ABSTRACT
Objective To analyze the changes of serum hypoxia-inducible factor-1α(HIF-1α),vas-cular endothelial growth factor ( VEGF) and endothelin-1 ( ET-1) levels in neonates with hypoxia-induced pulmonary hypertension(HPH),and to explore the roles of three factors in the pathogenesis of HPH in neo-nates. Methods A total of 50 neonates with HPH in the neonatal intensive care unit as HPH group and an-other 25 non-HPH hospitalized neonates with similar clinical data in the same period as control group were enrolled from January 2014 to December 2017. The levels of serum HIF-1α,VEGF and ET-1 were deter-mined by enzyme linked immunosorbent assay when neonates were diagnosed as HPH and their pulmonary artery systolic blood pressure(PASP) decreased to 35 mmHg below respectively. The changes of three factors levels were analyzed and compared with those of control group at the same time point. Results (1) The levels of serum HIF-1α,VEGF and ET-1 of HPH group were significantly higher than those of the control group (F value were 151. 97,43. 31,and 129. 56 respectively,all P<0. 01). Furthermore,the more serious the grade of HPH,the higher the levels of three factors. The differences were statistically significant (all P<0. 01). (2) After PASP of neonates in HPH group decreased to 35 mmHg or below,the levels of serum HIF-1α,VEGF and ET-1 also significantly decreased,and the differences were statistically significant ( all P <0. 01). However,there were no statistically significant differences compared with those of the control group for the levels of serum HIF-1α and VEGF(both P>0. 05) in addition to serum ET-1 levels (F＝14. 98,P<0. 05). Conclusion High levels of HIF-1α,VEGF and ET-1 caused by hypoxia may play an important role in neonatal HPH.
ABSTRACT
Objective: To investigate the protective effect of Feikang Granules (FK) on endodermis scathe of pulmonary vascular in rats with hypoxia induced pulmonary hypertension (HPH). Methods: Hypoxia with intravenous injection FeCl 3 was used to establish model rats with HPH. Hypoxia rats were treated with FK for seven days after hypoxia everyday. Plasma endothelin (ET), superoxide dismutase (SOD), malondialdehyde (MDA) and glutathione peroxidase (GSH PX) in serum were inspected. Results: (1) Those indexes were higher remarkably than control group and showed that the level of series enzyme concerned with oxidation reaction was in unbalance. Pulmonary hypertension and endodermis scathe of pulmonary vascular had happened. (2) The level of ET, MDA, SOD and GSH PX decreased significantly in the treated group. It indicated that FK could inhibit HPH and improve the pathological changes such as endodermis scathe, the unbalance of series enzyme concerned with oxidation reaction. Conclusion:Feikang Granules may partly prevent the development of HPH and endodermis scathe of pulmonary vascular.