Role of DNA dioxygenase TET1 in cardiac fibrosis induced by high pressure / 中国药理学通报

Aim To investigate the mechanism of TET1 in cardiac fibrosis induced by high pressure. Methods Wistar rats and spontaneous hypertension rats(SHR) were selected to detected the expression of TET1, TGF-β, COL-1 and COL-3 in myocardium by Western blot; HE and Masson staining were used to detect myocardial pathological changes. Neonatal rat cardiac fibroblasts (NRCFs) were isolated from the ventricles of neonatal Sprague-Dawley rats and stimulated by 0 mm-Hg, 120 mmHg and 180 mmHg high pressure. Immunofluorescence was used to detect the changes of 5-hmC in the NRCFs. The changes of 5-hmC and 5-mC in TGF-β promoter region were detected by qRT-PCR. The expressions of TET1, TGF-β, COL-1 and COL-3 were detected by Western blot. Results Compared with Wistar rats, SHR showed increased blood pressure, increased fibrous collagen in ventricular tissues, and significantly increased expressions of TET1, TGF-P, COL-1 and COL-3. Compared with the 0 mmHg group, 120 mmHg and 180 mmHg group significantly induced the increase of TET1, 5-hmC, TGF-p, COL-1 and COL-3. TET1 knockdown significantly reduced the increase of 5-hmC, TGF-β, COL-1 and COL-3 under 180 mmHg pressure. Besides, knockdown TET1 significantly reduced the level of 5-hmC and increased the level of 5-mC and 5-hmC in the TGF-β promoter region. Conclusions High pressure induced cardiac fibrosis is associated with the promotion of TGF-β promoter demethylation and the increased of TGF-β expression by TET1.

Surgical management for large chest keloids with internal mammary artery perforator flap

Abstract Therapy for large symptomatic keloids is often plagued with complicated reconstruction manner and recurrence. This article reports a rare treatment combination for a chest keloid with internal mammary artery perforator flap reconstruction and radiation therapy. We excised the keloid and covered the defect with an internal mammary artery perforator flap. Immediate electron-beam irradiation therapy was applied on the second postoperative day. There was no sign of recurrence over the follow-up period of 18 months. The combination of internal mammary artery perforator flap and immediate radiation therapy is useful when faced with chest keloids of similar magnitude and intractability.