Effect of trimetazidine preconditioning on ischemia-reperfusion injury of rat cardiomyocyte apoptosis and expression of Mn-superoxide dismutase

Hai-bin Yu, Weihua Huang, Fangtao Zhu
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Abstract

Objective To investigate the effect protection of trimetazidine pretreatment on myocardial ischemia-reperfusion injury (MIRI) in rats and its mechanism. Methods Thirty health male Sprague-Dawley rats were randomly divided into three groups, Sham group (group A), ischemia-reperfusion group (group B), trimetazidine preconditioning groups (group C). Hematoxylin-eosinstaining (HE) method was used to identify the myocardial tissue. DNA in situ end labeling (TUNEL) was used to detected the apoptosis of cardiomyocytes. The serum levels of creatine kinase (CK), creatine kinase isoenzyme MB (CK-MB), superoxide dismutase (SOD), malondialdehyde (MDA) were measured and the expression of mRNA level of B cell lymphoma/leukemia-2 (bcl-2), bcl-2 associated X protein (bax) and cysteinyl aspartate-specific protease (Caspase)-3 were measured by the method of reverse transcription polymerase chain reaction (RT-PCR). Statisticalanalysis of data using the statistical product and service solutions 19.0 software. Results Compared with the group A, group B and C were present clear myocardial ischemia and myocardial infarction area. In group B, the myocardial cells were severely edematous and the fibers were disordered. In group C, the swelling myocardial cells were alleviated and the apoptosis rate of cardiomyocytes was significantly decreased (F=509.000, P<0.01). Compared with the group B, the activity of SOD (84.21±6.07) μg/L and the expression of bcl-2 at the mRNA level (3.12±1.86)in group C were increased (t=15.399, 16.141, P<0.01). The content of MDA, CK, CK-MB (33.58±3.73) mmol/L, (177.93±5.11) U/L, (50.92±2.94) U/L and The level of bax, Caspase-3 at the mRNA level in group C (2.41±0.19, 2.34±0.23) were significantly decreased (t=13.563, 24.944, 13.375, 31.696, 19.004, P<0.01). Conclusion Trimetazidine pretreatment can significantly decreases the apoptosis of myocardium induced by MIRI, could protect the myocardium of rats from ischemic reperfusion injury. Key words: Trimetazidine; Myocardial ischemia; Reperfusion injury; Apoptosis
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曲美他嗪预处理对缺血再灌注损伤大鼠心肌细胞凋亡及mn -超氧化物歧化酶表达的影响
目的探讨曲美他嗪预处理对大鼠心肌缺血再灌注损伤的保护作用及其机制。方法30只健康雄性Sprague-Dawley大鼠随机分为三组,Sham组(A组)、缺血再灌注组(B组)、曲美他嗪预处理组(C组)。采用苏木精-伊红染色法对心肌组织进行鉴定。DNA原位末端标记(TUNEL)检测心肌细胞凋亡。采用逆转录聚合酶链反应(RT-PCR)法检测血清肌酸激酶(CK)、肌酸激酶同工酶MB(CK-MB)、超氧化物歧化酶(SOD)、丙二醛(MDA)水平,并检测B细胞淋巴瘤/白血病-2(bcl-2)、bcl-2相关X蛋白(bax)和半胱天冬氨酸特异性蛋白酶(Caspase)-3的mRNA表达。使用统计产品和服务解决方案19.0软件对数据进行统计分析。结果与A组比较,B、C组心肌缺血及心肌梗死面积明显。B组心肌细胞水肿严重,纤维紊乱。C组心肌细胞肿胀程度减轻,心肌细胞凋亡率显著降低(F=509.000,P<0.01)。与B组相比,C组SOD活性(84.21±6.07)μg/L,bcl-2 mRNA表达水平(3.12±1.86)升高(t=15.399,16.141,P<0.01),MDA、CK、CK-MB含量(33.58±3.73)mmol/L,(177.93±5.11)U/L,(50.92±2.94)U/L和bax、Caspase-3 mRNA水平(2.41±0.19,2.34±0.23)显著降低(t=13.563,24.944,13.375,31.696,19.004,P<0.01)。关键词:曲美他嗪;心肌缺血;再灌注损伤;细胞凋亡
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