Okabe M, Kawamura K, Terasaki F, Hayashi T
Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan.
Heart Vessels. 1999;14(1):15-28. doi: 10.1007/BF02481739.
Scanning electron microscopy was used to compare the shape, size, and connection of left ventricular (LV) myocytes between spontaneously hypertensive rats (SHR) and Wistar Kyoto rats (WKY) at 3, 8, 15, 35, and 63 weeks of age. For either strain at each age, five rats were studied, in which LV myocytes consisted of a cylindrical trunk with series (SB) and/ or lateral branch(es) (LB) and step formations; cell junctions had 12 common basic patterns. The length (L), width (W), and L/W ratio of the myocytes, and various indices for SB, LB, and three selected types of cell junctions were measured in 100 cells from each heart and averaged for comparison studies. In the growing period (3-8 weeks of age), the LV myocytes were similar in shape and width in the two age-matched strains and grew similarly with the same L/W ratio. In adolescent (15-week-old) WKY, LV cells grew with the same L/W ratio as in the younger rats, whereas in adolescent SHR, the cells showed a much greater increase in width than in length (disproportionate hypertrophy), the LB proliferated significantly, and the numbers of step-to-step and side-to-side junctions were diminished. In adult (15-35-week-old) WKY, LV cells continued to grow without much change in SB, LB, and the cell junctions, whereas in adult SHR, LV hypertrophy progressed with enhanced cardiomyocyte hypertrophy, increased number of SB, LB, and step-to-end junctions, and reduction in the number of step-to-step and side-to-side junctions per cell. In aged (63-week-old) WKY and SHR, the indices of LV myocytes, SB, LB, and cell junctions did not differ from those in adult WKY and SHR, except for LB thinning in the WKY and significant LB loss in the SHR. Age-related reductions in side-to-side- and step-to-step junctions, and LB loss with myocardial fibrosis in adult and aged SHR may indicate increased loss of gap junctions which couple the cells for transverse conduction, and contribute to anisotropic discontinuous propagation and potential reentrant LV arrhythmias.
采用扫描电子显微镜比较自发性高血压大鼠(SHR)和Wistar Kyoto大鼠(WKY)在3周、8周、15周、35周和63周龄时左心室(LV)心肌细胞的形状、大小和连接情况。对于每个年龄段的两种品系,各研究5只大鼠,其中LV心肌细胞由带有串联分支(SB)和/或侧支(LB)以及阶梯结构的圆柱形主干组成;细胞连接有12种常见的基本模式。在每颗心脏的100个细胞中测量心肌细胞的长度(L)、宽度(W)和L/W比值,以及SB、LB和三种选定类型细胞连接的各种指标,并进行平均以进行比较研究。在生长阶段(3 - 8周龄),两个年龄匹配品系的LV心肌细胞形状和宽度相似,且以相同的L/W比值生长。在青春期(15周龄)的WKY中,LV细胞以与年轻大鼠相同的L/W比值生长,而在青春期的SHR中,细胞宽度的增加远大于长度(不成比例的肥大),LB显著增殖,阶梯间和侧向连接的数量减少。在成年期(15 - 35周龄)的WKY中,LV细胞继续生长,SB、LB和细胞连接变化不大,而在成年SHR中,LV肥大进展,心肌细胞肥大增强,SB、LB和阶梯 - 末端连接数量增加,每个细胞的阶梯间和侧向连接数量减少。在老年(63周龄)的WKY和SHR中,LV心肌细胞、SB、LB和细胞连接的指标与成年WKY和SHR相比无差异,除了WKY中LB变细以及SHR中LB显著减少。成年和老年SHR中与年龄相关的侧向和阶梯间连接减少以及LB随心肌纤维化丢失,可能表明耦合细胞进行横向传导的缝隙连接丢失增加,并导致各向异性不连续传播和潜在的LV折返性心律失常。