实验动物与比较医学 ›› 2026, Vol. 46 ›› Issue (5): 689-699.DOI: 10.12300/j.issn.1674-5817.2025.153

• 人类疾病动物模型 • 上一篇    下一篇

ROCK抑制剂Fasudil与Y27632促进血管新生及小鼠皮瓣存活的比较研究

占少琴1, 方芳2, 庄跃宏2, 王燕亭3()()   

  1. 1. 宁德师范学院医学院, 宁德 352100
    2. 福建医科大学基础医学院, 福州 350000
    3. 厦门医学院公共卫生与医学技术学院, 厦门 361001
  • 收稿日期:2025-09-13 修回日期:2025-12-18 出版日期:2026-10-25 发布日期:2026-10-16
  • 通讯作者: 王燕亭(1984—),女,硕士,讲师,主要从事皮瓣血供生理学研究。E-mail:278296548@qq.com。ORCID:0009-0007-3579-6394
  • 作者简介:
    占少琴(1991—),女,硕士,讲师,主要从事皮瓣血供生理学研究。E-mail:517854126@qq.com
  • 基金资助:
    宁德师范学院推动学校高质量发展研究专项“Z-没药甾酮基于PI3K/AKT通路对皮瓣存活及神经再生的影响”(2023ZX214); 厦门医学院基础研究培育项目“ROCK/PI3K/AKT通路介导法舒地尔促进DRG轴突再生的机制探讨”(K2023-30)

A Comparative Study of ROCK Inhibitors Fasudil and Y27632 on Promoting Angiogenesis and Flap Survival in Mice

ZHAN Shaoqin1, FANG Fang2, ZHUANG Yuehong2, WANG Yanting3()()   

  1. 1. School of Medicine, Ningde Normal University, Ningde 352100, China
    2. School of Basic Medical Sciences, Fujian Medical University, Fuzhou 350000, China
    3. Department of Public Health and Medical Technology, Xiamen Medical College, Xiamen 361001, China
  • Received:2025-09-13 Revised:2025-12-18 Published:2026-10-25 Online:2026-10-16
  • Correspondence to:
    WANG Yanting (ORCID: 0009-0007-3579-6394), E-mail:

摘要:

目的 比较Rho相关蛋白激酶(Rho-associated protein kinase,ROCK)抑制剂Fasudil与Y27632促进体内外血管新生及小鼠皮瓣存活的作用效果。 方法 选用36只SPF级成年雄性ICR小鼠,随机分为Y27632组、Fasudil组和对照组,各12只,术前3 d开始每日分别腹腔注射Y27632溶液、Fasudil溶液和等体积生理盐水,然后通过小鼠背部手术建立以髂腰血管为蒂的半岛状皮瓣模型。分别在术后即刻(第0天)及第5天通过激光散斑衬比成像系统评估各组小鼠皮瓣血流灌注情况,测量蒂部动脉管径并计算近远端血流量;术后第5天计算皮瓣坏死率,并采用免疫荧光法检测CD31阳性标志的远端微血管密度。另外,通过EdU细胞增殖实验、平板划痕、Transwell和基质胶成管实验观察比较Fasudil和Y27632在体外对人脐静脉内皮细胞系(human umbilical vein endothelial cells,HUVECs)增殖、迁移、侵袭及小管形成能力的影响,以DMSO处理作为对照。 结果 术后第5天Fasudil组小鼠的皮瓣坏死率为(2.0±1.5)%,显著低于Y27632组(P<0.001)和对照组(P<0.001),Y27632组也显著低于对照组(P<0.001)。Fasudil组小鼠术后第0天和第5天的蒂部髂腰动脉管径分别为(143.8±4.2)μm和(177.6±7.6)μm,均显著大于对照组和Y27632组(均P<0.001)。术后第5天Fasudil组小鼠的近、远端血流量分别为(453.0±12.5)和(79.2±4.8)个灌注单位,皮瓣远端存活组织中微血管密度为(71.6±3.5)条/区域,均显著高于对照组(P<0.001)和Y27632组(P<0.05)。Y27632组术后第0天的蒂部髂腰动脉管径小于对照组(P<0.05),术后第5天两组相比无明显差异(P>0.05);术后第5天的近、远端血流量亦显著高于对照组(P<0.001),微血管密度亦显著高于对照组(P<0.05),但远端血流量与对照组无明显差异(P>0.05)。体外细胞实验结果显示,Fasudil组和Y27632组的HUVECs增殖率、迁移率和侵袭细胞数均比对照组显著升高(P<0.001),但两药物组之间差异无统计学意义(P>0.05);Fasudil组的小管形成能力显著优于Y27632组(P<0.05)。 结论 Fasudil和Y27632均能有效促进血管新生并提高皮瓣存活率,但Fasudil的作用效果更显著,可能与其对血流动力学及血管稳定性的持续调节有关。

关键词: ROCK抑制剂, 血流灌注, 血管新生, 皮瓣存活, ICR小鼠

Abstract:

Objective To compare the effects of the Rho-associated protein kinase (ROCK) inhibitors Fasudil and Y27632 on promoting angiogenesis in vivo and in vitro and on flap survival in mice. Methods Thirty-six SPF-grade adult male ICR mice were randomly divided into the Y27632 group, Fasudil group, and control group, with 12 mice in each group. From 3 d before surgery, the mice were intraperitoneally injected daily with Y27632 solution, Fasudil solution, and an equal volume of normal saline, respectively. Then, a peninsular flap model pedicled on the iliolumbar vessels on the back of the mice was established surgically. Laser speckle contrast imaging was used to evaluate flap blood perfusion immediately after surgery (day 0) and on day 5, and the pedicle artery diameter was measured and proximal and distal blood flow were calculated. On day 5 after surgery, the flap necrosis rate was calculated, and CD31-positive microvessel density in the distal part of the flap was detected by immunofluorescence. In addition, EdU cell proliferation, scratch, Transwell, and Matrigel tube formation assays were used to compare the effects of Fasudil and Y27632 on the proliferation, migration, invasion, and tube formation ability of human umbilical vein endothelial cells (HUVECs) in vitro, with DMSO treatment as the control. Results On day 5 after surgery, the flap necrosis rate in the Fasudil group was (2.0±1.5)%, which was significantly lower than that in the control group and the Y27632 group (P<0.001), and the necrosis rate in the Y27632 group was also significantly lower than that in the control group (P<0.001). The pedicle iliolumbar artery diameter in the Fasudil group on day 0 and day 5 after surgery was (143.8±4.2) μm and (177.6±7.6) μm, respectively, both significantly larger than those in the control group and the Y27632 group (P<0.001). On day 5 after surgery, the proximal and distal blood flow in the Fasudil group were (453.0±12.5) PU and (79.2±4.8) PU, respectively, both significantly higher than those in the control group(P<0.001) and the Y27632 group (P<0.05). The microvessel density in the distal surviving tissue of the flap was (71.6±3.5) vessels/region, significantly higher than that in the control group (P<0.001) and also significantly higher than that in the Y27632 group (P<0.05). On day 0 after surgery, the pedicle iliolumbar artery diameter in the Y27632 group was smaller than that in the control group (P<0.05), while on day 5 after surgery, there was no statistically significant difference between the two groups (P>0.05). The proximal and distal blood flow on day 5 after surgery were also significantly higher than that in the control group (P<0.001), and the microvessel density was also significantly higher than that in the control group (P<0.05), but the distal blood flow showed no significant difference compared with the control group (P>0.05). In vitro experiments showed that the proliferation rate, migration rate, and number of invasive cells of HUVECs in the Fasudil and Y27632 groups were significantly increased compared with the control group (P<0.001), but there was no statistically significant difference between the two drug groups (P>0.05), whereas the tube formation ability of the Fasudil group was significantly better than that of the Y27632 group (P<0.05). Conclusion Both Fasudil and Y27632 can effectively promote angiogenesis and improve flap survival rate, but the effect of Fasudil is more significant, which may be related to its sustained regulation of hemodynamics and vascular stability.

Key words: ROCK inhibitor, Blood perfusion, Angiogenesis, Flap survival, ICR mice

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