omega-3脂肪酸对高胆固醇血症和球囊动脉损伤患者血管张力的影响

Mary B. Engler Phd , Marguerite M. Engler Phd , Margaret Mayes Ms , Philip C. Ursell Md
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引用次数: 8

摘要

膳食多不饱和脂肪酸(ω-3 PUFAs)与降低冠心病(CHD)风险相关。为了明确机制,我们在高胆固醇血症(HC)和球囊动脉损伤的大鼠模型中研究了这些脂肪酸的血管活性特性。成年Wistar Kyoto (WKY)大鼠在主动脉球囊损伤(HC+EI)后分别饲喂对照(C)、HC诱导饮食或HC饮食3周。HC组(793±31)和HC+EI组(857±36)血清胆固醇(mg/dL)高于C组(85±3,p≤0.001)。去甲肾上腺素(NE, 10−9 ~ 10−5 mol/L)、二十二碳六烯烯(DHA)或二十碳五烯烯(EPA) (1 ~ 100 μmol/L)对离体主动脉环(完整和去内皮化,E-)的累积浓度-响应曲线。总的来说,HC组和HC+EI组完整环内NE(10−9 ~ 10−5 mol/L)的收缩比C组明显减少(p≤0.001)。与三组完整的环相比,去内皮化环表现出更大的NE收缩反应。HC+EI组对乙酰胆碱的内皮依赖性松弛(10−7 ~ 10−4 mol/L)显著降低。ω-3 PUFAs、DHA和EPA (1-100 μmol/L)的松弛反应在完整环中相似,但在E-环中增强。去内皮环对DHA (1-100 μmol/L)的反应为−8.6 ~−35.5% (C),−8.4 ~−30.5% (HC),−7.8 ~−25.6% (HC+EI),对EPA (1-100 μmol/L)的反应为−6.8 ~−339% (C),−4.8 ~ =t-40.8% (HC),−8.9 ~−34.6% (HC+EI)。在主动脉内膜增生区域,与C组(0.292)和HC组(0.315)相比,HC+EI组的脂质沉积(0.539 μmol ORO/mm2, p<0.001)比HC组(0.292)更大。我们得出结论:(1)HC和HC+EI大鼠主动脉对NE的收缩特性发生改变;(2)WKY大鼠主动脉损伤后饮食HC导致内膜增生/脂质沉积和内皮依赖性松弛功能受损;(3)ω-3 PUFAs在HC和HC+EI大鼠主动脉中具有血管松弛特性。这些特性可能对冠心病有益。
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Effects of the omega-3 fatty acids on vascular tone in hypercholesterolaemia and balloon arterial injury

Dietary polyunsaturated fatty acids (ω-3 PUFAs) are associated with reduced coronary heart disease (CHD) risk. To define mechanisms, we investigated the vasoactive properties of these fatty acids in a rat model of hypercholesterolaemia (HC) and balloon arterial injury. Mature Wistar Kyoto (WKY) rats were fed a control (C), HC-inducing diet or a HC diet after aortic balloon injury (HC+EI) for 3 weeks. Serum cholesterol (mg/dL) was increased in HC (793±31) and HC+EI (857±36) as compared to C (85±3, p≤0.001). Cumulative concentration-response curves to norepinephrine (NE, 10−9 to 10−5 mol/L) followed by docosahexaenoic (DHA) or eicosapentaenoic (EPA) (1 to 100 μmol/L) were generated in isolated aortic rings (intact and de-endothelialised, E-). Overall, contractions to NE (10−9 to 10−5 mol/L) in intact rings were diminished in HC and HC+EI groups than were apparent in the C group (p≤0.001). De-endothelialised rings exhibited much greater NE contractile responses as compared to intact rings from each of the 3 groups. Endothelium-dependent relaxations to acetylcholine (10−7 to 10−4 mol/L) were significantly decreased in the HC+EI group. Relaxant responses to the ω-3 PUFAs, DHA and EPA (1–100 μmol/L) were similar in intact rings, but enhanced in E- rings among the 3 groups. De-endothelialised ring responses were −8.6 to −35.5% (C), −8.4 to −30.5% (HC), −7.8 to −25.6% (HC+EI) to DHA (1–100 μmol/L) and −6.8 to −339% (C), −4.8 to =t-40.8% (HC), −8.9 to −34.6% (HC+EI) to EPA (1–100 μmol/L). In areas of aortic intimal hyperplasia, lipid deposition quantified spectrophotometrically using oil red O (ORO) was greater in HC+EI (0.539 μmol ORO/mm2 aortic tissue, p<0.001) as compared to C (0.292) and HC (0.315) groups. We conclude that (1) aortic contractile properties to NE are altered in rats with HC and HC+EI, (2) dietary HC after aortic injury leads to intimal hyperplasia/lipid deposition and impaired endothelium-dependent relaxations in WKY rats, and (3) ω-3 PUFAs have vasorelaxant properties in HC and HC+EI rat aorta. These properties may be beneficial in CHD.

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