代谢综合征大鼠心脏PPARs变化与心脏重构和功能改变的关系
Relationship Between Peroxisome Proliferator Activated Receptors Expression and Cardiac Remodeling and Dysfunction in Rats with Metabolic Syndrome
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摘要: 目的研究心脏过氧化物酶体增殖物激活受体(PPARs)变化与心脏重构和功能改变的关系。方法健康8周龄雄性Wistar大鼠,对照组(NC,n=10)和代谢综合征(MS)组(n=12),对照组予普食喂养,MS组予高脂(脂肪占总热能49%)高盐饮食,喂养24周。常规检测空腹血糖(FBG)、胰岛素(FINS)、血脂,葡萄糖耐量试验和高胰岛素正常血糖钳夹试验,并检测心肌组织的游离脂肪酸(FFA)水平。心脏重量和心脏组织形态学分析心脏结构改变,检测左室收缩末期压、左室舒张末期压(LVEDP)和左室压最大上升/下降速率(±dp/dtmax)了解心脏功能变化。心脏PPARα、PPARδ和PPARγ蛋白表达检测采用Westernblot方法。结果1.MS组大鼠心脏重量明显增加(1.81±0.15vs1.36±0.06)g,P<0.05,心脏/体重比明显增高(3.6±0.2vs3.2±0.1)mg/g,P<0.05,组织形态学显示心脏重构明显;2.MS组大鼠心功能参数-dp/dtmax明显低于NC组(4860±716vs6321±449)mmHg/s,而LVEDP明显增高(3.5±0.7vs2.3±0.8)mmHg,P<0.05;3.MS大鼠心肌组织FFA水平明显增高(0.26±0.09vs0.15±0.03)mmol/L,P<0.05;4.MS大鼠心脏PPARα、δ和γ蛋白表达明显减低;5.葡萄糖输注率(GIR)与心脏/体重比呈显著负相关(r=-0.77,P<0.05),心肌组织内FFA的水平与心功能参数-dp/dtmax呈显著负相关(r=-0.74,P<0.05)。结论MS大鼠心脏重构和功能失调明显,而心脏PPARs(PPARα、PPARδ、PPARγ)蛋白表达减低,可能对心肌脂肪酸代谢和MS有一定的影响,这可能是心脏重构和功能失调的原因之一。Abstract: Objective To study the relationship between peroxisome proliferator activated receptors(PPAR)α,δ,γ expression and cardiac remodeling and dysfunction in rats. Methods Twenty two Wistar male rats were divided at 2 months of age into two groups; control group received normal chow(NC), the experimental group were fed with the high fat diet plus high salt(2%) supplied 49%of the calories. Body weight(BW), blood pressure, FBG, plasma lipid and FINS levels were detected, euglycemic hyperinsulinemic clamp and glucose tolerance test were performed. Hearts were homogenized for detecting free fatty acid(FFA)levels and were isolated for histopathologic, morphometric examination and the ratio of heart weight to BW. Left ventricular end diastolic pressure(LVEDP), left ventricular systolic pressure(LVSP) and left ventricular pressure maximal rising and declining velocities (±dp/dt - max ) were measured. PPARs proteins expression in heart were analyzed by Western blot. Results Cardiac remodeling was confirmed histologically by optical microscope. FFA levels in heart tissue were significantly increased in experimental rats compared those in NC (0.26±0.09 vs 0.15±0.03)mmol/L, P<0.05 . PPARα, δ andγ proteins expression were significantly decreased in experimental rats compared with those in NC. In experimental rats, insulin resistance parameter (GIR) correlated negatively with the ratio of heart weight to BW. FFA levels in heart tissue correlated negatively with -dp/dt - max . Conclusion High fat anf high salt diet induced severe cardiac remodeling and impaired dysfunction. Reduced PPARs proteins expression associated with cardiac remodeling and dysfunction was likely attributed to fatty acids metabolism and MS.