田沛, 徐莉, 王化宁, 王鹏莉, 杨红燕, 胡文东, 邢文娟, 高峰. 热水浴对慢性应激心肌损伤的防护作用[J]. 心脏杂志, 2019, 31(3): 260-265. DOI: 10.12125/j.chj.201810034
    引用本文: 田沛, 徐莉, 王化宁, 王鹏莉, 杨红燕, 胡文东, 邢文娟, 高峰. 热水浴对慢性应激心肌损伤的防护作用[J]. 心脏杂志, 2019, 31(3): 260-265. DOI: 10.12125/j.chj.201810034
    Pei TIAN, Li XU, Hua-ning WANG, Peng-li WANG, Hong-yan YANG, Wen-dong HU, Wen-juan XING, Feng GAO. Protective effect of hydrotherapy against chronic stress induced myocardial injury[J]. Chinese Heart Journal, 2019, 31(3): 260-265. DOI: 10.12125/j.chj.201810034
    Citation: Pei TIAN, Li XU, Hua-ning WANG, Peng-li WANG, Hong-yan YANG, Wen-dong HU, Wen-juan XING, Feng GAO. Protective effect of hydrotherapy against chronic stress induced myocardial injury[J]. Chinese Heart Journal, 2019, 31(3): 260-265. DOI: 10.12125/j.chj.201810034

    热水浴对慢性应激心肌损伤的防护作用

    Protective effect of hydrotherapy against chronic stress induced myocardial injury

    • 摘要:
        目的  观察热水浴对应激性心肌损伤的防护作用。
        方法  将18只成年雄性SD大鼠随机分为对照组、应激组和热水浴干预组(简称水浴组),每组6只。利用4 w噪声复合足底电击刺激(4 h/d)构建慢性应激损伤模型;热水浴温度为38~40 ℃。测量大鼠体重、血压和心脏功能,4 w后检测血清应激激素去甲肾上腺素(NE)、血管紧张素(Ang)II和心肌酶肌酸激酶(CK)、乳酸脱氢酶(LDH)水平,免疫荧光和Western blot观察组织蛋白,电镜观察心肌线粒体结构。
        结果  与对照组大鼠相比,应激组大鼠存在明显应激反应和心肌损伤,表现为NE、AngII浓度和CK、LDH水平升高(P<0.05);心肌组织自噬相关蛋白LC3B阳性染色和LC3II/I、p62、Beclin1表达水平增加(P<0.05);线粒体数量减少并呈现结构紊乱。与应激组大鼠相比,热水浴组大鼠NE、AngII浓度和CK、LDH水平降低,p62和Beclin1水平减少(P<0.05),线粒体结构损伤亦有所逆转。
        结论  热水浴能减轻慢性应激状态,调控应激所致心肌细胞自噬紊乱,促进线粒体结构恢复,减轻慢性应激性心肌损伤,其机制有待于进一步研究确认。

       

      Abstract:
        AIM  To observe the protective effect of hot water bath (hydrotherapy) on stress induced myocardial injury.
        METHODS  Eighteen adult male Sprague-Dawley rats were randomly divided into control group, stress group and post-stress hot water bath intervention group (water bath group). Rats in the stress group and the water bath (WB) group were subjected to a 4-weeks foot electric shock combined with noise (4 h/d) and the rats in the WB group were given hot bath intervention (38-40 ℃). Body weight, blood pressure and cardiac functions were measured during the experiment and serum stress hormones and myocardial enzymes were measured after 4 weeks. Myocardial protein was determined by immunofluorescence and Western Blot, and the structure of myocardial mitochondria was observed by electron microscope.
        RESULTS  The concentrations of NE and AngII in the serum of rats in the stress group were higher than those in the control group (P<0.05) and the levels of CK and LDH in the stress group increased (P<0.05). Further, compared with those in the control group, the positive staining of microtubule-associated protein 1 light chain 3B (LC3B) and the expressions of LC3II/I, p62 and Beclin1 in myocardial tissue in the stress group increased (P<0.05). Mitochondria showed decreased number and structural disorder in the stress group. Importantly, the hot water bath intervention decreased serum NE, Ang II concentrations and CK and LDH levels compared with those in the stress group (P<0.05). In addition, hot water bath significantly decreased p62 and Beclin1 expression levels (P<0.05) and reversed the mitochondrial structural damage.
        CONCLUSION  Hot water bath reduce myocardial autophagy, improves mitochondrial structure and alleviates chronic stress induced myocardial injury where the mechanisms need further studies.

       

    /

    返回文章
    返回