目的检测不同原发疾病所致心衰患者血清中的β_3肾上腺素受体自身抗体(β_3-AAB)的类别,并分析其可能的医学意义。方法以合成的β_3肾上腺素受体细胞外第二环肽段作为抗原,应用酶联免疫吸附实验,检测临床甄选的160例扩心病、冠心病、高...目的检测不同原发疾病所致心衰患者血清中的β_3肾上腺素受体自身抗体(β_3-AAB)的类别,并分析其可能的医学意义。方法以合成的β_3肾上腺素受体细胞外第二环肽段作为抗原,应用酶联免疫吸附实验,检测临床甄选的160例扩心病、冠心病、高心病和风心病所致心衰病患者及100例健康正常对照者血清中IgG和IgM类β_3-AAB的阳性率及抗体水平,并分析它们对患者心功能的影响。结果部分心衰患者和正常对照血清中存在Igc和/或IgM类β_3-AAB。扩心病所致心衰患者血清中,IgG类β_3-AAB的阳性率和抗体水平均显著高于正常对照(40.0% vs 8.0%,P<0.01和1.18±0.29 vs 0.92±0.20,P<0.05);IgM类β_3-AAB阳性率也显著高于正常人(53.3% vs 12.0%,P<0.01),但其抗体水平与正常对照相比差异无统计学意义(0.52±0.08 vs 0.52±0.09,P>0.05)。冠心病所致心衰患者血清中,IgG类β_3-AAB阳性率也显著高于正常人(25.6% vs 8.0%,P<0.01),但其抗体水平与正常对照相比差异无统计学意义(1.02±0.17 vs 0.92±0.20,P>0.05)。而高心病和风心病所致心衰患者血清中,IgG类β_3-AAB的阳性率(20.0%和30.0%)和抗体水平(0.96±0.11和0.96±0.19)以及IsM类β_3- AAB的阳性率(16.7%和20.0%)和抗体水平(0.51±0.05和0.48±0.04)与相应正常对照比较,差异无统计学意义(P>0.05)。正常对照Igc类β_3-AAB水平明显高于IgM类(0.92±0.20 vs 0.52±0.09,P<0.01),各心衰组有相同的规律。IgG类β_3-AAB对心衰患者左室射血分数有显著影响(F=6.178,P=0.014),进一步分析发现,扩心病患者Igc类β_3-AAB阳性者心脏左室射血分数明显高于阴性者(25.1±2.9 vs 15.5±1.6,P<0.01)。结论IgG类β_3-AAB可能是重要的功能性抗体,主要参与扩心病患者心衰的病理生理过程。展开更多
Objective To study the effect of β3 adrenergic receptor （β3AR） Trp64Arg and peroxisome proliferator activated receptor gamma 2 （PPAR72） Prol2Ala polymorphisms on insulin resistance. Methods One hundred and eight...Objective To study the effect of β3 adrenergic receptor （β3AR） Trp64Arg and peroxisome proliferator activated receptor gamma 2 （PPAR72） Prol2Ala polymorphisms on insulin resistance. Methods One hundred and eight dizygotic twin pairs were enrolled in this study. Microsatellite polymorphism was used to diagnose zygosity of twins. Insulin sensitivity was estimated with logarithm transformed homeostasis model assessment （HOMA）. PCR-RFLP analysis was performed to detect the variants. As a supplement to the sib-pair method, identity by state （IBS） was used to analyze the association of polymorphisms with insulin sensitivity. Results The genotype frequencies of Trp64Trg, Trp64Arg, and Arg64Arg were 72.3%, 23.8%, and 3.9%, respectively, while the genotype frequencies of Pro12Pro, Pro12Ala, and Ala12Ala were 89.9%, 9.6%, and 0.5%, respectively. For β3AR Trp64Arg the interclass co-twin correlations of Waist-to-hip ratio （WHR）, blood glucose （GLU）, and insulin （INS）, homeostasis model assessment insulin resistance index （HOMA-IR） of the twin pairs sharing 2 alleles of IBS were greater than those sharing 0-1 allele of IBS, and HOMA4R had statistic significance. For PPAR3t2 Prol2Ala most traits of twin pairs sharing 2 alleles of IBS had greater correlations and statistic significance in body mass index （BMI）, WHR, percent of body fat （PBF） and GLU, but there were low correlations of either insulin or HOMA-IR of twin pairs sharing 1 or 2 alleles of IBS. The combined effects of the two variations showed less squared significant twin-pair differences of INS and HOMA-IR among twins sharing 4 alleles of IBS. Condusions β3AR Trp64Arg and PPAR）,2 Pro 12Ala polymorphisms might be associated with insulin resistance and obesity, and there might be slight synergistic effects between this two gene loci, and further studies are necessary to confirm this finding.展开更多
目的:通过慢病毒转染使心肌细胞过表达β3-肾上腺素能受体(β3-adrenoreceptor,β3-AR)基因,研究其对体外培养鼠原代心肌细胞肥大的影响。方法:体外培养新生SD大鼠心室肌细胞,细胞培养24 h后,分别以转染复数(multiplicity of infection,...目的:通过慢病毒转染使心肌细胞过表达β3-肾上腺素能受体(β3-adrenoreceptor,β3-AR)基因,研究其对体外培养鼠原代心肌细胞肥大的影响。方法:体外培养新生SD大鼠心室肌细胞,细胞培养24 h后,分别以转染复数(multiplicity of infection,MOI)20、50、80、100转染只携带绿色荧光蛋白(GFP)慢病毒(空病毒),病毒转染72 h后,在倒置荧光显微镜下观察绿色荧光蛋白GFP表达情况,以确定最佳转染复数。心肌细胞以最佳MOI值转染携带β3-AR基因慢病毒24 h后,去甲肾上腺素(norepinephrine,NE)诱导心肌细胞48 h,建立转染后体外心肌肥厚模型。蛋白免疫印迹法(Western Blot)检测β3-AR、原癌基因c-myc、c-fos的蛋白表达水平。结果:用不同MOI的慢病毒转染心肌细胞,转染效率不同,以MOI=50转染效率最高;NE诱导心肌细胞48 h后,随β3-AR表达增加,c-myc、c-fos蛋白水平表达增加(Control组:0.098±0.012、0.105±0.008 vs NE组:0.174±0.012、0.164±0.015 vsβ3-AR转染组:0.268±0.010、0.325±0.014,P<0.05),心肌肥厚加重。结论:以携带β3-AR的慢病毒转染心肌细胞可有效增加β3-AR表达,随β3-AR表达增加,心肌肥厚加重。展开更多
文摘目的检测不同原发疾病所致心衰患者血清中的β_3肾上腺素受体自身抗体(β_3-AAB)的类别,并分析其可能的医学意义。方法以合成的β_3肾上腺素受体细胞外第二环肽段作为抗原,应用酶联免疫吸附实验,检测临床甄选的160例扩心病、冠心病、高心病和风心病所致心衰病患者及100例健康正常对照者血清中IgG和IgM类β_3-AAB的阳性率及抗体水平,并分析它们对患者心功能的影响。结果部分心衰患者和正常对照血清中存在Igc和/或IgM类β_3-AAB。扩心病所致心衰患者血清中,IgG类β_3-AAB的阳性率和抗体水平均显著高于正常对照(40.0% vs 8.0%,P<0.01和1.18±0.29 vs 0.92±0.20,P<0.05);IgM类β_3-AAB阳性率也显著高于正常人(53.3% vs 12.0%,P<0.01),但其抗体水平与正常对照相比差异无统计学意义(0.52±0.08 vs 0.52±0.09,P>0.05)。冠心病所致心衰患者血清中,IgG类β_3-AAB阳性率也显著高于正常人(25.6% vs 8.0%,P<0.01),但其抗体水平与正常对照相比差异无统计学意义(1.02±0.17 vs 0.92±0.20,P>0.05)。而高心病和风心病所致心衰患者血清中,IgG类β_3-AAB的阳性率(20.0%和30.0%)和抗体水平(0.96±0.11和0.96±0.19)以及IsM类β_3- AAB的阳性率(16.7%和20.0%)和抗体水平(0.51±0.05和0.48±0.04)与相应正常对照比较,差异无统计学意义(P>0.05)。正常对照Igc类β_3-AAB水平明显高于IgM类(0.92±0.20 vs 0.52±0.09,P<0.01),各心衰组有相同的规律。IgG类β_3-AAB对心衰患者左室射血分数有显著影响(F=6.178,P=0.014),进一步分析发现,扩心病患者Igc类β_3-AAB阳性者心脏左室射血分数明显高于阴性者(25.1±2.9 vs 15.5±1.6,P<0.01)。结论IgG类β_3-AAB可能是重要的功能性抗体,主要参与扩心病患者心衰的病理生理过程。
基金This study was supported by the National Natural Science Foundation of China (30371223)the Major State Basic Research Development Program of China (2001CB510310).
文摘Objective To study the effect of β3 adrenergic receptor （β3AR） Trp64Arg and peroxisome proliferator activated receptor gamma 2 （PPAR72） Prol2Ala polymorphisms on insulin resistance. Methods One hundred and eight dizygotic twin pairs were enrolled in this study. Microsatellite polymorphism was used to diagnose zygosity of twins. Insulin sensitivity was estimated with logarithm transformed homeostasis model assessment （HOMA）. PCR-RFLP analysis was performed to detect the variants. As a supplement to the sib-pair method, identity by state （IBS） was used to analyze the association of polymorphisms with insulin sensitivity. Results The genotype frequencies of Trp64Trg, Trp64Arg, and Arg64Arg were 72.3%, 23.8%, and 3.9%, respectively, while the genotype frequencies of Pro12Pro, Pro12Ala, and Ala12Ala were 89.9%, 9.6%, and 0.5%, respectively. For β3AR Trp64Arg the interclass co-twin correlations of Waist-to-hip ratio （WHR）, blood glucose （GLU）, and insulin （INS）, homeostasis model assessment insulin resistance index （HOMA-IR） of the twin pairs sharing 2 alleles of IBS were greater than those sharing 0-1 allele of IBS, and HOMA4R had statistic significance. For PPAR3t2 Prol2Ala most traits of twin pairs sharing 2 alleles of IBS had greater correlations and statistic significance in body mass index （BMI）, WHR, percent of body fat （PBF） and GLU, but there were low correlations of either insulin or HOMA-IR of twin pairs sharing 1 or 2 alleles of IBS. The combined effects of the two variations showed less squared significant twin-pair differences of INS and HOMA-IR among twins sharing 4 alleles of IBS. Condusions β3AR Trp64Arg and PPAR）,2 Pro 12Ala polymorphisms might be associated with insulin resistance and obesity, and there might be slight synergistic effects between this two gene loci, and further studies are necessary to confirm this finding.
