Persistent pulmonary hypertension of the newborn (PPHN) is a life‑threatening disease that is commonly observed in the neonatal intensive care unit. PPHN is pathologically characterized by pulmonary vascular remodeling and, in particular, pulmonary artery smooth muscle cell (PASMC) proliferation. Decreased expression levels of peroxisome proliferator‑activated receptor γ (PPAR‑γ), which is a member of the nuclear receptor hormone superfamily, in combination with elevated expressions of transient receptor potential cation channel, subfamily C, member 1 (TRPC1) and TRPC6 contributes to the PASMC proliferation and excessive pulmonary vascular remodeling in adult pulmonary hypertension (PH). Whether PPAR‑γ, TRPC1 and TRPC6 affect the development of vascular remodeling in PPHN model rats remains unknown. The aim of the present study was to investigate the roles of PPAR‑γ, TRPC1 and TRP6 on the pathogenesis of PPHN in rats. The rat model of PPHN was established by exposure to hypoxic conditions and indomethacin treatment. Lung tissues, hearts and blood from PPHN model and Control rats were collected and examined. Parameters, including the percentage of medial wall thickness (WT %), the percentage of medial wall area (WA %), right ventricular hypertrophy (RVH) and the plasma concentration of B‑type natriuretic peptide (BNP) were used to estimate the development of PPHN. The expression levels of PPAR‑γ, TRPC1 and TRPC6 in lung tissues were detected by immunohistochemistry, western blotting and reverse transcription‑quantitative polymerase chain reaction. Significant increases were observed in the WT %, WA %, RVH and plasma BNP in the PPHN group compare with the Control group (P<0.01). In addition, the mRNA and protein expression levels of PPAR‑γ were markedly downregulated (P<0.05 vs. Control). In the PPHN group, the protein expression levels of TRPC1 and TRPC6 were higher compared to the control group; however, there was no difference in the mRNA expression levels (P>0.05). In conclusion, the present study successfully established a PPHN rat model, and the altered expressions of PPAR‑γ, TRPC1 and TRPC6 in the pulmonary artery located in the lungs of newborn rats with PPHN suggested that these proteins may be important mediators of PPHN.

译文

:新生儿持续性肺动脉高压(PPHN)是威胁生命的疾病,通常在新生儿重症监护室中观察到。 PPHN的病理特征是肺血管重塑,尤其是肺动脉平滑肌细胞(PASMC)增殖。过氧化物酶体增殖物激活受体γ(PPAR-γ)的表达水平降低,PPAR-γ是核受体激素超家族的成员,与瞬态受体潜在阳离子通道,亚家族C,成员1(TRPC1)和TRPC6的表达升高有关对成人肺动脉高压(PH)中PASMC增殖和过度肺血管重构的影响。 PPAR-γ,TRPC1和TRPC6是否影响PPHN模型大鼠血管重塑的发展尚不清楚。本研究的目的是研究PPAR-γ,TRPC1和TRP6在大鼠PPHN发病中的作用。通过暴露于低氧条件和消炎痛治疗,建立了PPHN大鼠模型。收集并检查PPHN模型和对照组大鼠的肺组织,心脏和血液。使用参数,包括内侧壁厚百分比(WT%),内侧壁面积百分比(WA%),右心室肥大(RVH)和B型利钠肽(BNP)的血浆浓度来评估发育情况PPHN。通过免疫组织化学,Western印迹和逆转录定量聚合酶链反应检测肺组织中PPAR‑γ,TRPC1和TRPC6的表达水平。与对照组相比,PPHN组的WT%,WA%,RVH和血浆BNP显着增加(P <0.01)。此外,PPAR-γ的mRNA和蛋白表达水平显着下调(P <0.05 vs.Control)。 PPHN组的TRPC1和TRPC6的蛋白表达水平高于对照组。然而,mRNA表达水平没有差异(P> 0.05)。总之,本研究成功建立了PPHN大鼠模型,而PPHN新生大鼠肺中肺动脉中PPAR-γ,TRPC1和TRPC6的表达改变表明,这些蛋白可能是PPHN的重要介体。

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