氯吡格雷在大鼠盐敏感性高血压的作用机制探讨
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1.北京卫生职业学院;2.中国医学科学院医学实验动物研究所

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Exploration of the mechanism of clopidogrel in salt-sensitive hypertension rats
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1.Beijing Health Vocational College;2.Institute of Laboratory Animal Sciences, Chinese Academy of Medical Sciences

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    摘要:

    【】目的 探讨氯吡格雷在盐敏感性高血压中的作用及分子机制。方法 选用2月龄盐敏感性高血压大鼠(Dahl salt-sensitive, Dahl SS)及其对照盐耐受性大鼠(salt-resistant, SS13BN)随机分为6组,分别给予正常盐(0.4% NaCl,NS)、高盐(8% NaCl,HS)、高盐+氯吡格雷灌胃((10mg/(Kg.d)),HS+CLO)喂养8周。尾袖法连续测量8周内动脉收缩压,8周(56天)后颈总动脉插管法测量大鼠平均动脉压,苏木精-伊红( HE) 染色观察肾组织病理学改变情况,免疫组化检测肾脏炎症细胞浸润情况,流式细胞术分析外周血血小板活化率、血小板-白细胞聚集,免疫印记法检测肾组织炎症相关蛋白TNF-α、IL-1β、IL-6和肾组织p38MAPK/NF-κB信号通路关键蛋白的表达。结果 Dahl SS大鼠高盐组与正常盐组相比,血压显著升高,肾脏组织损伤程度明显加重,炎症细胞浸润数量、炎症因子表达,外周血血小板活化率、血小板-白细胞聚集数量,p38MAPK/NF-κB信号通路蛋白表达均显著增加,而氯吡格雷能够有效缓解Dahl SS大鼠由高盐诱导的上述表现。结论 氯吡格雷通过抑制血小板活化和p38MAPK/NF-κB信号通路,缓解高盐诱导的盐敏感性高血压,并显著降低肾脏炎症反应和肾功能损伤等并发症的发生发展。

    Abstract:

    Objective To examine the role and mechanism of clopidogrel in the development????????? of salt-sensitive hypertension. Methods Two-month-old Dahl salt-sensitive (Dahl SS) rats and their control salt-resistant (SS13BN) rats were randomly divided into six groups and fed for 8 weeks with normal salt (0.4% NaCl, NS), high salt (8% NaCl, HS), or high salt combined with clopidogrel gavage (10 mg/(Kg·d), HS+CLO). Arterial systolic blood pressure was continuously measured by the tail-cuff method over 8 weeks, and mean arterial pressure was measured by carotid cannulation after 8 weeks (56 days). Renal histopathology was observed by hematoxylin and eosin (HE) staining, renal inflammatory cell infiltration was detected by immunohistochemistry, peripheral blood platelet activation and platelet-leukocyte aggregation were analyzed by flow cytometry, and renal inflammation-related proteins TNF-α, IL-1β, IL-6, and key proteins in the p38MAPK/NF-κB signaling pathway were detected by immunoblotting. Results Compared with the NS group, Dahl SS rats HS group exhibited significantly increased blood pressure, aggravated renal tissue damage, increased inflammatory cell infiltration and expression of inflammatory cytokines, elevated peripheral blood platelet activation and platelet-leukocyte aggregation, and increased expression of p38MAPK/NF-κB signaling pathway proteins. Clopidogrel effectively alleviated these phenotypes induced by high salt in Dahl SS rats. Conclusions Clopidogrel alleviated high salt-induced salt-sensitive hypertension, and decreased? renal inflammatory responses and dysfunction in Dahl SS rats by inhibiting platelet activation and the p38MAPK/NF-κB signaling pathway.

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  • 收稿日期:2024-12-05
  • 最后修改日期:2025-02-25
  • 录用日期:2025-05-06
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