动脉粥样硬化斑块巨噬细胞凋亡与斑块易损性的关系

Relation between apoptotic macrophages and the vulnerability in experimental atherosclerotic plaques

  • 摘要: 目的:探讨动脉粥样硬化斑块内组织细胞成分凋亡与斑块稳定性的关系。方法:雄性新西兰大白兔8只,制作动脉粥样硬化模型。处死后解剖分离腹主动脉斑块标本,组织染色测量斑块纤维帽厚度及纤维帽的厚度与脂核横截面厚度的比值,免疫组化测量斑块巨噬细胞负荷,检测斑块细胞凋亡,进行相应指标之间的相关性分析。结果:斑块纤维帽厚度以及帽/核比值与巨噬细胞负荷均呈负相关关系,其中帽/核比值与巨噬细胞负荷(r=-0.943,P<0.001)的相关性强于纤维帽厚度与之的相关性(r=-0.782,P=0.001)。斑块标本凋亡指数与巨噬细胞负荷呈线性正相关关系(r=0.541,P=0.046)。结论:巨噬细胞凋亡造成的动脉粥样硬化斑块形态学改变(尤其是帽/核比值的变小),会影响斑块易损性,从而造成斑块不稳定。

     

    Abstract: Objective: To study the correlation between the macrophages apoptosis and the vulnerability of atherosclerotic plaque.Methods: 8 male new Zealand white rabbits were made the atherosclerotic model.The rabbits were euthanized.The entire length of the aorta was exposed and was divided several segments.Then histological assessment of experimental atherosclerosis,immunohistochemical staining for macrophages,and apoptosis detection were performed.At last,statistical analysis was made.Results: The statistical analyses showed that the fibrous cap thickness were significantly inversely correlated with macrophages burden(r=-0.782,P=0.001).And the ratio of fibrous cap thickness and nucleus thickness was more significantly inversely correlated with macrophages burden(r=-0.943,P<0.001).Conclusion: The present study demonstrates the macrophages apoptosis can affect the vulnerability of atherosclerotic plaque and make the plaque instable.

     

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