ABSTRACT
Objective To quickly establish the To quickly establish the atherosclerosis (AS) model in apoprotein E gene knockout (ApoE-/-) rats by short-term high-fat diet combined with balloon injury. Methods Eight-week-old male SD and ApoE-/- rats (10 each) were used in the experiments. After fed with high-fat diet for 2 weeks, the blood routine, hepatorenal function, blood lipid profile and C-reactive protein (CRP) were measured, and then all the left common carotid arteries were processed by balloon injury. After 2 weeks, rats euthanasia were carried out by excessive chloral hydrate, and then the operation side common carotid arteries were stained with HE, Masson trichrome and oil red O. While the common carotid arteries accepted CD68, α-SMA immunofluorescent staining. Results The blood lipid level was significantly higher in ApoE-/- rats than in SD rats [total cholestrol (TC): 18.56±2.82mmol/L vs 5.69±1.98mmol/L, P<0.01; low density lipoprotein (LDL): 6.86±1.47mmol/L vs 1.92±0.76mmol/L, P<0.01]. In the condition of serious blood lipid disorders, the ApoE-/- rats had been in a state of inflammation [CRP: 4.66±0.57mg/L vs 0.39±0.21mg/L, P<0.05; white blood cell: (21.79±5.10)×109/L vs (14.82±2.41)×109/L, P<0.01; neutrophil: (9.28±3.35)×109/L vs (2.10±0.96)×109/L, P<0.01]. HE and Masson staining showed that obvious hyperplasia formed and collagen fibers deposited slightly in the two groups. Oil red O staining revealed the obvious hyperplastic plaques in ApoE-/- rats, but a negative result in SD rats. Immunofluorescence staining showed the significant positive CD68 and weak positive α-SMA in the plaque of ApoE-/- rats, while in SD rats the positive -SMA was pointed out with no CD68 coloration. Conclusion The atherosclerosis model of ApoE-/- rat may be quickly established by short-term high-fat diet combined with balloon injury.
ABSTRACT
Objective To observe the effect of atorvastatin on lowering blood lipid in patients with type 2 diabetic mellitus plus hyperlipidemia. Methods All patients took 10 mg atorvastatin every night for 12 months. The levels of total cholesterol (TC), triglycerides (TG), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), serum alanine aminotransferase (ALT), aspartate aminotransferase fAST), fasting blood glucose (FBG), creatinine (Cr), intima media thickness (IMT) of carotid artery (CA), common lilac artery (CIA) and femoral artery (CFA) were examined before and 3, 6, 9, 12 months after the treatment. Results TC [(5.11±0.94) vs. (4.46±0.98) mmol/L, P<0.01] and LDL-C [(3.01±0.78) vs. (2.55± 0.83) mmol/L, P<0. 01] were significantly decreased one year after the treatment. At different detection time points, the levels of LDL-C all reached the therapy standard (<2.59 mmol/L). But TC reached the therapy standard (<4.04 mmol/L) only at nine months after the treatment. IMT of CA, CIA and CFA were at the decreased tendency (P>0. 05). No significant changes were observed in ALT, AST and Cr. Conclusions Atorvastatin may significantly decreased the level of blood lipid with little adverse effect in elderly patients with type 2 diabetic mellitus plus hyperlipidemia, and it also has the effect of protecting the vascular intima.