Therapeutic effect of metoprolol combined trimetazidine on ischemic heart failure and its influence on inflammatory factors / 心血管康复医学杂志

Objective: To study therapeutic effect of metoprolol combined trimetazidine on ischemic heart failure (IHF) and its influence on inflammatory factors. Methods: A total of 172 IHF patients treated in our hospital were collected. They were randomly and equally divided into trimetazidine group and combined treatment group (received metoprolol combined trimetazidine), and both groups were treated for 30d. Cardiac function, levels of inflammatory factors, N terminal pro brain natriuretic peptide (NT-proBNP), heart type fatty acid-binding protein (H-FABP) and quality of life (QOL) before and after treatment, and cerebral infarction rate after one-year treatment were compared between two groups. Results: Compared with trimetazidine group after treatment, there were significant rise in left ventricular ejection fraction [(44. 68±4. 51) ％ vs. (49. 79±4. 99) ％], significant reductions in left ventricular end-diastolic dimension [(50. 41± 5. 06) mm vs. (47. 28±4. 83) mm], left ventricular end-systolic dimension [(41. 57±4. 22) mm vs. (36. 72±3. 71) mm], levels of NT-proBNP [(3. 48±0. 35) ng/L vs. (3. 06±0. 32) ng/L], H-FABP [(11. 41±1. 26) μg/L vs. (8. 55±0. 86) μg/L], interleukin 6 [(53. 21±5. 36) ng/L vs. (43. 58±4. 44) ng/L], tumor necrosis factorα [(161. 97±16. 28) ng/L vs. (108. 27±10. 11) ng/L]and C reactive protein [(15. 72±1. 59) ng/L vs. (11. 10±1. 12) ng/L]and QOL score [(48. 75±4. 89) scores vs. (43. 15±4. 33) scores]in combined treatment group, P＜0. 05 or＜0. 01. Total effective rate of combined treatment group was significantly higher than that of trimetazidine group (90. 70％ vs. 72. 09％, P=0. 002); after one-year treatment, incidence rate of cerebral infarction in combined treatment group was significantly lower than that of trimetazidine group (2. 33％ vs. 10. 47％, P=0. 029). Conclusion: Metoprolol combined trimetazidine can significantly improve myocardial blood supply, correct immune imbalance, improve cardiac function and quality of life in IHF patients. The therapeutic effect is significant, and it can prevent cerebral infraction, which is worth extending.

Correlation Research between Pharmacological Method State and Natural Attribute of Chinese Herbs / 中国中西医结合杂志

Pharmacological method state is a method to explain the principle of Chinese herb according to its external phenomenon such as shape, color, texture, features, and so on. The natural attribute of Chinese herb include shape, color, texture, smell, harvesting time, medicinal parts, chemical components, and so on. Though both of them have different key points, the natural attribute of Chinese herb can also be used to explain its medicinal mechanism. Therefore, the correlation research between pharmacological method state and the natural attribute of Chinese herb has some significance.

Apoptosis in myocyte after repeated + Gz exposures in rats / 中国应用生理学杂志

<p><b>OBJECTIVE</b>To observe the effects of repeated + Gz exposures on the apoptosis of myocyte in rats.</p><p><b>METHODS</b>Twelve male Sprague-Dawley rats were randomly divided into three groups: Control group, + 6Gz group and + 10Gz group. The rats of + Gz groups were exposed to + 6Gz for 3 min, + 10Gz for 3 min respectively, 1 b/d, 1 week. Four control rats were kept at the Earth gravity (1G) in the room with the centrifuge. All animals were anaesthetized and anatomies 1 day after the last exposure. Ventricular myocardium was studied by electron microscopy and terminal deoxynucleotide transferase-mediated dUTP nick end labeling (TUNEL) method.</p><p><b>RESULTS</b>The apoptosis of myocyte in control group and + 6Gz group were scarcely observed by electron microscopy, while heterochromatin concentration and margination were observed in + 10Gz group. The apoptotic index of myocardium increased significantly in + 6Gz and + 10Gz group compared with that of the control group (P < 0.05) and showed the largest value in the + 10Gz group (P < 0.05).</p><p><b>CONCLUSION</b>Repeated + Gz exposures may induce apoptosis in myocyte, and the number of apoptosis in myocyte increases gradually with the increase of G value.</p>

Expression and distribution of connexin 43 in myocardium of rats after repeated positive acceleration exposures / 生理学报

The present study was designed to observe the expression and distribution of connexin 43 (Cx43) in myocardium of rats after repeated positive acceleration (+Gz) exposures. Thirty six male Sprague-Dawley rats were randomly divided into 3 groups (n=12): control group, +6Gz group and +10Gz group. The rats in +6Gz group were exposed to +6Gz for 3 min daily, 1 week, while rats in +10Gz group were subjected to +10Gz for 3 min daily, 1 week. All animals were anaesthetized and necropsied immediately, 1 d, 3 d and 7 d after the last exposure. The expression and distribution of Cx43 in the ventricles of hearts were examined by immunohistochemistry and Western blot analysis. The immunohistochemistry results showed that in control group abundant expression of Cx43 was observed with intense punctate labelling confined to the intercalated disks between cardiomyocytes. After +Gz exposure, there was a loss of the immuno-reactivity of Cx43, which was consistent with Western blot results, and distribution changes of Cx43, with an increase of Cx43 in side-to-side gap junction and a decrease of Cx43 in end-to-end gap junction. Western blot analysis revealed that Cx43 expression was modified in response to different exposure program and different recovery time. The protein expressions of Cx43 were lower at 4 time points after exposure in either +6Gz or +10Gz groups compared with that in the control group (P<0.001). Densitometry analysis of immunoblots revealed a decrease in the total amount of Cx43 signals immediately after exposure while an increase during the recovery time. After 7-day recovery, the amounts of Cx43 in two exposure groups were still lower than that in the control group (P<0.001). The decrease of Cx43 expression in +10Gz group was more significant than that in +6Gz group. The results demonstrated that the expression decrease and distribution disturbance of Cx43 in the ventricles of rats after repeated +Gz exposures could be recovered. These findings facilitate our understanding of the mechanisms of arrhythmias caused by +Gz and provide new protective measures.

Gene therapy with human vascular endothelial growth factor in prevention of restenosis after angioplasty / 第二军医大学学报

Objective: To investigate the effect of human vascular endothelial growth factor on restenosis after angioplasty. Methods: A rabbit model of injured carotid artery was established using percutaneous transluminal angioplasty. The pcDNA3/hVEGF165（500 μg,n=12） and pcDNA3 （500 μg,n=12） were separately transfected into injured arterial wall with 30 min incubation. The carotid artery was imaged by arotic angiography at the end of week 2 and week 4. Pathology analysis and Northern blot analysis were performed for harvested injured artery segment. Results: Arotic angiography showed carotid artery diameter narrowness were obviously lessened at week 2 and week 4 in experimental group than that in control group; H-E stains showed lumina narrow ratio were obviously reduced at week 2 and week 4 in experimental group than that in control group［（9.58±1.35）% vs (31.72±1.72)%；(18.09±2.93)% vs (44.05±3.28)%， P<0.01 ］; By Northern blot analysis, the expression of hVEGF165mRNA in experimental group were upregulated than in contol group. Conclusion: pcDNA3/hVEGF165 can be transfected into smooth muscle cell and continue to secret bioactivity protein at least for 4 weeks; it can accelerate reendothelialization and prevent restenosis.

Gene therapy with human vascular endothelial growth factor in prevention of restenosis after angioplasty / 第二军医大学学报

Objective: To investigate the effect of human vascular endothelial growth factor on restenosis after angioplasty. Methods: A rabbit model of injured carotid artery was established using percutaneous transluminal angioplasty. The pcDNA3/hVEGF165（500 μg,n=12） and pcDNA3 （500 μg,n=12） were separately transfected into injured arterial wall with 30 min incubation. The carotid artery was imaged by arotic angiography at the end of week 2 and week 4. Pathology analysis and Northern blot analysis were performed for harvested injured artery segment. Results: Arotic angiography showed carotid artery diameter narrowness were obviously lessened at week 2 and week 4 in experimental group than that in control group; H-E stains showed lumina narrow ratio were obviously reduced at week 2 and week 4 in experimental group than that in control group［（9.58±1.35）% vs (31.72±1.72)%；(18.09±2.93)% vs (44.05±3.28)%， P<0.01 ］; By Northern blot analysis, the expression of hVEGF165mRNA in experimental group were upregulated than in contol group. Conclusion: pcDNA3/hVEGF165 can be transfected into smooth muscle cell and continue to secret bioactivity protein at least for 4 weeks; it can accelerate reendothelialization and prevent restenosis.