在患有扩张性心肌病症的患者中,改变了提丁表达,心肌硬度和左心室功能
Sherif F Nagueh1, Gopi Shah, Yiming Wu
1Section of Cardiology, Department of Medicine, Baylor College of Medicine, 6550 Fannin, SM-1256, Houston, TX 77030-2717, USA. sherifn@bcm.tmc.edu
Circulation
|July 9, 2004
概括
在心力衰竭中,巨型蛋白质titin转移到更符合N2BA单体,减少心肌硬度,并影响透心填充和运动耐受性. 这表明改变的提丁表达是扩张性心肌病的关键.
科学领域:
- 心血管生物学 心血管生物学
- 肌肉生理学 肌肉生理学
- 生物化学 生物化学
背景情况:
- 巨型蛋白质titin在心力衰竭中的作用尚不清楚.
- 在非缺血性扩张性心肌病的末期心力衰竭中研究了提丁表达.
- 研究了titin表达,左心室 (LV) 心肌硬度和LV功能之间的关系.
研究的目的:
- 为了研究心力衰竭患者的提丁异型表达.
- 为了确定蒂表达对心肌硬度和LV功能的影响.
- 探索心脏衰竭的蒂表达和临床参数之间的相关性.
主要方法:
- 通过使用SDS-agarose凝分析了提丁异型 (N2B和N2BA).
- 在LV肌肉条中测量了被动肌肉度.
- 使用侵入性血液动力学和多普勒心声学评估LV功能.
- 量化滴结合蛋白质.量化滴结合蛋白.
主要成果:
- 在心力衰竭患者和对照患者中增加了N2BA:N2B滴异形比率.
- 在患有高N2BA:N2B比率的患者中减少了被动肌肉性.
- 发现了N2BA:N2B比率和透析填充参数,终端透析体积/压力比率以及运动耐受性 (高峰O2消耗) 之间的相关性.
- 升高的N2BA表达与提丁结合蛋白的增加相关.
结论:
- 在失败的心脏中,总的蒂含量保持不变.
- 在心力衰竭中,符合N2BA丁异型的比例增加显著降低了心肌硬度.
- 改变的提表达会影响透缩填充,并可能涉及通过提结合蛋白的细胞信号通路.
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