被动腿部运动改善射血分数保留型心力衰竭Dahl盐敏感大鼠的血管内皮功能
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湖南省自然科学基金项目(2024JJ9572);深圳市科技计划项目(JCYJ20210324124605015)


Passive leg movement alleviates endothelial dysfunction in Dahl salt-sensitive rat model of heart failure with preserved ejection fraction
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    摘要:

    目的 探讨被动腿部运动(PLM)对射血分数保留型心力衰竭(HFpEF)Dahl盐敏感(DS)大鼠内皮功能及分子机制的作用。方法 将32只7周龄DS雄性大鼠按饮食及干预措施随机分为4组:正常盐组(NS组)、高盐组(HS组)、高盐+PLM组(HS+PLM组)、高盐+异氟烷组(HS+ISO组),每组8只。HS+PLM组和HS+ISO组大鼠高盐饮食饲养13周后并随机接受PLM或ISO吸入。采用超声心动图和侵入性血流动力学测量评估左室舒张功能障碍。并进行了血管内皮功能的体外评估。结果 PLM可延缓HFpEF大鼠心脏舒张功能的恶化。此外,PLM显著增强乙酰胆碱(Ach)介导的血管内皮依赖的血管舒张功能,改善DS大鼠的主动脉重塑和内皮型一氧化氮合酶(eNOS)二聚体的解离。PLM还可增加血管p-eNOS水平。PLM可以减轻HFpEF大鼠模型血管内皮功能障碍,其机制可能与抑制血管纤维化和氧化应激有关,也与eNOS的磷酸化水平有关。结论 HFpEF可导致血管内皮功能障碍,而PLM能够逆转HFpEF所致的内皮功能障碍

    Abstract:

    Objective To assess the impact of passive leg movement (PLM) on endothelial function and the underlying molecular mechanisms in Dhal salt-sensitive rat with HFpEF. Methods A total of thirty-two Dahl salt-sensitive male rats, aged seven weeks, were randomly allocated into four groups according to dietary and intervention measures, with eight rats assigned to each group: normal salt, high salt, high salt and passive leg movement group (HS+PLM), high salt and isoflurane group (HS+ISO). HS+PLM and HS+ISO groups rats were fed a high-salt diet for 13 weeks, and randomized to receive PLM or Isoflurane. Diastolic dysfunction was evaluated using invasive hemodynamic measurements and echocardiography. In addition, the in vitro assessment of vascular endothelial function was conducted. Results PLM attenuated deterioration of cardiac diastolic function of rats with HFpEF. Furthermore, PLM resulted in a significant enhancement of vascular endothelium-dependent relaxation to acetylcholine, as well as improvements in aorta remodeling and the dissociation of eNOS dimers in Dahl salt-sensitive rats. PLM also increased expression of p-eNOS. In this model of HFpEF, the endothelial function of the vascular was impaired. However, this was prevented by PLM, which may be associated with alleviating vascular fibrosis and oxidative stress. It also was related to reduced expression of eNOS. Conclusion These results indicate that HFpEF leads to endothelial dysfunction, which can be reversed through PLM

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  • 在线发布日期: 2026-03-19
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