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中国应用生理学杂志 ›› 2018, Vol. 34 ›› Issue (4): 371-374.doi: 10.12047/j.cjap.5664.2018.085

• 研究论文 • 上一篇    下一篇

重组水蛭素的抗血栓形成作用及其机制

曹文理1, 李菁2   

  1. 1. 武警后勤学院附属医院呼吸和重症医学科, 天津 300162;
    2. 武警后勤学院附属医院预防保健科, 天津 300162
  • 收稿日期:2017-12-28 修回日期:2018-03-20 出版日期:2018-07-28 发布日期:2019-02-21
  • 通讯作者: 李菁 E-mail:tjwjcwl@126.com
  • 基金资助:
    武警后勤学院附属医院种子基金(FYM201612)

Antithrombotic effects of recombinant hirudin in mice and its mechanism

CAO Wen-li1, LI JING2   

  1. 1. Department of Respiratory and Intensive Care Unit, Affiliated Hospital of Logistics College of Chinese People's Armed Police Forces, Tianjin 300162, China;
    2. Department of Prevention and Health Care, Affiliated Hospital of Logistics College of Chinese People's Armed Police Forces, Tianjin 300162, China
  • Received:2017-12-28 Revised:2018-03-20 Online:2018-07-28 Published:2019-02-21
  • Supported by:
    武警后勤学院附属医院种子基金(FYM201612)

摘要: 目的:研究重组水蛭素抗血栓形成的作用及机制。方法:将60只雄性昆明小鼠随机分为对照组、模型组、阿司匹林组和重组水蛭素低、中、高剂量组(n=10)。除对照组外,其余各组小鼠分别腹腔注射角叉菜胶2.5 mg/kg,诱发小鼠尾部血栓形成。注射角叉菜胶前24 h、0.5 h和注射后24 h,阿司匹林组小鼠分别腹腔注射阿司匹林25 mg/kg,重组水蛭素低、中、高剂量组小鼠分别腹腔注射0.05、0.1、0.2 mg/kg重组水蛭素,对照组和模型组小鼠分别腹腔注射等体积生理盐水。注射角叉菜胶后48 h,观察小鼠黑尾长度并计算黑尾发生率;检测血浆凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、组织型纤溶酶原激活剂(t-PA)、纤溶酶原激活物抑制因子-1(PAI-1)、6-酮-前列腺素F1α(6-keto-PGF1α)、血栓恶烷B2(TXB2)水平。结果:与对照组比较,模型组小鼠尾部形成血栓;血浆PT明显缩短(P<0.01),PAI-1、TXB2水平明显升高(P<0.01),t-PA、6-keto-PGF1α水平明显降低(P<0.01)。与模型组比较,重组水蛭素低、中、高剂量组和阿司匹林组小鼠尾部血栓长度明显缩短(P<0.05或P<0.01),PT明显延长(P<0.01),PAI-1、TXB2水平明显降低(P<0.01),t-PA、6-keto-PGF1α水平明显升高(P<0.01)。与阿司匹林组比较,重组水蛭素低剂量组小鼠尾部血栓长度明显增加(P<0.05),PT明显缩短(P<0.01),PAI-1、TXB2水平明显升高(P<0.01);重组水蛭素低、中剂量组6-keto-PGF1α水平明显降低(P<0.01,P<0.05);重组水蛭素中剂量组PAI-1、TXB2水平明显升高(P<0.01,P<0.05)。结论:重组水蛭素有明显抗血栓形成作用,其机制可能与影响外源性凝血系统、促进纤溶功能有关。

关键词: 重组水蛭素, 角叉菜胶, 血栓, 凝血, 小鼠

Abstract: Objective: To investigate the antithrombotic effects of recombinant hirudin and its mechanism. Methods: Sixty male Kunming mice were randomly divided into 6 group (n=10):control group, model group, aspirin (25 mg/kg) group, recombinant hirudinlow, middle and high dose (0.05, 0.1, 0.2 mg/kg) groups.Except mice in control group, 2.5 mg/kg carrageenan was injected intraperitoneallyto mice in the other groups to produce thrombosis on the mice tail. The mice in aspirin group were administrated intraperitoneally 25 mg/kg aspirin, the mice in recombinant hirudinlow, middle and high dose groups were administrated intraperitoneally 0.05, 0.1, 0.2 mg/kg combinanthirudin, the mice in control group and model group were administrated intraperitoneallynormal saline at the same volume respectively at 24 h, 0.5 h before injecting carrageenan and 24 h after injecting carrageenan. The black tail length of mice and the incidence of black tail were observed at 48h after injection of carrageenan; prothrombin time (PT), activated partial thromboplastin time (APTT), tissue plasminogen activator (t-PA), type-1 plasminogen activator inhibitor (PAI-1), 6-keto-PGF1α, and thromboxane B2 (TXB2) level in mice plasma were determined. Results: As compared with control group, the mice in model group presented tail thrombosis; PT level in plasma was significantly shortened (P<0.01), PAI-1 and TXB2levels in plasma were significantly increased (P<0.01), while the t-PA and 6-keto-PGF1α levels in plasma in model group were significantly decreased (P<0.01). As compared with model group, the thrombus length in the tail was significantly shortened (P<0.05, P<0.01), PT level was obviously prolonged (P<0.01), and the plasma levels of PAI-1 and TXB2 were significantly decreased (P<0.01), while the plasma levels of t-PA and 6-keto-PGF1α were significantly increased (P<0.01)in the mice of recombinant hirudin low dose, middle dose, high dose groups and aspirin group. As compared with aspirin group, the thrombus length in the tail was significantly increased (P<0.05), PT level was obviously shortened (P<0.01), and the plasma levels of PAI-1 and TXB2 were significantly increased (P<0.01)in the mice of recombinant hirudin low dose group; the plasma level of 6-keto-PGF1α was significantly decreased (P<0.01, P<0.05) in the mice of recombinant hirudin low dose and middle dose groups; the plasma levels of PAI-1 and TXB2 were significantly increased (P<0.01, P<0.05)in the mice of recombinant hirudin middle dose group. Conclusion: The recombinant hirudin can fight against thrombosis, its antithrombotic mechanisms may be related to its influence on the exogenous coagulation system and the promotion of fibrinolysis function.

Key words: recombinant hirudin, carrageenan, thrombosis, coagulation, mice

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