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Enhanced ExternalCounterpulsationInhibits IntimalHyperplasia byModifying ShearStress–ResponsiveGene Expression inHypercholesterolemicPigs Yan ZhangHE Xiao-hongXiaolin Chen2007 год

Enhanced External Counterpulsation Inhibits Intimal Hyperplasia by Modifying Shear Stress–Responsive Gene Expression in Hypercholesterolemic Pigs
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Полный текстСтраница публикацииПубликация в OpenAlex
Аннотация: Enhanced external counterpulsation (EECP) is a circulation assist device that may improve endothelial dysfunction by increasing shear stress. Chronic exposure of vascular endothelial cells and vascular smooth muscle cells to relatively high physiological shear stress has antiproliferative and vasoprotective effects. The present study hypothesizes that EECP inhibits intimal hyperplasia and atherogenesis by modifying shear stress-responsive gene expression.Thirty-five male pigs were randomly assigned to 3 groups: high-cholesterol diet (n=11), high-cholesterol diet plus EECP (n=17), and usual diet (control; n=7). The coronary arteries and aortas were collected for histopathological study and immunohistochemical and Western blot analysis. The peak diastolic arterial wall shear stress during EECP increased significantly compared with before EECP (49.62+/-10.71 versus 23.92+/-7.28 dyne/cm2; P<0.001). Intimal hyperplasia was observed in the coronary arteries of the high-cholesterol diet group, whereas in animals receiving EECP, the intima-to-media area ratio was significantly decreased by 41.59% (21.27+/-10.00% versus 36.41+/-16.69%; P=0.008). Hypercholesterolemia attenuated the protein expression of endothelial NO synthase and enhanced the phosphorylation of extracellular signal-regulated kinases 1/2. EECP treatment alleviated these adverse changes.EECP reduces hypercholesterolemia-induced endothelial damage, arrests vascular smooth muscle cell proliferation and migration, decreases proliferating cell nuclear antigen proliferative index, suppresses extracellular matrix formation, and eventually inhibits intimal hyperplasia and the development of atherosclerosis by increasing the arterial wall shear stress, which in turn activates the endothelial NO synthase/NO pathway and probably suppresses extracellular signal-regulated kinases 1/2 overactivation.
Год издания: 2007
Авторы: Yan Zhang, HE Xiao-hong, Xiaolin Chen, Hong Ma, Donghong Liu, Jinyun Luo, Zhi-Min Du, Yafei Jin, Yan Xiong, Jiangui He, Dian-qiu Fang, Kuijian Wang, William E. Lawson, John C.K. Hui, Zhensheng Zheng, Guifu Wu
Издательство: Lippincott Williams & Wilkins
Источник: Circulation
Ключевые слова: Pain Mechanisms and Treatments, Pain Management and Treatment, Hormonal and reproductive studies
Другие ссылки: Circulation (PDF)
Circulation (HTML)
PubMed (HTML)