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AIM:To investigate the relation between myocardial remodeling and the genesis of serum anti-β3-adrenoceptor autoantibody, an animal model of heart failure (HF) was established and the biological effects of the autoantibody were observed.METHODS:(1) Healthy male Wistar rats were subjected to HF by constricting the abdominal aorta. (2) The anti-β3-adrenoceptor autoantibody in the sera of HF rats was detected by ELISA with the synthetic peptide of the second extracellular loop of the β3-adrenoceptor used as the antigen. (3) IgG in the positive sera from HF rats was prepared using a MabTrap Kit (Amersham). (4) The effects of the autoantibody on the contractile response of adult isolated cardiomyocytes and on the beating rate of cultured neonatal rat cardiomyocytes were observed.RESULTS:(1) The positive rate of anti-β3-adrenoceptor autoantibody of rats increased from 21.05% of pretreatment to 78.95% after heart failure (P<0.01). The antibody mean titer of rats increased from 1∶19.49±1.41 of pretreatment to 1∶152.79±2.89 after heart failure (P<0.01). (2) The autoantibody against β3AR from HF rats reduced systolic and diastolic responses in adult isolated cardiomyocytes, which was not modified by pretreating myocytes with nadolol (β1AR and β2AR antagonist), but was nearly prevented by bupranolol (nonselective β1AR, β2AR and β3AR antagonist) or β3AR specific antigen. (3) The autoantibody decreased the beating rate in cultured neonatal rat cardiomyocytes, which persisted within 6 hours and was also not modified by pretreating myocytes with nadolol, but was nearly prevented by bupranolol or β3AR specific antigen. CONCLUSION:Our present study demonstrated that the higher titer of the autoantibody against β3AR generated by myocardial remodeling process during HF, which induced negative inotropic and chronotropic effects, may be a possibility of involvement in the pathophysiological mechanisms leading to heart failure.  相似文献   
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