磷酸肌酸预处理对糖尿病大鼠心肌缺血再灌注损伤的保护
作用及其机制
常建华;景桂霞;党旭云
【期刊名称】《西安交通大学学报(医学版)》 【年(卷),期】2011(032)002
【摘要】目的 探讨磷酸肌酸(PCr)预处理对糖尿病大鼠心肌缺血再灌注损伤的保护作用及其机制.方法 诱导糖尿病大鼠模型,2周后随机分为3组:假手术组(D1),缺血再灌注组(D2),缺血再灌注+PCr给药组(D3);观察缺血区心肌线粒体超微结构,计算凋亡指数(AI),测定心肌匀浆中磷酸腺苷和PCr的含量,并计算能荷值(EC).结果 与D2组相比,D3组线粒体肿胀变性的损伤较轻,AI降低,ATP、PCr含量和EC均升高(P<0.05).结论 PCr通过维护心肌线粒体结构和功能的完整性,提高心肌组织内能量物质的含量,减少心肌细胞的凋亡,从而对糖尿病大鼠心肌缺血再灌注损伤起到保护作用.%Objective To investigate the protective effect of phosphocreatine (PCr) preconditioning on myocardial ischemia-reperfusion injury in diabetic rats and its action mechanisms.Methods A diabetic rat model was induced first; two weeks later these rats were divided randomly into 3 groups: sham-operation group (D1), myocardial ischemia-reperfusion group (D2) and ischemia reperfusion + PCr preconditioning group (D3).The ultrastructure of the cardiac muscle and mitochondria was observed under an electron microscope, the content of high-energy compounds in the cardiac muscle and apoptosis index (AI) were measured, and the value of energy charge (EC) was