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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2019, Vol. 24 ›› Issue (12): 1371-1375.doi: 10.12092/j.issn.1009-2501.2019.12.009

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Expression and clinical significance of EZH2 and α-SMA in myocardium of patients with rheumatic heart disease with atrial fibrillation

XU Shengsong, TAO Hui, SHI Kaihu, DING Jifei   

  1. Department of Cardiothoracic Surgery, the Second Affiliated Hospital of Anhui Medical University , Cardiovascular Disease Research Center of Anhui Medical University, Hefei 230601, Anhui, China
  • Received:2019-01-17 Revised:2019-05-24 Online:2019-12-26 Published:2020-01-07

Abstract:

AIM: To investigate the expression correlation between histone-lysine N-methyltransferase EZH2 and α-SMA in the patients with rheumatic heart disease and atrial fibrillation (AF). METHODS: Tissues of auricula dextra were removed from 20 patients with rheumatic heart disease undergoing cardiac surgery for correction to valvular defect. According to the definition of AF, 20 patients were divided into group of AF group and of sinus rhythm (SR) group (n=10). The collagen deposition in myocardial tissue was detected by Masson's trichrome stain. The expression of EZH2 and α-SMA were detected by immunohistochemistry, qRT-PCR and Western blot. RESULTS:Masson staining results revealed that the collagen deposition and the comparisons of CVF were significantly increased in the AF heart tissue compared with the SR control(P<0.05). Immunohistochemistry indicated that comparing with the SR group; the expressions of EZH2 and α-SMA protein were significantly increased in AF group (P<0.05). Western blot indicated that compared with the SR group, the expressions of EZH2 and α-SMA protein were significantly increased in AF group(P<0.05). Moreover, qRT-PCR found that compared with the SR group, the expressions of EZH2 and α-SMA mRNA were significantly increased in AF group(P<0.05). CONCLUSION: High expressions of EZH2 and α-SMA indicate EZH2 and α-SMA can regulate the development of AF.

Key words: rheumatic heart disease, atrial fibrillation, histone-lysine-N-methyltransferase EZH2, &alpha, smooth muscle actin

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