中国全科医学
中國全科醫學
중국전과의학
Chinese General Practice
2015年
33期
4090-4095
,共6页
崔立文%徐金升%白亚玲%张俊霞%张胜雷
崔立文%徐金升%白亞玲%張俊霞%張勝雷
최립문%서금승%백아령%장준하%장성뢰
肌细胞,平滑肌%细胞凋亡%血管钙化%酸碱环境%半胱氨酸天冬氨酸蛋白酶3
肌細胞,平滑肌%細胞凋亡%血管鈣化%痠堿環境%半胱氨痠天鼕氨痠蛋白酶3
기세포,평활기%세포조망%혈관개화%산감배경%반광안산천동안산단백매3
Myocytes,smooth muscle%Apoptosis%Vascular calcification%Acid - base environment%Caspase 3
目的:探讨细胞外 pH 值的变化及其波动对高磷诱导的大鼠血管平滑肌细胞(VSMCs)凋亡的作用及机制。方法2014年11月—2015年3月,选取8~10周龄健康雄性 SD 大鼠6只。采用简单随机抽样法选取2只大鼠,体外分离培养大鼠胸主动脉 VSMCs。采用随机数字表法将 VSMCs 分为 pH 7.4组和高磷组,高磷组又分为pH 6.8+磷组、pH 7.4+磷组、pH 7.7+磷组和 pH 6.8/7.7+磷组。pH 7.4组采用含10%胎牛血清(FBS)的 DMEM培养基培养。高磷组采用高磷培养基(10 mmol/ L β-甘油磷酸)培养,并根据数字酸度计的读取值酌情加入1 mol/ L HCl 或7.4% NaHCO3调整 pH 值;pH 6.8/7.7+磷组第1天给予 pH 7.7刺激、第2天给予 pH 6.8刺激。将剩余4只大鼠按照上述方法培养,重复2次。采用免疫组织化学(SP 法)进行细胞鉴定。采用反转录聚合酶链反应(RT - PCR)法检测半胱氨酸的天冬氨酸蛋白水解酶3( Caspase -3) mRNA 相对表达水平及 B 淋巴细胞瘤2( Bcl -2) mRNA/ Bcl -2相关 X 蛋白(Bax)mRNA。采流式细胞仪检测细胞凋亡率。结果倒置相差显微镜下可见:大鼠胸主动脉组织块贴壁3~4 d 后细胞从组织块边缘爬出,细胞为长梭形,呈束状排列;5~6 d 成同心圆状细胞团,形成明显的细胞生长晕,并围绕组织块边缘呈束状、放射状延伸;6~7 d 后细胞融合成片,细胞体梭形或不规则三角形,细胞质向外伸出2~3个长短不等的突起。免疫组织化学检测可见:细胞质表达强阳性。pH 6.8+磷组Caspase -3 mRNA 表达水平低于pH 7.4组,pH 7.4+磷组、pH 7.7+磷组Caspase -3 mRNA 表达水平高于 pH 7.4组(P <0.05);pH 7.4+磷组、pH 7.7+磷组、pH 6.8/7.7+磷组 Caspase -3 mRNA 表达水平高于 pH 6.8+磷组( P <0.05);pH 7.7+磷组Caspase -3 mRNA 表达水平高于 pH 7.4+磷组,pH 6.8/7.7+磷组 Caspase -3 mRNA 表达水平低于pH 7.4+磷组、pH 7.7+磷组(P <0.05)。pH 7.4+磷组、pH 7.7+磷组、pH 6.8/7.7+磷组 Bcl -2 mRNA/ Bax mRNA 分别小于 pH 7.4组、pH 6.8+磷组(P <0.05);pH 7.7+磷组Bcl -2 mRNA/ Bax mRNA 小于pH 7.4+磷组( P <0.05);pH 6.8/7.7+磷组 Bcl -2 mRNA/ Bax mRNA 大于pH 7.7+磷组。pH 6.8+磷组、pH 7.4+磷组、pH 7.7+磷组、pH 6.8/7.7+磷组细胞凋亡率大于 pH 7.4组( P <0.05);pH 7.4+磷组、pH 7.7+磷组、pH 6.8/7.7+磷组细胞凋亡率大于pH 6.8+磷组(P <0.05);pH 7.7+磷组细胞凋亡率大于 pH 7.4+磷组,pH 6.8/7.7+磷组细胞 凋 亡 率 小 于pH 7.4+磷组(P <0.05);pH 6.8/7.7+磷组细胞凋亡率小于pH 7.7+磷组(P <0.05)。结论细胞外酸性环境能够抑制高磷培养的大鼠 VSMCs 凋亡,而细胞外碱性环境能够促进其凋亡。其具体机制可能是影响了 Bcl -2、Bax 的表达水平进而影响了 Caspase -3的表达水平,从而影响了细胞凋亡。
目的:探討細胞外 pH 值的變化及其波動對高燐誘導的大鼠血管平滑肌細胞(VSMCs)凋亡的作用及機製。方法2014年11月—2015年3月,選取8~10週齡健康雄性 SD 大鼠6隻。採用簡單隨機抽樣法選取2隻大鼠,體外分離培養大鼠胸主動脈 VSMCs。採用隨機數字錶法將 VSMCs 分為 pH 7.4組和高燐組,高燐組又分為pH 6.8+燐組、pH 7.4+燐組、pH 7.7+燐組和 pH 6.8/7.7+燐組。pH 7.4組採用含10%胎牛血清(FBS)的 DMEM培養基培養。高燐組採用高燐培養基(10 mmol/ L β-甘油燐痠)培養,併根據數字痠度計的讀取值酌情加入1 mol/ L HCl 或7.4% NaHCO3調整 pH 值;pH 6.8/7.7+燐組第1天給予 pH 7.7刺激、第2天給予 pH 6.8刺激。將剩餘4隻大鼠按照上述方法培養,重複2次。採用免疫組織化學(SP 法)進行細胞鑒定。採用反轉錄聚閤酶鏈反應(RT - PCR)法檢測半胱氨痠的天鼕氨痠蛋白水解酶3( Caspase -3) mRNA 相對錶達水平及 B 淋巴細胞瘤2( Bcl -2) mRNA/ Bcl -2相關 X 蛋白(Bax)mRNA。採流式細胞儀檢測細胞凋亡率。結果倒置相差顯微鏡下可見:大鼠胸主動脈組織塊貼壁3~4 d 後細胞從組織塊邊緣爬齣,細胞為長梭形,呈束狀排列;5~6 d 成同心圓狀細胞糰,形成明顯的細胞生長暈,併圍繞組織塊邊緣呈束狀、放射狀延伸;6~7 d 後細胞融閤成片,細胞體梭形或不規則三角形,細胞質嚮外伸齣2~3箇長短不等的突起。免疫組織化學檢測可見:細胞質錶達彊暘性。pH 6.8+燐組Caspase -3 mRNA 錶達水平低于pH 7.4組,pH 7.4+燐組、pH 7.7+燐組Caspase -3 mRNA 錶達水平高于 pH 7.4組(P <0.05);pH 7.4+燐組、pH 7.7+燐組、pH 6.8/7.7+燐組 Caspase -3 mRNA 錶達水平高于 pH 6.8+燐組( P <0.05);pH 7.7+燐組Caspase -3 mRNA 錶達水平高于 pH 7.4+燐組,pH 6.8/7.7+燐組 Caspase -3 mRNA 錶達水平低于pH 7.4+燐組、pH 7.7+燐組(P <0.05)。pH 7.4+燐組、pH 7.7+燐組、pH 6.8/7.7+燐組 Bcl -2 mRNA/ Bax mRNA 分彆小于 pH 7.4組、pH 6.8+燐組(P <0.05);pH 7.7+燐組Bcl -2 mRNA/ Bax mRNA 小于pH 7.4+燐組( P <0.05);pH 6.8/7.7+燐組 Bcl -2 mRNA/ Bax mRNA 大于pH 7.7+燐組。pH 6.8+燐組、pH 7.4+燐組、pH 7.7+燐組、pH 6.8/7.7+燐組細胞凋亡率大于 pH 7.4組( P <0.05);pH 7.4+燐組、pH 7.7+燐組、pH 6.8/7.7+燐組細胞凋亡率大于pH 6.8+燐組(P <0.05);pH 7.7+燐組細胞凋亡率大于 pH 7.4+燐組,pH 6.8/7.7+燐組細胞 凋 亡 率 小 于pH 7.4+燐組(P <0.05);pH 6.8/7.7+燐組細胞凋亡率小于pH 7.7+燐組(P <0.05)。結論細胞外痠性環境能夠抑製高燐培養的大鼠 VSMCs 凋亡,而細胞外堿性環境能夠促進其凋亡。其具體機製可能是影響瞭 Bcl -2、Bax 的錶達水平進而影響瞭 Caspase -3的錶達水平,從而影響瞭細胞凋亡。
목적:탐토세포외 pH 치적변화급기파동대고린유도적대서혈관평활기세포(VSMCs)조망적작용급궤제。방법2014년11월—2015년3월,선취8~10주령건강웅성 SD 대서6지。채용간단수궤추양법선취2지대서,체외분리배양대서흉주동맥 VSMCs。채용수궤수자표법장 VSMCs 분위 pH 7.4조화고린조,고린조우분위pH 6.8+린조、pH 7.4+린조、pH 7.7+린조화 pH 6.8/7.7+린조。pH 7.4조채용함10%태우혈청(FBS)적 DMEM배양기배양。고린조채용고린배양기(10 mmol/ L β-감유린산)배양,병근거수자산도계적독취치작정가입1 mol/ L HCl 혹7.4% NaHCO3조정 pH 치;pH 6.8/7.7+린조제1천급여 pH 7.7자격、제2천급여 pH 6.8자격。장잉여4지대서안조상술방법배양,중복2차。채용면역조직화학(SP 법)진행세포감정。채용반전록취합매련반응(RT - PCR)법검측반광안산적천동안산단백수해매3( Caspase -3) mRNA 상대표체수평급 B 림파세포류2( Bcl -2) mRNA/ Bcl -2상관 X 단백(Bax)mRNA。채류식세포의검측세포조망솔。결과도치상차현미경하가견:대서흉주동맥조직괴첩벽3~4 d 후세포종조직괴변연파출,세포위장사형,정속상배렬;5~6 d 성동심원상세포단,형성명현적세포생장훈,병위요조직괴변연정속상、방사상연신;6~7 d 후세포융합성편,세포체사형혹불규칙삼각형,세포질향외신출2~3개장단불등적돌기。면역조직화학검측가견:세포질표체강양성。pH 6.8+린조Caspase -3 mRNA 표체수평저우pH 7.4조,pH 7.4+린조、pH 7.7+린조Caspase -3 mRNA 표체수평고우 pH 7.4조(P <0.05);pH 7.4+린조、pH 7.7+린조、pH 6.8/7.7+린조 Caspase -3 mRNA 표체수평고우 pH 6.8+린조( P <0.05);pH 7.7+린조Caspase -3 mRNA 표체수평고우 pH 7.4+린조,pH 6.8/7.7+린조 Caspase -3 mRNA 표체수평저우pH 7.4+린조、pH 7.7+린조(P <0.05)。pH 7.4+린조、pH 7.7+린조、pH 6.8/7.7+린조 Bcl -2 mRNA/ Bax mRNA 분별소우 pH 7.4조、pH 6.8+린조(P <0.05);pH 7.7+린조Bcl -2 mRNA/ Bax mRNA 소우pH 7.4+린조( P <0.05);pH 6.8/7.7+린조 Bcl -2 mRNA/ Bax mRNA 대우pH 7.7+린조。pH 6.8+린조、pH 7.4+린조、pH 7.7+린조、pH 6.8/7.7+린조세포조망솔대우 pH 7.4조( P <0.05);pH 7.4+린조、pH 7.7+린조、pH 6.8/7.7+린조세포조망솔대우pH 6.8+린조(P <0.05);pH 7.7+린조세포조망솔대우 pH 7.4+린조,pH 6.8/7.7+린조세포 조 망 솔 소 우pH 7.4+린조(P <0.05);pH 6.8/7.7+린조세포조망솔소우pH 7.7+린조(P <0.05)。결론세포외산성배경능구억제고린배양적대서 VSMCs 조망,이세포외감성배경능구촉진기조망。기구체궤제가능시영향료 Bcl -2、Bax 적표체수평진이영향료 Caspase -3적표체수평,종이영향료세포조망。
Objective To investigate the effect of extracellular pH changes and its fluctuations on high - phosphate -induced apoptosis of rat vascular smooth muscle cells(VSMCs)and its mechanism. Methods A total of 6 healthy male SD rats aged 8 - 10 weeks were selected from November 2014 to March 2015. Using simple random sampling method,we selected 2 rats, and VSMCs from rat thoracic aorta were cultured in vitro. Using random number table method,VSMCs were divided into pH 7. 4 group and high - phosphate group. High - phosphate group was divided into pH 6. 8 + phosphate group,pH 7. 4 + phosphate group,pH 7. 7 + phosphate group and pH 6. 8 / 7. 7 + phosphate group. DMEM culture medium containing 10% FBS was employed in pH 7. 4 group. High - phosphate culture medium was employed in high - phosphate group,and according to the read- out values of acidity meter,1 mol/ L HCl or 7. 4% NaHCO3 were added to adjust pH;pH 6. 8 / 7. 7 + phosphate group was stimulated with pH 7. 7 on day 1 and was given pH 6. 8 on day 2. The VSMCs of the rest 4 rats were cultured with the above method for two times. Cells were determined using immunohistochemistry SP method,RT - PCR was employed to detect the mRNA relative expression level of Caspase - 3 and Bcl - 2 mRNA/ Bax mRNA. Flow cytometry was employed to detect apoptosis rate. Results Under inverted phase contrast microscope,the observation results were as follows:3 - 4 d later,VSMCs crawled out of the rim of tissue block in long fusiform shape and sarciniform distribution;5 - 6 d later,cell mass was formed in the shape of concentric circle with obvious growing follicle,crawling around the rim of tissue block in sarciniform and radiated shape;6 -7 d later,the cells were merged into films,and the cell body took on fusiform shape or irregular triangular shape with cytoplasm stretching out forming 2 to 3 protrusions of different lengths. The pH 6. 8 + phosphate group was lower than pH 7. 4 group in Caspase - 3 mRNA expression(P < 0. 05),and pH 7. 4 + phosphate group and pH 7. 7 + phosphate group were higher than pH 7. 4 group in Caspase - 3 mRNA expression(P < 0. 05);pH 7. 4 + phosphate group,pH 7. 7 + phosphate group and pH 6. 8/ 7. 7 + phosphate group were higher than pH 6. 8 + phosphate group in Caspase - 3 mRNA expression( P < 0. 05);pH 7. 7+ phosphate group was higher than pH 7. 4 + phosphate group in Caspase - 3 mRNA expression(P < 0. 05),and pH 6. 8 / 7. 7+ phosphate group was lower than pH 7. 4 + phosphate group in Caspase - 3 mRNA expression( P < 0. 05);pH 6. 8 / 7. 7+ phosphate group was lower than pH 7. 7 + phosphate group in Caspase - 3 mRNA expression ( P < 0. 05 ) . pH 7. 4+ phosphate group,pH 7. 7 + phosphate group and pH 6. 8 / 7. 7 + phosphate group were lower than pH 7. 4 + phosphate group and pH 6. 8 + phosphate group in Bcl - 2 mRNA/ Bax mRNA(P < 0. 05);pH 7. 7 + phosphate group was lower than pH 7. 4+ phosphate group in Bcl - 2 mRNA/ Bax mRNA( P < 0. 05);pH 6. 8 / 7. 7 + phosphate group was higher than pH 7. 7+ phosphate group in Bcl - 2 mRNA/ Bax mRNA. pH 6. 8 + phosphate group,pH 7. 4 + phosphate group,pH 7. 7 + phosphate group and pH 6. 8 / 7. 7 + phosphate group were higher than pH 7. 4 group in cell apoptosis rate ( P < 0. 05 );pH 7. 4+ phosphate group,pH 7. 7 + phosphate group and pH 6. 8 / 7. 7 + phosphate group were higher than pH 6. 8 group in cell apoptosis rate(P < 0. 05);pH 7. 7 + phosphate group was higher than pH 7. 4 + phosphate group in cell apoptosis rate(P <0. 05),and pH 6. 8 / 7. 7 + phosphate group was lower pH 7. 4 + phosphate group in cell apoptosis rate(P < 0. 05);pH 6. 8/ 7. 7 + phosphate group was lower than pH 7. 7 + phosphate group in cell apoptosis rate(P < 0. 05). Conclusion Extracellular acidic environment can inhibit high - phosphorus - induced VSMCs apoptosis,whereas extracellular alkaline environment and pH fluctuations induce apoptosis. The mechanism may be that pH value may influence Bcl - 2 and Bax expression and further influence Caspase - 3 expression,thus influencing cell apoptosis.