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成纤维细胞生长因子研究进展
http://www.100md.com 《中国煤炭工业医学杂志》 2000年第4期
     作者:关德明 尹兆波

    单位:150001 黑龙江省哈尔滨市,哈尔滨医科大学第一临床医学院心血管研究所

    关键词:

    中国煤炭工业医学杂志000403 本文较全面深刻地阐述了成纤维细胞生长因子生成、释放机制及其影响因素,以及促进动脉粥样硬化形成和发展,血管生长和重塑,干滑肌细胞迁移和增殖的病理性作用和临床意义。

    1成纤维细胞

    心脏是由心肌细胞和非心肌细胞(成纤维细胞,平滑肌细胞-SMC和血管内皮细胞-VEC)组成,成纤维细胞约占心脏非心肌细胞的2/3,虽然出生后心肌细胞马上丧失增殖能力,但非心肌细胞仍然增殖,甚至在成人心脏。当心脏暴露于各种压力时.例如血液动力学超负荷、心肌梗死、心肌细胞体积增大时,心脏成纤维细胞数量增加,并产生细胞外基质蛋白,如胶原蛋白和纤维蛋白。基质使心肌细胞之间互相联接,维持心肌细胞排列。心脏成纤维细胞影响心肌细胞生成和功能[1,2]。血管紧张素Ⅱ(AngⅡ)刺激心脏成纤维细胞增殖,导致细胞胶原蛋白基因,纤维蛋白基因和整合素基因表达。在心脏成纤维细胞,AngⅡ通过G蛋白的Gby亚单位和酪氨酸激酶激活信号调节激酶。当10-6mol/LAngⅡ加人新生鼠的心脏成纤细胞培养基中,胸腺嘧啶脱氧核苷进入细胞增加40%,这种AngⅡ诱导的增加可被AT1受体拮抗剂(CV-11974)抑制,但不能被AT2受体拮抗剂(PD-123319)抑制[1]。
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    酪氨酸激酶和信号调节激酶在AngⅡ诱导的心脏成纤维细胞DNA合成中起关键作用。当心脏暴露于各种损伤时,例如:心肌梗死、心肌炎和心肌肥厚等,心脏成纤维细胞增加细胞外基质蛋白(ECM)的生成。AngⅡ通过AT1受体激活心脏成纤维细胞酪氨酸激酶并增加其DNA合成[1,3]。

    在组织修复部位,心肌成纤维细胞对胶原蛋白聚集起主要作用。有人认为:细胞内游离钙增加也与成纤维细胞增殖有关[4,5]。

    2成纤维细胞生长因子(FGF)(全文详见PDF)……

    参考文献:

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    收稿日期:1999-08-03

    修稿日期:1999-11-15, 百拇医药