实验动物与比较医学 ›› 2026, Vol. 46 ›› Issue (1): 81-93.DOI: 10.12300/j.issn.1674-5817.2025.047
陈子宜1,2, 孙红燕2,3, 康品方2,3, 武文娟1(
)(
)
收稿日期:2025-03-24
修回日期:2025-07-27
出版日期:2026-02-25
发布日期:2026-02-14
通讯作者:
武文娟(1973—),女,硕士,教授,研究方向:分子诊断学。E-mail:0600032@bbmu.edu.cn。ORCID:0009-0000-5196-7949作者简介:陈子宜(2000—),女,硕士研究生,研究方向:肺动脉高压。E-mail:3211227658@qq.com
基金资助:
CHEN Ziyi1,2, SUN Hongyan2,3, KANG Pinfang2,3, WU Wenjuan1(
)(
)
Received:2025-03-24
Revised:2025-07-27
Published:2026-02-25
Online:2026-02-14
Contact:
WU Wenjuan (ORCID:0009-0000-5196-7949), E-mail:0600032@bbmu.edu.cn摘要:
肺动脉高压(pulmonary hypertension,PH)是一种以肺动脉压力持续升高为特征,致使右心室负荷加重,最终可能引发右心衰竭的疾病。PH发病机制涉及多个维度,包括血管内皮功能障碍、血管平滑肌增殖、炎性反应、血栓形成及遗传因素等多个方面。动物模型作为研究PH发病机制和开发治疗策略的核心工具,其不同类型均有各自的独特优势与局限性。单剂量注射野百合碱(monocrotaline,MCT)诱导模型是最常用的实验性PH动物模型之一,被广泛应用于PH的机制研究、药物筛选与疗效评价。该模型操作简便、成本较低,可以在短时间内诱导出PH,但其病理生理机制与人类特发性PH存在一定差异。相比之下,Sugen5416联合慢性低氧诱导的PH模型能较好地模拟PH的发生发展过程,该模型通过将动物置于低氧环境中发生肺血管收缩及重塑,但其造模周期较长,且低氧程度对结果影响较大。除以上2种常用的模型构建方法外,还有多种新兴技术应用于PH研究,如基因编辑工程可以精准探究特定基因在PH中的功能;诱导多能干细胞结合3D类器官技术可以依托个体化建模,保留患者遗传信息,从而打造精准临床转化。每种模型或技术都能从不同层面模拟人类PH的病理过程,其研究成果为理解PH疾病本质提供了关键线索,也为新型治疗靶点的研发提供了重要平台。本文对PH研究用多种动物模型及其新兴技术进行综合性描述,深入分析了各模型/技术的特点、应用场景及局限性,以期为研发新治疗策略和药物提供实验技术支持。
中图分类号:
陈子宜,孙红燕,康品方,等. 肺动脉高压动物模型构建方法及新型技术研究进展[J]. 实验动物与比较医学, 2026, 46(1): 81-93. DOI: 10.12300/j.issn.1674-5817.2025.047.
CHEN Ziyi,SUN Hongyan,KANG Pinfang,et al. Research Advances in Construction Methods and Novel Technologies for Animal Models of Pulmonary Hypertension[J]. Laboratory Animal and Comparative Medicine, 2026, 46(1): 81-93. DOI: 10.12300/j.issn.1674-5817.2025.047.
模型类型 Model Type | MCT诱导 | SuHx复合 | 基因编辑 | 体肺分流术 | 栓塞性模型 | iPSC类器官 |
|---|---|---|---|---|---|---|
机制 Mechanism | 内皮损伤、平滑肌增殖、炎症反应 | VEGFR2抑制缺氧诱导炎症反应 | BMPR2突变、HTT上调、血管重构 | 血流增加、mPAP升高、右心负荷 | 血管阻塞、血流动力学改变 | 细胞分化、类器官形成、基因编辑 |
最适动物 Optimal Species | 大鼠 | 大鼠 | 小鼠 | 幼年羊/猪 | 大鼠 | 小鼠 |
造模方法 Modeling Approach | 60~80mg/kg | 20mg/kg | 位点突变/敲除 | 导管覆膜支架 | 血栓栓塞 微球颗粒 外科手术 | 重编程技术 3D类器官 |
病理特征匹配度 Pathological Fidelity | 中 (血管重构) | 高 (多机制) | 高 (位点突变) | 中 (外科手术) | 低 (机械阻塞) | 超高 (个性化) |
周期 Timeframe | 4周 | 8周 | 持续 | 4~16周 | 2周 | 6~8周 |
死亡率 Mortality Rate | 15~20% | 30~40% | <5% | 15~25% | 20~25% | 0% |
临床相关性 Clinical Relevance | 中 | 高 | 中 | 中 | 低 | 精准 |
| 适应研究场景Applicable Research Context | 药物急性筛选 | 慢性病程机制研究 | 遗传机制解析 | 药物筛选和治疗评估 | 急性栓塞干预机制 | 个体化治疗策略开发 |
优缺点 Advantages and Limitations | 建模快 症状明显 操作简单 多器官损伤 特异性低 个体差异大 | 临床相关性高 机制全面 表型稳定 操作复杂 周期较长 风险较高 | 靶向精准 稳定可靠 机制明确 技术复杂 环境局限 推广受限 | 改善氧合 减轻负荷 模拟局限 操作复杂 风险较高 | 稳定可靠 快速建模 创伤较大 技术要求高 恢复期长 | 仿生性强 个体化准 动态模拟 成本高昂 异质性大 功能不全 |
表 1 肺动脉高压模型横向对比图
Table 1 Comparative Analysis of Pulmonary Hypertension Models
模型类型 Model Type | MCT诱导 | SuHx复合 | 基因编辑 | 体肺分流术 | 栓塞性模型 | iPSC类器官 |
|---|---|---|---|---|---|---|
机制 Mechanism | 内皮损伤、平滑肌增殖、炎症反应 | VEGFR2抑制缺氧诱导炎症反应 | BMPR2突变、HTT上调、血管重构 | 血流增加、mPAP升高、右心负荷 | 血管阻塞、血流动力学改变 | 细胞分化、类器官形成、基因编辑 |
最适动物 Optimal Species | 大鼠 | 大鼠 | 小鼠 | 幼年羊/猪 | 大鼠 | 小鼠 |
造模方法 Modeling Approach | 60~80mg/kg | 20mg/kg | 位点突变/敲除 | 导管覆膜支架 | 血栓栓塞 微球颗粒 外科手术 | 重编程技术 3D类器官 |
病理特征匹配度 Pathological Fidelity | 中 (血管重构) | 高 (多机制) | 高 (位点突变) | 中 (外科手术) | 低 (机械阻塞) | 超高 (个性化) |
周期 Timeframe | 4周 | 8周 | 持续 | 4~16周 | 2周 | 6~8周 |
死亡率 Mortality Rate | 15~20% | 30~40% | <5% | 15~25% | 20~25% | 0% |
临床相关性 Clinical Relevance | 中 | 高 | 中 | 中 | 低 | 精准 |
| 适应研究场景Applicable Research Context | 药物急性筛选 | 慢性病程机制研究 | 遗传机制解析 | 药物筛选和治疗评估 | 急性栓塞干预机制 | 个体化治疗策略开发 |
优缺点 Advantages and Limitations | 建模快 症状明显 操作简单 多器官损伤 特异性低 个体差异大 | 临床相关性高 机制全面 表型稳定 操作复杂 周期较长 风险较高 | 靶向精准 稳定可靠 机制明确 技术复杂 环境局限 推广受限 | 改善氧合 减轻负荷 模拟局限 操作复杂 风险较高 | 稳定可靠 快速建模 创伤较大 技术要求高 恢复期长 | 仿生性强 个体化准 动态模拟 成本高昂 异质性大 功能不全 |
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