CN111544149A - Method for constructing carotid atherosclerotic plaque animal model - Google Patents
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Abstract
本发明提供了一种颈动脉粥样硬化斑块动物模型的构建方法,属于动物模型构建领域。该构建方法是通过耳中央动脉损伤颈总动脉动脉内膜联合高脂饲料喂养造模。本发明成功构建了颈动脉粥样硬化斑块动物模型。该构建方法经兔耳中央动脉入路造模,创伤小、操作简便、动物存活率高、造模成功率高且其他因素影响小,克服了现有技术中构建颈动脉粥样硬化斑块动物模型存在的问题,可用于筛选治疗动脉粥样硬化斑块药物等,对于颈动脉粥样硬化的研究具有重要意义。
The invention provides a method for constructing a carotid atherosclerotic plaque animal model, which belongs to the field of animal model construction. The construction method is to establish a model by feeding the intima of the common carotid artery injuring the central auricular artery and feeding it with a high-fat diet. The present invention successfully constructs the carotid atherosclerotic plaque animal model. The construction method is used for modeling through the central artery of the rabbit ear, which has the advantages of small trauma, simple operation, high animal survival rate, high modeling success rate and little influence of other factors, and overcomes the problems of constructing carotid atherosclerotic plaque animals in the prior art. The problems existing in the model can be used to screen drugs for the treatment of atherosclerotic plaque, etc., which is of great significance for the study of carotid atherosclerosis.
Description
技术领域technical field
本发明属于动物模型构建领域,具体涉及一种颈动脉粥样硬化斑块动物模型的构建方法。The invention belongs to the field of animal model construction, and in particular relates to a construction method of an animal model of carotid atherosclerosis plaque.
背景技术Background technique
动脉粥样硬化是动脉管壁上沉积了一层像腊样的脂类,使动脉弹性减低、管腔变窄的病变。当这些腊样的沉积物一块一块形成时,就称作动脉粥样硬化斑块。这些斑块早期是平齐血管内膜的,通常顺着血管纵向分布,然后如果继续进展,斑块就慢慢在管壁上向内突入,引起动脉内径不同程度的狭窄;如果有诱发因素,动脉斑块的某个部分破裂,就会形成血栓堵塞血管。颈动脉粥样硬化与许多心脑血管疾病相关,其中与脑缺血性卒中密切相关,其引起缺血性脑卒中的机制有多种,主要为:①粥样硬化斑块不断增大,直接阻塞血管;②斑块破裂,破裂的斑块栓塞远端血管;③破裂或未破裂的斑块表面粗糙,血小板和凝血因子被激活,形成血栓,栓子脱落;④狭窄颈动脉使远端的灌注压下降,导致分水岭区供血不足,形成边缘带梗死或低灌注性梗死。Atherosclerosis is a disease in which a layer of wax-like lipids is deposited on the arterial wall, which reduces the elasticity of the arteries and narrows the lumen. When these wax-like deposits form piece by piece, they are called atherosclerotic plaques. These plaques are flush with the vascular intima in the early stage, and usually distribute longitudinally along the blood vessels. Then, if they continue to progress, the plaques will slowly protrude inward on the vessel wall, causing varying degrees of stenosis in the inner diameter of the artery; if there are predisposing factors, When part of the plaque in the artery ruptures, a blood clot forms and blocks the blood vessel. Carotid atherosclerosis is related to many cardiovascular and cerebrovascular diseases, among which it is closely related to ischemic stroke. There are many mechanisms that cause ischemic stroke, mainly as follows: (1) The continuous increase of atherosclerotic plaques directly 2) The plaque ruptures, and the ruptured plaque embolizes the distal blood vessel; 3) The ruptured or unruptured plaque has a rough surface, platelets and coagulation factors are activated, thrombus is formed, and the emboli fall off; 4) Stenosis of the carotid artery makes the distal Perfusion pressure decreases, resulting in insufficient blood supply to the watershed area, resulting in marginal zone infarcts or hypoperfusion infarcts.
目前,防治动脉粥样硬化的药物成为研究热门,而大多数研究筛选治疗动脉粥样硬化的药物时需要建立动脉粥样硬化斑块模型。目前,建立动脉粥样硬化斑块模型主要是使用兔子作为动物模型,其制备模型的方法很多,如颈动脉外膜植入硅橡胶圈法、球囊损伤法、电刺激法、空气造模法等。其中,植入硅橡胶圈法手术创伤大、动物存活率低;电刺激法程序多、操作复杂、耗时长、可行性有待商榷;空气造模法由于没有确定的气体流量,血管内膜损伤程度差异大,而且颈动脉完全阻断的同时将不可避免地导致脑组织和血管本身急性缺血的组织学变化,人为地改变了脑血流动力学。球囊损伤法是目前使用较多的方法,但是,大多在动物的胸主动脉、腹主动脉、股动脉或颈动脉进行构建,同样存在创伤大、操作困难、动物存活率低等问题。这对于动脉粥样硬化相关研究是很大的阻碍,寻找一种新的颈动脉粥样硬化斑块动物模型造模方法,以减小动物创伤、减少其他因素影响、简化操作、提高动物存活率、提高造模成功率,对于动脉粥样硬化的研究具有重要意义。At present, drugs for preventing and treating atherosclerosis have become a hot research topic, and most studies need to establish atherosclerotic plaque models when screening drugs for treating atherosclerosis. At present, the establishment of atherosclerotic plaque models mainly uses rabbits as animal models. There are many methods for preparing models, such as carotid adventitia implantation of silicone rubber rings, balloon injury, electrical stimulation, and air modeling. Wait. Among them, the implantation of a silicone rubber ring has a large surgical trauma and a low animal survival rate; the electrical stimulation method has many procedures, complicated operations, time-consuming, and its feasibility is still under discussion; the air modeling method does not have a definite gas flow rate, and the degree of damage to the vascular intima The difference is large, and the complete occlusion of the carotid artery will inevitably lead to the histological changes of acute ischemia in the brain tissue and the blood vessel itself, and artificially change the cerebral hemodynamics. Balloon injury is the most commonly used method at present. However, most of them are constructed in the thoracic aorta, abdominal aorta, femoral artery or carotid artery of animals, which also has problems such as large trauma, difficult operation, and low animal survival rate. This is a great obstacle to atherosclerosis-related research. To find a new carotid atherosclerotic plaque animal model modeling method to reduce animal trauma, reduce the influence of other factors, simplify operation, and improve animal survival rate , to improve the success rate of modeling, is of great significance for the study of atherosclerosis.
发明内容SUMMARY OF THE INVENTION
本发明的目的是提供一种颈动脉粥样硬化斑块动物模型的构建方法。The purpose of the present invention is to provide a method for constructing a carotid atherosclerotic plaque animal model.
本发明提供了一种颈动脉粥样硬化斑块动物模型的构建方法,它是通过耳中央动脉损伤颈总动脉动脉内膜联合高脂饲料喂养造模。The invention provides a method for constructing a carotid atherosclerotic plaque animal model, which is established by injuring the common carotid artery intima of the central ear artery and feeding with high-fat feed.
进一步地,所述高脂饲料喂养为在损伤颈总动脉动脉内膜后第一天开始喂养;Further, the high-fat feed feeding is started on the first day after the intima of the common carotid artery is injured;
优选地,所述高脂饲料喂养为喂养8周,一日3次,每次高脂饲料量为15g/kg体重;Preferably, the high-fat feed is fed for 8 weeks, three times a day, and the amount of each high-fat feed is 15 g/kg body weight;
更优选地,所述高脂饲料喂养时室内温度和湿度恒定,饮水自由。More preferably, when the high-fat feed is fed, the indoor temperature and humidity are constant, and drinking water is free.
进一步地,所述高脂饲料为在基础饲料中加入质量分数为1%的胆固醇。Further, in the high-fat feed, 1% cholesterol is added to the basic feed.
进一步地,所述动物模型使用的动物为兔子;优选为新西兰大白兔。Further, the animal used in the animal model is a rabbit; preferably a New Zealand white rabbit.
进一步地,所述通过耳中央动脉损伤颈总动脉动脉内膜的步骤如下:取微导管,在微导丝的引导下送入兔耳中央动脉,并在微导丝的引导下再将微导管依次通过颞浅动脉、颈外动脉,最后送至颈总动脉,再使用球囊导管扩张颈总动脉,即可。Further, the step of injuring the intima of the common carotid artery through the central ear artery is as follows: take a microcatheter, send it into the central artery of the rabbit ear under the guidance of the microguide wire, and then insert the microcatheter under the guidance of the microguide wire. Pass through the superficial temporal artery, the external carotid artery in turn, and finally send it to the common carotid artery, and then use a balloon catheter to dilate the common carotid artery.
进一步地,所述通过耳中央动脉损伤颈总动脉动脉内膜的步骤如下:Further, the step of damaging the intima of the common carotid artery through the central auricular artery is as follows:
(1)穿刺针穿刺兔耳中央动脉,退出针芯同时进入针鞘;(1) The puncture needle punctures the central artery of the rabbit ear, exits the needle core and enters the needle sheath at the same time;
(2)将微导丝由穿刺针针鞘进入兔耳中央动脉,退出穿刺针针鞘;(2) Insert the micro-guide wire from the puncture needle sheath into the central artery of the rabbit ear, and exit the puncture needle sheath;
(3)将微导管在微导丝的引导下送入兔耳中央动脉,并在微导丝的引导下再将微导管依次通过颞浅动脉、颈外动脉,最后送至颈总动脉;(3) The microcatheter is sent into the central artery of the rabbit ear under the guidance of the micro-guide wire, and then the micro-catheter is passed through the superficial temporal artery and the external carotid artery in turn under the guidance of the micro-guide wire, and finally sent to the common carotid artery;
(4)保留微导丝退出微导管,在微导丝的引导下,将球囊导管送入颈总动脉,充盈球囊,拖动球囊导管,即可。(4) Retain the micro-guide wire and exit the micro-catheter, under the guidance of the micro-guide wire, send the balloon catheter into the common carotid artery, fill the balloon, and drag the balloon catheter.
进一步地,further,
步骤(1)中,所述穿刺针为24G的穿刺针;In step (1), the puncture needle is a 24G puncture needle;
和/或,步骤(1)中,所述穿刺时注射肝素抗凝;And/or, in step (1), heparin anticoagulation is injected during the puncture;
和/或,步骤(2)中,所述微导丝是直径为0.014cm的微导丝;And/or, in step (2), the micro-guide wire is a micro-guide wire with a diameter of 0.014cm;
和/或,步骤(3)中,所述微导管为1.8F的微导管;And/or, in step (3), described microcatheter is the microcatheter of 1.8F;
和/或,步骤(4)中,所述球囊导管为3.0mm*2cm的球囊导管;And/or, in step (4), the balloon catheter is a balloon catheter of 3.0mm*2cm;
和/或,步骤(4)中,所述球囊导管送入颈总动脉至颈椎4-6椎体;And/or, in step (4), the balloon catheter is sent into the common carotid artery to the vertebral bodies of cervical vertebrae 4-6;
和/或,步骤(4)中,所述充盈球囊为使用碘对比剂充盈球囊。And/or, in step (4), the filling balloon is filled with iodine contrast agent.
进一步地,所述充盈球囊为用碘对比剂充盈球囊三次;Further, the filling balloon is filled with iodine contrast agent three times;
优选地,每次充盈球囊至12-14KPa压力保持60s,并在保持球囊内压力来回拖动球囊导管;Preferably, each time the balloon is inflated to a pressure of 12-14KPa and maintained for 60s, and the balloon catheter is dragged back and forth while maintaining the pressure in the balloon;
更优选地,所述每次充盈球囊的间隔为60s;和/或,所述来回拖动球囊导管为每次充盈球囊后来回拖动球囊导管1次。More preferably, the interval for each filling of the balloon is 60s; and/or, the dragging the balloon catheter back and forth is dragging the balloon catheter back and forth once after each filling of the balloon.
本发明还提供了前述的构建方法构建的模型在筛选治疗动脉粥样硬化斑块药物中的用途;The present invention also provides the use of the model constructed by the aforementioned construction method in screening drugs for treating atherosclerotic plaques;
优选地,所述动脉粥样硬化斑块为颈动脉粥样硬化斑块。Preferably, the atherosclerotic plaque is carotid atherosclerotic plaque.
本发明还提供了一种筛选治疗动脉粥样硬化斑块药物的方法,包括如下步骤:The present invention also provides a method for screening and treating atherosclerotic plaque drugs, comprising the following steps:
a.按照前述的构建方法构建颈动脉粥样硬化斑块动物模型;a. Construct a carotid atherosclerotic plaque animal model according to the aforementioned construction method;
b.将候选物施用于a步骤所述的颈动脉粥样硬化斑块动物模型;b. Apply the candidate to the carotid atherosclerotic plaque animal model described in step a;
c.用颈动脉粥样硬化斑块动物模型评价潜在的治疗动脉粥样硬化斑块的药物;c. Evaluation of potential drugs for the treatment of atherosclerotic plaques with animal models of carotid atherosclerotic plaques;
优选地,所述动脉粥样硬化斑块为颈动脉粥样硬化斑块。Preferably, the atherosclerotic plaque is carotid atherosclerotic plaque.
本发明成功构建了颈动脉粥样硬化斑块动物模型。该构建方法经兔耳中央动脉入路造模,创伤小、操作简便、动物存活率高、造模成功率高且其他因素影响小,克服了现有技术中构建颈动脉粥样硬化斑块动物模型存在的问题,可用于筛选治疗动脉粥样硬化斑块药物等,对于颈动脉粥样硬化的研究具有重要意义。The present invention successfully constructs the carotid atherosclerotic plaque animal model. The construction method is used for modeling through the central artery of the rabbit ear, which has the advantages of small trauma, simple operation, high animal survival rate, high modeling success rate and little influence of other factors, and overcomes the problems of constructing carotid atherosclerotic plaque animals in the prior art. The problems existing in the model can be used to screen drugs for the treatment of atherosclerotic plaque, etc., which is of great significance for the study of carotid atherosclerosis.
显然,根据本发明的上述内容,按照本领域的普通技术知识和惯用手段,在不脱离本发明上述基本技术思想前提下,还可以做出其它多种形式的修改、替换或变更。Obviously, according to the above-mentioned content of the present invention, according to the common technical knowledge and conventional means in the field, without departing from the above-mentioned basic technical idea of the present invention, other various forms of modification, replacement or change can also be made.
以下通过实施例形式的具体实施方式,对本发明的上述内容再作进一步的详细说明。但不应将此理解为本发明上述主题的范围仅限于以下的实例。凡基于本发明上述内容所实现的技术均属于本发明的范围。The above content of the present invention will be further described in detail below through the specific implementation in the form of examples. However, this should not be construed as limiting the scope of the above-mentioned subject matter of the present invention to the following examples. All technologies implemented based on the above content of the present invention belong to the scope of the present invention.
附图说明Description of drawings
图1为经兔耳中央动脉穿刺图:A为用24G穿刺针穿刺右侧兔耳中央动脉;B为将0.014cm微导丝由穿刺针针鞘进入兔耳中央动脉;C和D为退出穿刺针针鞘,将1.8F微导管在微导丝的导引下送入兔耳中央动脉。Figure 1 shows the puncture through the central artery of the rabbit ear: A is the puncture of the right central artery of the rabbit ear with a 24G puncture needle; B is the insertion of a 0.014cm micro-guide wire from the needle sheath of the puncture needle into the central artery of the rabbit ear; C and D are the exit from the puncture The needle sheath was inserted, and the 1.8F microcatheter was introduced into the central artery of the rabbit ear under the guidance of the microguide wire.
图2为球囊导管扩张兔颈总动脉;A为球囊导管位于右侧颈总动脉颈椎4-6椎体水平;B为用碘对比剂充盈球囊(白色箭头),扩张右侧颈总动脉。Figure 2 shows the balloon catheter to dilate the common carotid artery of the rabbit; A shows the balloon catheter is located at the level of the right common carotid artery at the level of the cervical vertebrae 4-6; artery.
图3为未经造模处理的新西兰大白兔头颈部DSA成像正常血管解剖图像,①为耳中央动脉,②为颈总动脉,③为大脑中动脉,④为颌下动脉:A为左侧卧位;B为俯卧位。Figure 3 shows the anatomical images of normal blood vessels in the head and neck of New Zealand white rabbits without modeling treatment. ① is the central auricular artery, ② is the common carotid artery, ③ is the middle cerebral artery, and ④ is the submandibular artery: A is the left side Recumbent position; B is prone position.
图4为球囊扩张兔颈总动脉前后DSA成像:A为球囊扩张前造影,直径约2.222mm,B为球囊扩张后造影,直径约2.822mm。Figure 4 shows the DSA imaging before and after balloon dilation of the rabbit common carotid artery: A is angiography before balloon dilation, with a diameter of about 2.222 mm, and B is angiography after balloon dilation, with a diameter of about 2.822 mm.
图5为新西兰大白兔双侧颈总动脉DSA成像血管直径。Figure 5 shows the vessel diameters of bilateral common carotid arteries in New Zealand white rabbits.
图6为本发明颈动脉粥样硬化斑块动物模型T1WI横轴位扫描图像:A为T1WI横轴位普通扫描图像;B为钆类对比剂注入7min后T1WI横轴位增强扫描图像。Figure 6 is a T1WI transverse axial scan image of an animal model of carotid atherosclerotic plaque according to the present invention: A is a T1WI transverse axial normal scan image; B is a T1WI transverse axial enhanced scan image 7 minutes after gadolinium contrast agent injection.
图7为解剖造模成功的新西兰大白兔两侧颈总动脉大体观察图片。Figure 7 is a general observation picture of the common carotid arteries on both sides of the New Zealand white rabbits that were successfully anatomically modeled.
图8为兔颈总动脉切片HE染色光镜图像:A为实验组;B为自身对照组。Figure 8 is the HE staining light microscope image of the rabbit common carotid artery section: A is the experimental group; B is the self-control group.
具体实施方式Detailed ways
本发明具体实施方式中使用的原料、设备均为已知产品,通过购买市售产品获得。The raw materials and equipment used in the specific embodiments of the present invention are all known products, which are obtained by purchasing commercially available products.
实施例1、本发明颈动脉粥样硬化斑块动物模型的构建Example 1. Construction of the carotid atherosclerotic plaque animal model of the present invention
1、实验动物1. Experimental animals
健康雄性新西兰大白兔,每只体重(2.1±0.63kg),兔龄(5.0±0.12)月,单笼喂养,室内温度和湿度恒定,自由饮水,昼夜各12h,由四川大学华西临床医学院动物实验中学提供。Healthy male New Zealand white rabbits, each weight (2.1 ± 0.63 kg), rabbit age (5.0 ± 0.12) months, single-cage feeding, constant indoor temperature and humidity, free access to water, 12 hours day and night, by the West China Clinical Medical College of Sichuan University animal Provided by the Experimental Middle School.
2、构建兔颈总动脉粥样硬化斑块动物模型2. Construction of an animal model of common carotid atherosclerotic plaque in rabbits
2.1球囊导管损伤兔颈总动脉动脉内膜2.1 Balloon catheter injury intima of rabbit common carotid artery
(1)术前准备(1) Preoperative preparation
将实验动物用高脂饲料提前喂养4周,术前禁食但不禁水12h。The experimental animals were fed with high-fat diet for 4 weeks in advance, and they were fasted but not allowed to water for 12 hours before surgery.
(2)手术步骤(2) Operation steps
用盐酸替来他明盐酸唑拉西泮,按30-40mg/kg的剂量肌肉注射进行麻醉,约5-10min后新西兰大白兔进入麻醉状态,进入麻醉状态后用电动剃毛刀将右侧兔耳背侧兔毛剃除,充分暴露兔耳中央动脉。将兔以左侧卧位固定于血管造型(Digital subtractionangiography,DSA)机手术台上,酒精进行兔耳消毒,用棉签来回摩擦兔耳中央动脉表面皮肤,力量稍重,扩张兔耳中央动脉,用24G穿刺针穿刺右侧兔耳中央动脉,穿刺后退出针芯同时进针鞘,可见鲜红血液流出,在针鞘处注射肝素抗凝(注射2mL,15单位/mL)。然后将0.014cm微导丝由穿刺针针鞘进入兔耳中央动脉,退出穿刺针鞘,然后用手术刀片于穿刺点处将皮肤稍微扩开一个小口,约2mm;将1.8F微导管在微导丝的导引下送入兔耳中央动脉,微导管既是导管亦是血管鞘,将微导丝弯头转向背侧(后背方向),在微导丝的引导下将微导管依次通过右侧颞浅动脉、颈外动脉、颈总动脉。保留微导丝退出微导管,再将3.0mm*2cm的球囊导管送入颈总动脉(将球囊导管在微导丝的引导下送入颈总动脉),至颈椎4-6椎体水平。用碘对比剂充盈球囊至12-14KPa压力保持60s,重复三次,每次间隔60s,并且每次保持球囊内压力来回拖动球囊导管1次,共回拖动球囊导管3次。Tiletamine hydrochloride and zolazepam hydrochloride were injected intramuscularly for anesthesia at a dose of 30-40 mg/kg. After about 5-10 minutes, the New Zealand white rabbit entered an anesthetized state. The rabbit hair on the back of the ear was shaved to fully expose the central artery of the rabbit ear. The rabbit was fixed on the operating table of the digital subtractionangiography (DSA) machine in the left lateral position, the rabbit ears were disinfected with alcohol, and the surface skin of the central artery of the rabbit ear was rubbed back and forth with a cotton swab, and the force was slightly heavy to expand the central artery of the rabbit ear. The puncture needle was used to puncture the central artery of the right rabbit ear. After puncture, the needle core was withdrawn and the needle sheath was inserted at the same time. Bright red blood was seen flowing out. Heparin was injected into the needle sheath for anticoagulation (injection of 2 mL, 15 units/mL). Then, a 0.014cm micro-guide wire was inserted into the central artery of the rabbit ear from the needle sheath of the puncture needle, exited from the needle sheath, and then a small opening was slightly opened in the skin at the puncture point with a surgical blade, about 2 mm; the 1.8F micro-catheter was placed in the Under the guidance of the wire, it was sent into the central artery of the rabbit ear. The microcatheter was both a catheter and a vascular sheath. The elbow of the micro-guide wire was turned to the back (back direction), and the micro-catheter was passed through the right side in turn under the guidance of the micro-guide wire. Superficial temporal artery, external carotid artery, common carotid artery. Retain the micro-guide wire and exit the micro-catheter, and then send the 3.0mm*2cm balloon catheter into the common carotid artery (the balloon catheter is sent into the common carotid artery under the guidance of the micro-guide wire) to the level of the 4-6 cervical vertebrae . Inflate the balloon with iodine contrast agent to a pressure of 12-14KPa for 60 s, repeat three times with an interval of 60 s each time, and maintain the pressure in the balloon to drag the balloon catheter back and forth once each time, and drag the balloon catheter back and forth 3 times in total.
然后观察颈总动脉扩张(颈总动脉动脉内膜损伤)是否成功:退出球囊导管,经微导丝将微导管送至颈总动脉,微导管连接高压注射器造影,流速1ml/s,流量3ml。经造影证实颈总动脉扩张成功,取出微导管和微导丝,穿刺点压迫止血,结束介入造模过程。手术过程中的步骤如图1和图2所示。Then observe whether the dilation of the common carotid artery (intimal injury of the common carotid artery) is successful: withdraw the balloon catheter, send the microcatheter to the common carotid artery through the microguide wire, connect the microcatheter to the high pressure syringe for angiography, the flow rate is 1ml/s, and the flow rate is 3ml . The angiography confirmed that the common carotid artery was successfully dilated, the microcatheter and the microguide wire were taken out, the puncture point was compressed to stop the bleeding, and the interventional modeling process was ended. The steps in the surgical procedure are shown in Figures 1 and 2.
(3)术后护理(3) Postoperative care
术后肌肉注射庆大霉素3天预防感染,密切观察实验动物的精神状态,饮食和活动情况。Intramuscular injection of gentamicin was given for 3 days to prevent infection, and the mental state, diet and activity of the experimental animals were closely observed.
2.2实验动物高脂饲料饲养2.2 High-fat feed for experimental animals
经过介入手术行颈总动脉内膜损伤的实验兔,从介入手术第二天开始,使用高脂饲料(1%胆固醇+基础饲料)喂养8周,一日三次,每次饲料量15g/kg体重,饲料按照体重比例持续增加,依旧单笼喂养,室内温度和湿度恒定,饮水自由,昼夜各12h。8周后,兔颈总动脉粥样硬化斑块动物模型构建成功。The experimental rabbits with carotid artery intimal injury after interventional operation were fed with high-fat diet (1% cholesterol + basal diet) for 8 weeks, three times a day, starting from the second day of interventional operation, with a feed amount of 15g/kg body weight each time , the feed continued to increase according to the proportion of body weight, still single-cage feeding, constant indoor temperature and humidity, free drinking water, 12h day and night. After 8 weeks, the rabbit carotid atherosclerotic plaque animal model was successfully established.
本发明进行造模的新西兰大白兔共20只,经过造模后,存活率为85%。A total of 20 New Zealand white rabbits are modeled in the present invention, and the survival rate is 85% after modeling.
3、造模结果3. Modeling results
实验中,每只经过造模的新西兰大白兔,没有经过球囊导管损伤颈总动脉动脉内膜的一侧(左侧)作为自身对照组。In the experiment, the side (left side) of the common carotid artery intima of each modeled New Zealand white rabbit without balloon catheter was used as the control group.
3.1新西兰大白兔头颈部DSA成像血管解剖3.1 Vascular anatomy of New Zealand white rabbit head and neck DSA imaging
将未经过造模处理的新西兰大白兔分别以左侧卧位和俯卧位放置在DSA手术台上,微导管管头放置在颈总动脉处,行DSA成像,获得兔头颈部DSA成像正常血管解剖图像,如图3所示。New Zealand white rabbits without modeling treatment were placed on the DSA operating table in the left lateral position and prone position respectively, the microcatheter tube head was placed at the common carotid artery, and DSA imaging was performed to obtain the normal blood vessels of the rabbit head and neck DSA imaging. Anatomical images, as shown in Figure 3.
3.2球囊扩张兔颈总动脉前后DSA成像结果3.2 DSA imaging results before and after balloon dilation of the rabbit common carotid artery
所有造模的新西兰大白兔,在球囊扩张兔颈总动脉前后,均进行DSA成像,并测量其直径,结果显示:球囊扩张兔颈总动脉前血管直径为2.28±0.2mm,球囊扩张兔颈总动脉后血管直径为2.84±0.18mm,球囊扩张兔颈总动脉后血管直径较前明显增加(P<0.01)。其中经过造模编号为18号的兔子,球囊扩张兔颈总动脉前后DSA成像直径如图4所示。All modeled New Zealand white rabbits were subjected to DSA imaging before and after balloon dilation of the rabbit common carotid artery, and the diameter was measured. The diameter of the blood vessels after the rabbit common carotid artery was 2.84±0.18mm, and the diameter of the blood vessels after balloon dilatation of the rabbit common carotid artery increased significantly (P<0.01). Figure 4 shows the diameter of DSA imaging before and after balloon dilation of the rabbit common carotid artery for the rabbit with model number 18.
3.3球囊导管损伤颈总动脉内膜联合高脂饲料喂养后DSA成像结果3.3 DSA imaging results after balloon catheter injury of common carotid artery intima combined with high-fat diet
所有兔子经球囊导管损伤兔颈总动脉内膜联合高脂饲料喂养8周后,均进行DSA成像,成像时不仅观察受损伤的颈总动脉(造模成功的颈总动脉,为实验组),还要观察自身对照组。试验结果显示:本发明实验组颈总动脉血管直径为(2.75±0.25)mm,自身对照组颈总动脉血管直径为(2.26±0.11)mm,实验组血管直径较自身对照组明显增加(P<0.01)。其中经过造模编号为15号的兔子左侧颈总动脉(自身对照组)和右侧颈总动脉(实验组)DSA成像血管直径如图5所示。All rabbits were subjected to DSA imaging after the intima of the common carotid artery was injured by balloon catheter combined with high-fat diet for 8 weeks. During imaging, not only the injured common carotid artery was observed (the common carotid artery that was successfully modeled, which is the experimental group) , but also to observe the self-control group. The test results show that: the diameter of the common carotid artery in the experimental group of the present invention is (2.75±0.25) mm, the diameter of the common carotid artery in the control group is (2.26±0.11) mm, and the diameter of the blood vessels in the experimental group is significantly higher than that in the control group (P< 0.01). Among them, the diameters of the left common carotid artery (self-control group) and the right common carotid artery (experimental group) of the rabbit model numbered No. 15 are shown in FIG. 5 .
3.4 MRI检查结果3.4 MRI findings
图6A为造模后的新西兰大白兔(实验组)的T1WI横轴位普通扫描图像;图6B为钆类对比剂注入7min后,T1WI横轴位增强扫描图像,结果显示实验组造模的颈总动脉血管壁增厚,注入钆类对比剂后明显强化(白色箭头所示)。而自身对照组颈总动脉血管壁未见增厚,在钆类对比剂稍微强化。Figure 6A is the T1WI transverse axial normal scan image of the New Zealand white rabbit (experimental group) after modeling; Figure 6B is the T1WI transverse axis enhanced scan image 7 minutes after gadolinium contrast agent injection, the results show the neck of the experimental group modeling The common arterial wall was thickened and significantly enhanced after injection of gadolinium-based contrast media (white arrows). In the control group, the common carotid artery wall was not thickened, but was slightly enhanced in the gadolinium contrast agent.
3.5大体观察3.5 General observation
解剖造模成功的新西兰大白兔,对其两侧颈总动脉进行大体观察。观察可知:实验组颈总动脉血管壁明显增厚,僵硬无弹性,呈黄白色(图7中白色箭头所示);自身对照组颈总动脉血管壁薄,柔软富有弹性,呈粉红色(图7中红色箭头所示)。实验组颈总动脉管径较自身对照组颈总动脉管径明显增粗,弹性明显变差。The New Zealand white rabbits that were successfully modeled were dissected, and the common carotid arteries on both sides of the rabbits were grossly observed. The observation showed that the common carotid artery wall of the experimental group was obviously thickened, stiff and inelastic, and was yellowish-white (indicated by the white arrow in Figure 7); the common carotid artery wall of the control group was thin, soft and elastic, and was pink (Figure 7). 7 shown by the red arrow). The diameter of the common carotid artery in the experimental group was significantly thicker than that in the control group, and the elasticity was significantly worse.
3.6光镜观察3.6 Optical microscope observation
图8为兔颈总动脉切片HE染色光镜图像。由图8可知:实验组颈总动脉血管壁内膜(图8A)增厚且不均匀,如图8A中红色的“*”所示,管腔变窄,内皮细胞不完整排列,泡沫细胞大量聚集,平滑肌细胞大量浸润,紊乱排列;中膜增厚,泡沫细胞较多,平滑肌细胞紊乱排列。自身对照组(图8B)兔颈总动脉血管壁内膜光滑,未见增厚,未见泡沫细胞,中膜平滑肌细胞整齐排列。Figure 8 is the HE-stained light microscope image of the rabbit common carotid artery section. It can be seen from Fig. 8 that the intima of the common carotid artery in the experimental group (Fig. 8A) is thickened and uneven, as shown by the red "*" in Fig. 8A, the lumen is narrowed, the endothelial cells are not completely arranged, and there are a lot of foam cells Aggregation, a large number of smooth muscle cells infiltrated, disorderly arrangement; media thickening, more foam cells, smooth muscle cells disorderly arrangement. In the self-control group (Fig. 8B), the intima of the common carotid artery of the rabbits was smooth, without thickening or foam cells, and the smooth muscle cells in the media were neatly arranged.
上述结果说明:本发明颈动脉粥样硬化斑块动物模型构建成功。The above results indicate that the carotid atherosclerotic plaque animal model of the present invention was successfully constructed.
综上,本发明成功构建了颈动脉粥样硬化斑块动物模型。该构建方法经兔耳中央动脉入路造模,创伤小、操作简便、动物存活率高、造模成功率高且其他因素影响小,克服了现有技术中构建颈动脉粥样硬化斑块动物模型存在的问题,可用于筛选治疗动脉粥样硬化斑块药物等,对于颈动脉粥样硬化的研究具有重要意义。In conclusion, the present invention has successfully constructed an animal model of carotid atherosclerotic plaque. The construction method is used for modeling through the central artery of the rabbit ear, which has the advantages of small trauma, simple operation, high animal survival rate, high modeling success rate and little influence of other factors, and overcomes the problems of constructing carotid atherosclerotic plaque animals in the prior art. The problems existing in the model can be used to screen drugs for the treatment of atherosclerotic plaque, etc., which is of great significance for the study of carotid atherosclerosis.
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