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采用DOCA硅胶管皮下埋入法建立大鼠心衰模型,从基因转录水平检测正常与心衰大鼠心肌组织中心肌收缩蛋白分子基因α-MHC、β-MHC、α-cardiacactin、α-skeletalactin表达的变化。结果显示:(1)心衰大鼠心肌收缩力指标dp/dtmax较正常大鼠明显降低(下降27.51%,P<0.01),(2)心衰大鼠与正常大鼠相比,心肌组织中α-MHC基因表达水平显著下降(降低21.43%,P<0.05),β-MHC基因表达水平显著升高(升高62.43%,P<0.01)、α-cardiacactin基因和α-skeletalactin基因表达水平未见明显改变,(3)α-MHCmRNA的含量与心肌收缩力指标dp/dtmax值之间存在正相关关系(r=0.4143,n=43,P<0.05),β-MHCmRNA的含量与dp/dtmax值之间存在负相关关系。(r=-0.3902,n=43,P<0.05)。这提示:心肌组织中MHC基因表达水平的改变是心衰时心肌收缩力降低的主要分子基础
The rat model of heart failure was established by subcutaneous burying of DOCA silicone tube. The expression of α-MHC, β-MHC, α-cardiacactin and α-skeletalbumin in myocardium of normal and heart failure rats were detected by gene transcription The change. The results showed that: (1) The dp / dtmax of myocardial contractility in heart failure rats was significantly lower than that in normal rats (27.51%, P <0.01); (2) Compared with normal rats The level of α-MHC gene expression was significantly decreased (21.43%, P <0.05), the level of β-MHC gene expression was significantly increased (62.43%, P <0.01) α-cardiacactin and α-skeletalactin showed no significant changes. (3) There was a positive correlation between α-MHC mRNA and dp / dtmax (r = 0.4143, n = 43, P <0.05). There was a negative correlation between the content of β-MHC mRNA and dp / dtmax. (R = -0.3902, n = 43, P <0.05). This suggests that changes in MHC gene expression in cardiac tissue are the major molecular basis for decreased cardiac contractility during heart failure