of 3 400 m. Then, the rats were anesthetized with chloral hydrate. The blood was collected from the abdominal aorta and blood gas indexes were measured. The heart tissue was homogenized. The oxidativee stress related parameters, such as superoxide dismutase (SOD), malondialdehyde (MDA) and nitric oxide (NO) were assayed. The mitochondrial function related parameters, such as complexes-Ⅰ, Ⅱ, Ⅲ, Ⅳ, succinate dehydrogenase (SDH), malate dehydrogenase (MDH) and adenosine triphosphate (ATP) were measured. Results After the rats were exposed to high altitude, the blood oxygen tension and oxygen saturation in the metoprolol group were increased in comparison with the hypoxia group. Compared with the normal group, the content of MDA in the hypoxia group was increased significantly, while the content of SOD and NO were decreased significantly (P<0.01), the mitochondrial complex Ⅰ, Ⅱ, Ⅲ and Ⅳ were also decreased 44.49%, 32.38%, 34.43% and 20.16%. Compared with hypoxia group, the MDA was decreased by 13.72%, while SOD and NO were increased by 25.73% and 168.55%, the activity of mitochondrial complexes were also increased by 44.92%, 33.73%, 37.11% and 10.09% for metoprolol group. The respiratory chain SDH and MDH in hypoxic group were decreased by 29.51% and 42.79% and the activity of Na+-K+-ATPase, Ca2+-Mg2+-ATPase and T-ATPase were decreased by 20.24%, 27.56% and 33.32% in comparison with the normal group. After intervention with metoprolol, SDH and MDH were increased by 47.36% and 88.57% separately, the activities of Na+-K+-ATPase, Ca2+-Mg2+-ATPase and T-ATPase were also increased by 31.92%, 26.95%, 44.93% in comparison with hypoxia group. Those results indicated that metoprolol can increase ATPase activity. Conclusion Under the condition of acute hypoxia at 3 400 m above sea level, myocardial injury is related to the changes of oxidative stress and mitochondrial-related enzyme activity. Metoprolol helps to normalize the related indicators and provides the protection for myocardial injury caused by hypoxia. |
| keywords:acute high-altitude hypoxia oxidative stress mitochondria myocardium |
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