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請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/55198
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor黃銓珍(Chang-Jen Huang)
dc.contributor.authorMing-Wu Fengen
dc.contributor.author馮明五zh_TW
dc.date.accessioned2021-06-16T03:50:58Z-
dc.date.available2020-03-13
dc.date.copyright2015-03-13
dc.date.issued2015
dc.date.submitted2015-01-20
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/55198-
dc.description.abstractHMG-CoA reductase抑制劑,又被稱為statins,被廣泛用於治療高膽固醇血症(hypercholesterolemia)。然而,這類藥物會導致一系列肌肉相關的副作用,並且副作用與用量有劑量效應 (dose-dependent) 關係。這些症狀包含較輕微的肌痛 (myalgia)、肌炎 (myositis) 及嚴重的橫紋肌溶解症 (rhabdomyolysis)。雖然橫紋肌溶解症發生的比率不高,但有報告指出,對一名肝臟移植患者同時施以Simvastatin與免疫抑制劑Rapamycin時,引發了致死性橫紋肌溶解症。
在本實驗中,我們建立了一個以statin誘發肌肉病變 (myopathy) 的斑馬魚模型。首先,比較Simvastatin、Atorvastatin和Lovastatin引發肌肉病變的效果,並選出Simvastatin進行進一步分析,發現處理時間、濃度與肌肉病變有正向關係。接著在進行Rapamycin與Simvastatin共同處理時,卻發現Rapamycin能抑制肌肉病變現象。由於Rapamycin主要的功能是抑制TOR (target of rapamycin) 的活性,為了確認其對肌肉病變的保護能力是否與TOR有關,我們另外使用morpholino (MO) 將TOR基因knockdown。結果注射tor MO的胚胎在Simvastatin處理後依舊產生肌肉病變,而對注射tor MO的胚胎以Rapamycin 與Simvastatin共同處理仍能防止肌肉病變。由此推論,Rapamycin可能不是透過抑制TOR而達到對肌肉病變的保護效果。
zh_TW
dc.description.abstractHMG-CoA reductase inhibitors, also known as statins, are widely used to treat hypercholesterolemia. However, they can lead to a number of dose-dependent and muscle-associated side effects, ranging from myalgia to myositis and rhabdomyolysis. The frequency of rhabdomyolysis incidence is low, however, it is reported that concomitant use of Simvastatin with Rapamycin, an immunosuppressor which inhibits TOR (target of rapamycin) activity, in liver transplant patient resulted in severe rhabdomyolysis.
In this study, we generated a zebrafish statin-induced myopathy model. At first, we compare the adverse effect induced by Simvastatin, Lovastatin and Atorvastatin in zebrafish. Then, we found that Simvastatin could induce visible muscle damage in zebrafish embryos, with degree of damage proportionate to Simvastatin concentration and length of exposure. We further investigated the effect of Rapamycin and Simvastatin co-treatment on zebrafish. Surprisingly, the results showed that the muscle toxicity induced by Simvastatin can be rescued by Rapamycin. To confirm this phenomenon is related to TOR signaling, we also knocked down the zebrafish TOR gene (ztor) using splicing morpholino. However, the morphants with reduced expression of TOR still demonstrated muscle damage upon Simvastatin administration, and the effect can be blocked by Rapamycin as well. These results indicate that Rapamycin may exert its protective effect against Simvastatin-induced myopathy via a TOR-independent mechanism.
en
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Previous issue date: 2015
en
dc.description.tableofcontents摘要 ii
ABSTRACT iii
目錄 iv
圖目錄 vi
第一章 序言 1
1 膽固醇與血管疾病 1
2 Statins 1
3 Statins引起的肌肉病變 3
4 Rapamycin與TOR 5
5 以斑馬魚作為模式生物的優點 7
6 研究目的及策略 9
第二章 實驗材料與方法 11
1 實驗材料 11
2 實驗方法 12
第三章 實驗結果 25
1 Simvastatin使斑馬魚產生可見的肌肉病變 25
2 Simvastatin之濃度及處理時間與肌肉病變症狀呈正相關 25
3 以Rapamycin與Simvastatin共同處理降低肌肉病變症狀 26
4 Knockdown TOR對Simvastatin引起肌肉病變沒有影響 26
5 以Rapamycin對tor morphant處理能降低肌肉病變症狀 27
第四章 討論 28
參考文獻 31
附圖 44
附錄 51
dc.language.isozh-TW
dc.subject人類疾病模式zh_TW
dc.subject他汀zh_TW
dc.subject斑馬魚zh_TW
dc.subject肌肉病變zh_TW
dc.subject雷帕黴素zh_TW
dc.subjectTORen
dc.subjectstatinsen
dc.subjectRapamycinen
dc.subjectmyopathyen
dc.subjectzebrafishen
dc.titleStatin引起斑馬魚肌肉病變之研究zh_TW
dc.titleStudies on statin-induced myopathy in zebrafishen
dc.typeThesis
dc.date.schoolyear103-1
dc.description.degree碩士
dc.contributor.oralexamcommittee李明亭(Ming-Ting Lee),鄭嘉雄(Chia-Hsiung Cheng)
dc.subject.keyword他汀,斑馬魚,肌肉病變,雷帕黴素,人類疾病模式,zh_TW
dc.subject.keywordstatins,Rapamycin,TOR,zebrafish,myopathy,en
dc.relation.page54
dc.rights.note有償授權
dc.date.accepted2015-01-21
dc.contributor.author-college生命科學院zh_TW
dc.contributor.author-dept生化科學研究所zh_TW
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