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Association Between the PPARA L162V Polymorphism and Plasma Lipid Levels: The Framingham Offspring Study PPARA L162V多态性与血脂水平的关系:Framingham后代研究
Pub Date : 2002-05-01 DOI: 10.1161/01.ATV.0000012302.11991.42
E. Tai, S. Demissie, L. Cupples, Dolores Corella, P. W. Wilson, E. J. Schaefer, J. Ordovás
Peroxisome proliferator activated receptor (PPAR) alpha is a member of the nuclear receptor superfamily that regulates key proteins involved in fatty acid oxidation, extracellular lipid metabolism, hemostasis, and inflammation. A L162V polymorphism at the PPARA locus has been associated with alterations in lipid and apolipoprotein concentrations. We studied the association among lipids, lipoproteins, and apolipoproteins and the presence of the L162V polymorphism in 2373 participants (1128 men and 1244 women) in the Framingham Offspring Study. The frequency of the less common allele (V162) was 0.069. The V162 allele was associated with increased serum concentrations of total and LDL cholesterol in men (P =0.0012 and P =0.0004, respectively) and apolipoprotein B in men (P =0.009) and women (P =0.03 after adjustment for age, body mass index, smoking, and use of &bgr;-blockers, diuretics or estrogens). Apolipoprotein (apo) C-III concentrations were higher in carriers of the V162 allele. The association of the L162V polymorphism on LDL cholesterol concentration was greatest in those who also carried the E2 allele at the APOE locus and the G allele at the APOC3 3238C>G polymorphism. This suggests that alterations in triglyceride-rich lipoprotein metabolism may be involved in the generation of the increase LDL cholesterol observed with the L162V PPARA polymorphism.
过氧化物酶体增殖物激活受体(PPAR) α是核受体超家族的一员,可调节脂肪酸氧化、细胞外脂质代谢、止血和炎症等关键蛋白。PPARA位点的L162V多态性与脂质和载脂蛋白浓度的改变有关。我们在Framingham后代研究中研究了2373名参与者(1128名男性和1244名女性)的脂质、脂蛋白和载脂蛋白之间的关系以及L162V多态性的存在。较少见的等位基因(V162)的频率为0.069。V162等位基因与男性血清总胆固醇和低密度脂蛋白胆固醇浓度升高(P =0.0012和P =0.0004)以及男性和女性血清载脂蛋白B浓度升高(P =0.009)和女性血清载脂蛋白B浓度升高(经年龄、体重指数、吸烟、使用β受体阻滞剂、利尿剂或雌激素等因素调整后P =0.03)相关。载脂蛋白(apo) C-III浓度在V162等位基因携带者中较高。在APOE位点携带E2等位基因和APOC3 3238C>G等位基因的人群中,L162V多态性与LDL胆固醇浓度的相关性最大。这表明富含甘油三酯的脂蛋白代谢的改变可能与L162V PPARA多态性观察到的LDL胆固醇增加的产生有关。
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引用次数: 145
Lysophosphatidylcholine Activates Extracellular Signal-Regulated Kinases 1/2 Through Reactive Oxygen Species in Rat Vascular Smooth Muscle Cells 溶血磷脂酰胆碱通过活性氧激活大鼠血管平滑肌细胞外信号调节激酶1/2
Pub Date : 2002-05-01 DOI: 10.1161/01.ATV.0000015903.02749.71
T. Yamakawa, Shun-ichi Tanaka, Y. Yamakawa, J. Kamei, K. Numaguchi, E. Motley, T. Inagami, S. Eguchi
Lysophosphatidylcholine (lysoPC) acts on vascular smooth muscle cells (VSMCs) to produce a mitogenic response through the activation of extracellular signal-regulated kinases 1/2 (ERK1/2). In the present study, we examined the importance of reactive oxygen species (ROS) in lysoPC-stimulated ERK1/2 activation in cultured rat VSMCs. Treatment with lysoPC for 3 minutes caused a 2-fold increase in intracellular ROS that was blocked by the NADH/NADPH oxidase inhibitor, diphenylene iodonium (DPI). Antioxidants, N-acetyl-l-cysteine, glutathione monoester, or &agr; -tocopherol, inhibited ERK1/2 activation by lysoPC. Almost identical results were obtained in the VSMC line A10. Pretreatment of VSMCs with DPI but not allopurinol or potassium cyanide (KCN) abrogated the activation of ERK1/2. The Flag-tagged p47phox expressed in A10 cells was translocated from the cytosol to the membrane after 2 minutes of stimulation with lysoPC. The overexpression of dominant-negative p47phox in A10 cells suppressed lysoPC-induced ERK activation. The ROS-dependent ERK activation by lysoPC seems to involve protein kinase C- and Ras-dependent raf-1 activation. Induction of c-fos expression and enhanced AP-1 binding activity by lysoPC were also inhibited by DPI and NAC. Taken together, these data suggest that ROS generated by NADH/NADPH oxidase contribute to lysoPC-induced activation of ERK1/2 and subsequent growth promotion in VSMCs.
溶血磷脂酰胆碱(lysoPC)作用于血管平滑肌细胞(VSMCs),通过激活细胞外信号调节激酶1/2 (ERK1/2)产生有丝分裂反应。在本研究中,我们研究了活性氧(ROS)在lysopc刺激的大鼠VSMCs ERK1/2激活中的重要性。用lysoPC处理3分钟导致细胞内ROS增加2倍,被NADH/NADPH氧化酶抑制剂二苯碘(DPI)阻断。抗氧化剂,n -乙酰半胱氨酸,谷胱甘肽单酯,或&agr;-生育酚,抑制ERK1/2被lysoPC激活。在VSMC线A10上获得了几乎相同的结果。用DPI而不是别嘌呤醇或氰化钾(KCN)预处理VSMCs可消除ERK1/2的活化。A10细胞中表达的flag标记的p47phox在lysoPC刺激2分钟后从细胞质转移到膜上。A10细胞中过表达显性阴性p47phox可抑制lysopc诱导的ERK活化。lysoPC介导的ros依赖性ERK活化似乎涉及蛋白激酶C和ras依赖性raf-1活化。DPI和NAC也能抑制lysoPC诱导c-fos表达和增强AP-1结合活性。综上所述,这些数据表明,由NADH/NADPH氧化酶产生的ROS有助于lysopc诱导的ERK1/2激活和随后的vsmc生长促进。
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引用次数: 67
Age and Sex Distribution of Subclinical Aortic Atherosclerosis: A Magnetic Resonance Imaging Examination of the Framingham Heart Study 亚临床主动脉粥样硬化的年龄和性别分布:Framingham心脏研究的磁共振成像检查
Pub Date : 2002-05-01 DOI: 10.1161/01.ATV.0000012662.29622.00
F. Jaffer, C. O’Donnell, M. Larson, S. K. Chan, K. Kissinger, Michelle J. Kupka, Carol J. Salton, René M. Botnar, D. Levy, W. Manning
Autopsy data demonstrate a correlation between subclinical aortic atherosclerosis and cardiovascular disease. Therefore, noninvasive cardiovascular magnetic resonance (CMR) of subclinical atherosclerosis may provide a novel measure of cardiovascular risk, but it has not been applied to an asymptomatic population-based cohort to establish age- and sex-specific normative data. Participants in the Framingham Heart Study offspring cohort who were free of clinically apparent coronary disease were randomly sampled from strata of sex, quartiles of age, and quintiles of Framingham Coronary Risk Score. Subjects (n=318, aged 60±9 years, range 36 to 78 years, 51% women) underwent ECG-gated T2-weighted black-blood thoracoabdominal aortic CMR scanning. CMR evidence of aortic atherosclerosis was noted in 38% of the women and 41% of the men. Plaque prevalence and all measures of plaque burden increased with age group and were greater in the abdomen than in the thorax for both sexes and across all age groups. In addition, the Framingham Coronary Risk Score was significantly correlated with all plaque prevalence and burden measures for women but only for men after age adjustment. These noninvasive CMR data extend the prior autopsy-based prevalence estimates of subclinical atherosclerosis and may help to lay the foundation for future studies of risk stratification and treatment of affected individuals.
尸检数据显示亚临床主动脉粥样硬化与心血管疾病之间存在相关性。因此,亚临床动脉粥样硬化的无创心血管磁共振(CMR)可能提供一种新的心血管风险测量方法,但尚未应用于基于无症状人群的队列,以建立年龄和性别特异性的规范数据。在弗雷明汉心脏研究的后代队列中,无临床明显冠状动脉疾病的参与者从性别、年龄四分位数和弗雷明汉冠状动脉风险评分的五分位数中随机抽样。受试者(318例,年龄60±9岁,年龄36 ~ 78岁,51%为女性)行ecg门控t2加权黑血胸腹主动脉CMR扫描。CMR显示38%的女性和41%的男性存在主动脉粥样硬化。斑块患病率和所有斑块负荷指标均随年龄增长而增加,且无论男女,在所有年龄组中,腹部均大于胸部。此外,经年龄调整后,Framingham冠状动脉风险评分与女性的所有斑块患病率和负担指标显著相关,但仅与男性相关。这些无创CMR数据扩展了先前基于尸检的亚临床动脉粥样硬化患病率估计,并可能有助于为未来的风险分层研究和受影响个体的治疗奠定基础。
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引用次数: 213
Role of Nuclear Factor-&kgr;B Activation in Metalloproteinase-1, -3, and -9 Secretion by Human Macrophages In Vitro and Rabbit Foam Cells Produced In Vivo 核因子- κ B活化在人巨噬细胞和兔泡沫细胞分泌金属蛋白酶-1、-3和-9中的作用
Pub Date : 2002-05-01 DOI: 10.1161/01.ATV.0000015078.09208.92
A. Chase, M. Bond, M. Crook, A. Newby
Metalloproteinase secretion by macrophages is believed to play a key role in the matrix degradation that underlies atherosclerotic plaque instability and aneurysm formation. We studied the hypothesis that nuclear factor-&kgr;B (NF-&kgr;B), a transcription factor, is necessary for metalloproteinase secretion and, hence, is a target for pharmacological intervention. Adenovirus-mediated gene transfer of the inhibitory NF-&kgr;B subunit, I-&kgr; B&agr;, was achieved into human monocyte-derived macrophages in vitro and into foam cells produced in vivo in cholesterol-fed rabbits. Human macrophages and rabbit foam cells secreted matrix-degrading metalloproteinase (MMP)-9 without further stimulation, and this was not inhibited by I-&kgr;B&agr; (11±16% and 8±10%, respectively;P > 0.05). MMP-1 secretion from human macrophages increased in response to recombinant human CD40 ligand and was inhibited 92±5% by I-&kgr;B&agr; (n=3, P <0.05). Rabbit foam cells secreted MMP-1 and -3 without further stimulation, and this was inhibited 83±12% and 69±11%, respectively, by I-&kgr;B&agr; (n=6 or 7, P <0.001). I-&kgr;B&agr; did not significantly affect the expression or activity of tissue inhibitor of metalloproteinases-1 or -2. Overexpression of I-&kgr;B&agr; inhibited collagenolytic and &bgr;-caseinolytic activity by 42±2% and 41±7%, respectively (n=3, P <0.05). Secretion of MMP-1 and MMP-3 from macrophages stimulated in vitro or in vivo depends on the activation of NF-&kgr;B. Because the inhibition of NF-&kgr;B reduces proteolytic activity, it appears to be an attractive pharmacological target in unstable atheromas.
巨噬细胞分泌的金属蛋白酶被认为在基质降解中起关键作用,而基质降解是动脉粥样硬化斑块不稳定和动脉瘤形成的基础。我们研究了核因子-&kgr;B (NF-&kgr;B),一种转录因子,是金属蛋白酶分泌所必需的,因此是药物干预的目标。腺病毒介导的抑制NF-&kgr;B亚基,I-&kgr的基因转移B&agr;在体外转化为人单核细胞来源的巨噬细胞,并在体内转化为胆固醇喂养家兔产生的泡沫细胞。人巨噬细胞和兔泡沫细胞在没有进一步刺激的情况下分泌基质降解金属蛋白酶(MMP)-9,并且这种活性不受I-&kgr;(11±16%、8±10%;P > 0.05)。人巨噬细胞对重组人CD40配体的MMP-1分泌增加,I-&kgr;B&agr;(n=3, P <0.05)。兔泡沫细胞在没有进一步刺激的情况下分泌MMP-1和-3,I-&kgr;B&agr;(n=6或7,P <0.001)。我-&kgr; B&agr;对金属蛋白酶组织抑制剂-1或-2的表达及活性无显著影响。I-&kgr;B&agr过表达;抑制胶原溶解活性和酪蛋白溶解活性分别为42±2%和41±7% (n=3, P <0.05)。体外或体内刺激巨噬细胞分泌MMP-1和MMP-3依赖于NF-&kgr;B的激活。由于抑制NF-&kgr;B可降低蛋白水解活性,因此它似乎是治疗不稳定动脉粥样硬化的一个有吸引力的药理靶点。
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引用次数: 178
Haplotype-Specific Effects on Endothelial NO Synthase Promoter Efficiency: Modifiable by Cigarette Smoking 单倍型对内皮NO合成酶启动子效率的特异性影响:吸烟可改变
Pub Date : 2002-05-01 DOI: 10.1161/01.ATV.0000016248.51577.1F
Jian Wang, D. Dudley, Xing-li Wang
The T–786C promoter and 27-bp repeat intron 4 polymorphisms in the endothelial NO synthase (eNOS) gene have been inconsistently associated with various eNOS-related phenotypic changes. We explored molecular mechanisms underlying the inconsistency. We constructed pGL3 luciferase reporter vectors by inserting an eNOS promoter fragment containing either T or C nucleotide at −786 bp at the 5′ end of the luciferase coding region and eNOS intron 4 containing either 5× or 4×27-bp repeats at the 3′ end of the luciferase gene. The transcription efficiency in the T promoter was lower than in the C promoter (15.7±1.0% vs 83.3±5.8%, P <0.01 when 5×27-bp was an enhancer and 37.6±4.7% vs 58.9±7.5%, P <0.01 when 4×27bp was an enhancer). Although cigarette smoking extracts treatment increased the transcription efficiency significantly in the T promoter (1.7-fold, P <0.01), it reduced the C promoter efficiency (by 10% to 15%). A mobility shift assay revealed positive binding of the 27-bp repeat fragment with endothelial cell nuclear protein extracts. Our study demonstrates a cis-acting role of the 27-bp repeats in eNOS promoter function and a haplotype-specific expression pattern determined by DNA variants at −786 bp and intron 4 of the eNOS gene that is also modifiable by cigarette smoking.
内皮NO合成酶(eNOS)基因的T-786C启动子和27-bp重复内含子4多态性与各种eNOS相关的表型变化不一致。我们探索了这种不一致的分子机制。我们构建了pGL3荧光素酶报告载体,方法是在荧光素酶编码区5 '端插入一个在- 786 bp处含有T或C核苷酸的eNOS启动子片段,在荧光素酶基因3 '端插入一个含有5x或4×27-bp重复序列的eNOS内含子4。T启动子的转录效率低于C启动子(5×27-bp为增强子时为15.7±1.0%比83.3±5.8%,P <0.01; 4×27bp为增强子时为37.6±4.7%比58.9±7.5%,P <0.01)。烟草提取物处理显著提高了T启动子的转录效率(1.7倍,P <0.01),但降低了C启动子的转录效率(10% ~ 15%)。迁移迁移试验显示27 bp重复片段与内皮细胞核蛋白提取物正结合。我们的研究证明了27 bp重复序列在eNOS启动子功能中的顺式作用,以及由- 786 bp和eNOS基因内含子4的DNA变异决定的单倍型特异性表达模式,该模式也可以通过吸烟改变。
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引用次数: 143
Enhanced Atherogenesis Is Not an Obligatory Response to Systemic Herpesvirus Infection in the ApoE-Deficient Mouse: Comparison of Murine &ggr;-Herpesvirus-68 and Herpes Simplex Virus-1 强化动脉粥样硬化不是apoe缺陷小鼠对全身疱疹病毒感染的强制性反应:小鼠&ggr;-疱疹病毒-68和单纯疱疹病毒-1的比较
Pub Date : 2002-05-01 DOI: 10.1161/01.ATV.0000016046.94521.68
D. Alber, P. Vallance, K. Powell
Viral and bacterial infectious agents have been implicated in the etiology of atherosclerosis. We have previously shown that a &ggr;-herpesvirus can accelerate atherosclerosis in the apolipoprotein E–deficient (apoE−/−) mouse. To address whether a virally induced systemic immune response is sufficient to trigger enhanced atheroma formation, we infected apoE−/− mice with murine &ggr;-herpesvirus-68 (MHV-68) or herpes simplex virus-1 (HSV-1). In this study, we show that both viruses were able to induce a cell-mediated and humoral immune response in the apoE−/− mouse, which was sustained over a period of 24 weeks. Although intranasal or intraperitoneal infection with MHV-68 induced similar levels of virus-specific IgG1 and IgG2a antibodies in the serum of apoE−/− mice, those infected with HSV-1 showed higher anti–HSV-1 IgG2a compared with IgG1 antibody levels. In addition, viral message was not detected in the aortas of HSV-1–infected animals, whereas we have shown previously that MHV-68 mRNA can be detected in the aortas of infected mice as early as 5 days after infection. Compared with control mice, apoE−/− mice infected with MHV-68 showed accelerated atherosclerosis, whereas mice infected with HSV-1 did not. These data indicate that a systemic immune response to any particular infectious agent is insufficient to induce enhanced atherosclerosis in the apoE−/− mouse and point to specific infections or immune mechanisms that might be essential for virally enhanced atherogenesis.
病毒和细菌感染因子与动脉粥样硬化的病因有关。我们之前已经证明,&ggr;-疱疹病毒可以加速载脂蛋白e缺陷(apoE−/−)小鼠的动脉粥样硬化。为了确定病毒诱导的全身免疫反应是否足以引发增强的动脉粥样硬化形成,我们用小鼠&ggr;-疱疹病毒-68 (MHV-68)或单纯疱疹病毒-1 (HSV-1)感染apoE−/−小鼠。在这项研究中,我们发现这两种病毒都能够在apoE−/−小鼠中诱导细胞介导和体液免疫反应,这种反应持续了24周。虽然鼻内或腹腔感染MHV-68可诱导apoE−/−小鼠血清中相似水平的病毒特异性IgG1和IgG2a抗体,但感染HSV-1的小鼠血清中抗HSV-1 IgG2a抗体水平高于IgG1抗体水平。此外,在hsv -1感染动物的主动脉中未检测到病毒信息,而我们之前已经证明,早在感染后5天就可以在感染小鼠的主动脉中检测到MHV-68 mRNA。与对照小鼠相比,感染MHV-68的apoE−/−小鼠显示动脉粥样硬化加速,而感染HSV-1的小鼠则没有。这些数据表明,对任何特定感染因子的全身免疫反应都不足以诱导apoE - / -小鼠动脉粥样硬化的增强,并指出特定的感染或免疫机制可能是病毒增强动脉粥样硬化发生所必需的。
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引用次数: 14
Normal Production Rate of Apolipoprotein B in LDL Receptor–Deficient Mice 低密度脂蛋白受体缺陷小鼠载脂蛋白B的正常产率
Pub Date : 2002-04-11 DOI: 10.1161/01.ATV.0000018304.30943.06
J. Millar, C. Maugeais, I. Fuki, D. Rader
The low density lipoprotein (LDL) receptor is well known for its role in mediating the removal of apolipoprotein B (apoB)-containing lipoproteins from plasma. Results from in vitro studies in primary mouse hepatocytes suggest that the LDL receptor may also have a role in the regulation of very low density lipoprotein (VLDL) production. We conducted in vivo experiments using LDLR −/−, LDLR +/−, and wild-type mice (LDLR indicates LDL receptor gene) in which the production rate of VLDL was measured after the injection of [35S]methionine and the lipase inhibitor Triton WR1339. Despite the fact that LDLR −/− mice had a 3.7-fold higher total cholesterol level and a 2.1-fold higher triglyceride level than those of the wild-type mice, there was no difference in the production rate of VLDL triglyceride or VLDL apoB between these groups of animals. Experiments were also conducted in apobec1 −/− mice, which make only apoB-100, the form of apoB that binds to the LDL receptor. Interestingly, the apobec1 −/− mice had a significantly higher production rate of apoB than did the wild-type mice. However, despite significant differences in total cholesterol and triglyceride levels, there was no difference in the production rate of total or VLDL triglyceride or VLDL apoB between LDLR −/− and LDLR +/− mice on an apobec1 −/− background. These results indicate that the LDL receptor has no effect on the production rate of VLDL triglyceride or apoB in vivo in mice.
低密度脂蛋白(LDL)受体因其介导血浆中载脂蛋白B (apoB)的去除而闻名。来自小鼠原代肝细胞的体外研究结果表明,LDL受体也可能在极低密度脂蛋白(VLDL)产生的调节中发挥作用。我们使用LDLR−/−、LDLR +/−和野生型小鼠(LDLR表示LDL受体基因)进行了体内实验,在注射[35S]蛋氨酸和脂肪酶抑制剂Triton WR1339后,测量了VLDL的生成速率。尽管LDLR - / -小鼠的总胆固醇水平比野生型小鼠高3.7倍,甘油三酯水平比野生型小鼠高2.1倍,但这两组动物之间VLDL甘油三酯或VLDL载脂蛋白ob的产生速度没有差异。实验也在apobec1−/−小鼠中进行,这些小鼠只产生与LDL受体结合的apoB-100形式。有趣的是,与野生型小鼠相比,apobec1−/−小鼠的载脂蛋白ob产生率明显更高。然而,尽管总胆固醇和甘油三酯水平存在显著差异,但在apobec1−/−背景下,LDLR−/−和LDLR +/−小鼠之间的总甘油三酯或VLDL甘油三酯或VLDL载脂蛋白ob的产生速率没有差异。这些结果表明,LDL受体对小鼠体内VLDL甘油三酯或载脂蛋白ob的生成速率没有影响。
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引用次数: 40
Tissue Plasminogen Activator, Fibrin D-Dimer, and Insulin Resistance in the Relatives of Patients With Premature Coronary Artery Disease 早发冠心病患者亲属的组织纤溶酶原激活物、纤维蛋白d -二聚体和胰岛素抵抗
J. Mills, M. Mansfield, P. Grant
Elevated levels of tissue-type plasminogen activator antigen (tPA), fibrinogen, and fibrin D-dimer predict coronary artery disease (CAD) events and stroke. These factors, possibly in association with insulin resistance, may be important in families in which CAD has become clinically apparent at a premature age. From 125 patients with angiographically confirmed, premature CAD, 175 healthy male relatives (age ≤65 years) were identified. One hundred seventy-five healthy volunteers of similar age and without any family history of CAD were recruited. There were no differences between relatives and controls in terms of conventional CAD risk factors, cigarette smoking, alcohol consumption, or cardiorespiratory fitness. Estimated insulin resistance and plasminogen activator inhibitor 1 levels were not increased in relatives. Fibrin D-dimer, tPA, and fibrinogen levels were elevated in relatives compared with controls, 55 (52 to 58) ng/mL versus 49 (45 to 53) ng/mL, P <0.01, for D-dimer; 8.0 (7.5 to 8.6) ng/mL versus 5.6 (5.2 to 6.1) ng/mL, P <0.001, for tPA; and 3.0 (2.9 to 3.1) g/L versus 2.8 (2.7 to 2.9) g/L, P <0.05, for fibrinogen. These differences remained after adjustment for correlates, including fibrinogen, age for D-dimer, and features of the insulin resistance syndrome for tPA. tPA and D-dimer levels are elevated in the healthy, male, first-degree relatives of patients with premature CAD. This association is independent of potential confounding factors.
组织型纤溶酶原激活物抗原(tPA)、纤维蛋白原和纤维蛋白d -二聚体水平升高可预测冠状动脉疾病(CAD)事件和中风。这些因素,可能与胰岛素抵抗有关,可能对过早出现冠心病临床症状的家庭很重要。从125例血管造影证实的早期CAD患者中,发现175例健康男性亲属(年龄≤65岁)。175名年龄相近、无冠心病家族史的健康志愿者被招募。亲属和对照组在传统冠心病危险因素、吸烟、饮酒或心肺健康方面没有差异。估计胰岛素抵抗和纤溶酶原激活物抑制剂1水平在亲属中没有增加。与对照组相比,亲属中纤维蛋白d -二聚体、tPA和纤维蛋白原水平升高,d -二聚体为55 (52 ~ 58)ng/mL,而d -二聚体为49 (45 ~ 53)ng/mL, P <0.01;tPA为8.0 (7.5 ~ 8.6)ng/mL,而tPA为5.6 (5.2 ~ 6.1)ng/mL, P <0.001;纤维蛋白原含量为3.0 (2.9 ~ 3.1)g/L比2.8 (2.7 ~ 2.9)g/L, P <0.05。这些差异在校正相关因素后仍然存在,包括纤维蛋白原、d -二聚体的年龄和tPA的胰岛素抵抗综合征的特征。tPA和d -二聚体水平在健康男性、早发性CAD患者的一级亲属中升高。这种关联独立于潜在的混杂因素。
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引用次数: 27
Combined Endothelin Receptor Blockade Evokes Enhanced Vasodilatation in Patients With Atherosclerosis 联合内皮素受体阻断可增强动脉粥样硬化患者的血管舒张
Pub Date : 2002-04-01 DOI: 10.1161/01.ATV.0000012804.63152.60
F. Böhm, G. Ahlborg, B. Johansson, L. Hansson, J. Pernow
Endothelin (ET)-1 causes vasoconstriction via ETA and ETB receptors located on vascular smooth muscle cells and vasodilatation via ETB receptors on endothelial cells. Studies in vitro indicate an upregulation of ETB receptors in atherosclerosis. The present study investigated the vascular effects evoked by endogenous ET-1 in atherosclerotic patients. Forearm blood flow (FBF) was measured with venous occlusion plethysmography in 10 patients with atherosclerosis and in 10 healthy control subjects during intra-arterial infusion of selective ET receptor antagonists. The ETB receptor antagonist BQ788 evoked a significant increase in FBF (31±13%) in the patients, whereas a 20±9% reduction was observed in the control subjects. The ETA receptor antagonist BQ123 combined with BQ788 evoked a marked increase in FBF (102±25%) in the patients compared with no effect in the control subjects (−3±9%, P <0.001 versus patients). The ETA receptor antagonist BQ123 increased FBF to a similar degree in patients (39±11%) as in control subjects (41±11%). The increase in FBF evoked by selective ETA receptor blockade was significantly (P <0.05) less than that evoked by combined ETA/ETB receptor blockade in the atherosclerotic patients. These observations suggest an enhanced ET-1–mediated vascular tone in atherosclerotic patients, which is at least partly due to increased ETB-mediated vasoconstriction.
内皮素(ET)-1通过位于血管平滑肌细胞上的ETA和ETB受体引起血管收缩,通过内皮细胞上的ETB受体引起血管舒张。体外研究表明,在动脉粥样硬化中,ETB受体表达上调。本研究探讨内源性ET-1对动脉粥样硬化患者血管的影响。用静脉闭塞容积描记术测量了10例动脉粥样硬化患者和10例健康对照者动脉内注射选择性ET受体拮抗剂时前臂血流量(FBF)。ETB受体拮抗剂BQ788在患者中引起FBF显著增加(31±13%),而在对照组中观察到20±9%的减少。ETA受体拮抗剂BQ123联合BQ788在患者中引起FBF显著增加(102±25%),而对照组无影响(- 3±9%,P <0.001)。ETA受体拮抗剂BQ123增加患者FBF的程度(39±11%)与对照组(41±11%)相似。在动脉粥样硬化患者中,选择性ETA受体阻断引起的FBF增加显著小于ETA/ETB受体联合阻断引起的FBF增加(P <0.05)。这些观察结果表明,在动脉粥样硬化患者中,et -1介导的血管张力增强,这至少部分是由于etb介导的血管收缩增加。
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引用次数: 59
Homocysteine Upregulates Vascular Cell Adhesion Molecule-1 Expression in Cultured Human Aortic Endothelial Cells and Enhances Monocyte Adhesion 同型半胱氨酸上调人主动脉内皮细胞黏附分子-1表达并增强单核细胞黏附
Pub Date : 2002-04-01 DOI: 10.1161/01.ATV.0000014221.30108.08
M. Silverman, R. Tumuluri, Mishel Davis, Gladys E. Lopez, J. Rosenbaum, P. Lelkes
Elevated plasma homocysteine is an independent risk factor for atherosclerosis. We hypothesized that homocysteine enhances monocyte/human aortic endothelial cell (HAEC) interactions, a pivotal early event in atherogenesis, by upregulating endothelial adhesion molecules. After incubation of cultured HAECs with reduced dl-homocysteine for up to 24 hours, adhesion of human monocytes to homocysteine-stimulated HAECs was significantly upregulated in a time- and dose-dependent fashion. Pretreatment of HAECs with 100 &mgr;mol/L homocysteine caused a 4.5-fold increase in the adhesion of normal human monocytes (P <0.001). Similarly, adhesion of monocytic U937 cells was maximally elevated by 3.5-fold at 100 &mgr;mol/L homocysteine (P <0.001). In support of our hypothesis, vascular cell adhesion molecule (VCAM)-1 mRNA expression increased 5-fold in HAECs after 3 hours of treatment with 100 &mgr; mol/L homocysteine, as assessed by quantitative reverse transcription– polymerase chain reaction. Neutralizing antibody studies confirmed the involvement of VCAM-1 in mediating monocyte adhesion to homocysteine-stimulated HAECs. Coincubation of HAECs with homocysteine and tumor necrosis factor-&agr; synergistically elevated monocyte adhesion as well as VCAM-1 protein expression, with the latter evaluated by flow cytometry. Preincubation of HAECs with cyclooxygenase inhibitors completely abrogated homocysteine-induced monocyte adhesion, whereas scavenging reactive oxygen species and the elevation of NO caused partial inhibition only. These data support the notion that the proinflammatory effects of homocysteine may have important implications in atherogenesis.
血浆同型半胱氨酸升高是动脉粥样硬化的独立危险因素。我们假设同型半胱氨酸通过上调内皮粘附分子,增强单核细胞/人主动脉内皮细胞(HAEC)的相互作用,这是动脉粥样硬化发生的关键早期事件。在dl-同型半胱氨酸降低的培养HAECs孵育24小时后,人单核细胞对同型半胱氨酸刺激的HAECs的粘附以时间和剂量依赖的方式显着上调。用100 mol/L同型半胱氨酸预处理HAECs可使正常人单核细胞的粘附能力增加4.5倍(P <0.001)。同样,当同型半胱氨酸浓度为100 mol/L时,单核细胞U937的粘附能力最大提高了3.5倍(P <0.001)。为了支持我们的假设,血管细胞粘附分子(VCAM)-1 mRNA的表达在100 &mgr . 3小时后增加了5倍;mol/L同型半胱氨酸,定量逆转录-聚合酶链反应评估。中和抗体研究证实了VCAM-1参与介导单核细胞粘附到同型半胱氨酸刺激的haec。heec与同型半胱氨酸和肿瘤坏死因子- agr共孵育的研究协同提高单核细胞粘附和VCAM-1蛋白表达,后者通过流式细胞术评估。用环加氧酶抑制剂预孵育haec完全消除了同型半胱氨酸诱导的单核细胞粘附,而清除活性氧和升高NO只引起部分抑制。这些数据支持了同型半胱氨酸的促炎作用可能在动脉粥样硬化中具有重要意义的观点。
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引用次数: 98
期刊
Arteriosclerosis, Thrombosis, and Vascular Biology: Journal of the American Heart Association
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