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CXCR4+/PDGFR+祖细胞对缺氧性肺泡小动脉肌型化的影响:心肌蛋白的作用
Contribution of CXCR4+/PDGFR+ progenitor cells in hypoxic alveolar arterioles muscularization: Role of myocardin
Jie W, Wang X, Huang L, Guo J, Kuang D, Zhu P, Li M, Zhao X, Duan Y, Wang G, Ao Q  2010/9/17 13:28:00 
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Cardiovascular Research, 2010, Volume 87, Issue 4 
 

Aims Bone marrow (BM) progenitor cells may contribute to vascular remodelling. The present study aimed to investigate the contribution of BM-derived CXCR4+ (a CXC chemokine receptor) and PDGFRβ + (platelet-derived growth factor receptor) progenitor cells in hypoxia-induced muscularization of alveolar arterioles. Methods and results Accumulation of GFP+ (green fluorescent protein) cells was markedly increased in the pulmonary vasculature by the hypoxic (10 O2, 4 weeks) chimeric mice with transgenic GFP-tagged BM. After injection of BM-derived CXCR4+/PDGFR+ progenitor cells into C57BL/6J mice, followed by 6-week hypoxia, the cells were found to home to the alveolar arterioles and readily differentiated into smooth muscle cells (SMCs). Under the same hypoxic conditions, mice infused with myocardin lentiviral RNAi vector-transduced progenitor cells displayed lower myocardin expression in the muscularized alveolar arterioles, correlating with decreased pulmonary artery pressure and arteriole muscularization. In vitro experiments further confirmed that the differentiation of the progenitor cells into SMCs occurred under hypoxia (1 O2), and SMC differentiation could be suppressed when myocardin RNAi was administered. Conclusion Theses results suggest that myocardin may contribute to the differentiation of CXCR4+/PDGFR + progenitor cells into SMCs induced by hypoxia, which leads to the muscularization of alveolar arterioles. © 2010 The Author.

Correspondence Address: Wang, G.; Institute of Pathology, Tongji Hospital, Huazhong University of Science and Technology, 1095 Jiefang Da Dao, Wuhan 430030, China; email:aoqilin@263.net 
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疾病资源中心  疾病资源中心
 病例分析

 王燕燕 王曙

上海交通大学附属瑞金医院内分泌科

患者,女,69岁。2009年1月无明显诱因下出现乏力,当时程度较轻,未予以重视。2009年3月患者乏力症状加重,尿色逐渐加深,大便习惯改变,颜色变淡。4月18日入我院感染科治疗,诉轻度头晕、心慌,体重减轻10kg。无肝区疼痛,无发热,无腹痛、腹泻、腹胀、里急后重,无恶性、呕吐等。入院半月前于外院就诊,查肝功能:ALT 601IU/L,AST 785IU/L,TBIL 97.7umol/L,白蛋白 41g/L,甲状腺功能:游离T3 30.6pmol/L,游离T4 51.9pmol/L,心电图示快速房颤。
 

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