目的通过观测额尔敦—乌日勒对动脉粥样硬化家兔血管内皮因子内皮素(endothelin,ET)、血小板活化因子(platelet activating factor,PAF)的影响,明确其稳定斑块的作用机制。方法将50只家兔,随机分为正常组和造模组。正常组10只不进行造模,普通饲料喂养;造模组40只采用高脂饮食喂养、免疫损伤、球囊拉伤术复合因素造模,建立家兔动脉粥样硬化易损斑块模型。8周造模成功后,将最终造模成功的29只家兔随机分为模型组(n=10)、额尔敦—乌日勒组(n=10)、辛伐他汀组(n=9),额尔敦—乌日勒组和辛伐他汀组分别给予额尔敦—乌日勒、辛伐他汀进行干预,24周后取材,运用酶联免疫吸附法和免疫组化方法检测各组家兔血管内皮因子PAF和ET的浓度及表达情况。结果与模型组比较,额尔敦—乌日勒显著降低血清ET、PAF(P〈0.01),在降低ET水平上优于辛伐他汀组;与模型组比较,额尔敦—乌日勒组能降低主动脉ET、PAF表达(P〈0.01),在降低ET表达上优于辛伐他汀组(P〈0.05)。结论额尔敦—乌日勒具有改善动脉粥样硬化血管内皮功能的作用。
Objective To explore the effects and possible mechanisms of Eerdun-wurili in stabilizing the vulnerable plaques using a rabbit model of AS vulnerable plaque. Methods We take 50 male New Zealand white rabbit which were underwent balloon-induced abdominal aortic wall injury and were fed a high cholesterol diet for 8 weeks to establish rabbit atherosclerosis model vulnerable plaques; Rabbits were then randomly divided into three groups: the normal group( n = 10; General diet without any model);the model group( n = 10; without any treatment); the Eerdun-wurili group( n = 10; using Eerdun-wurili for treat) and the simvastatin group( n = 10; using simvastatin for treat). 24 weeks later,the rabbits were sacrificed to observe concentrations and expressions of ET; PAF expressions were measured by means of Enzyme-linked-immunosorbent assay( ELISA) and immunohistochemistry. Results Elisa test results showed that Eerdun-wurili can significantly reduce the levels of ET and PAF(P〈0. 01); Rabbit aortic immunohistochemistry results showed: compared to the model group,ET and PAF expressions in the Eerdun-wurili group were significantly reduced(P〈0. 01); and the ET expression is significantly less than the simvasta-tin group(P〈0. 05). Conclusion Eerdun-wurili may though reducing the levels of Endothelial Factor ET and PAF to play the role of anti-AS vulnerable plaques.