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绵羊心肌中肌浆网Ca(2+)ATP酶调节的成熟依赖性差异对压力超负荷的反应:成熟依赖性收缩和舒张功能障碍的一种可能机制。

Maturation-dependent differences in regulation of sarcoplasmic reticulum Ca(2+) ATPase in sheep myocardium in response to pressure overload: a possible mechanism for maturation-dependent systolic and diastolic dysfunction.

作者信息

Aoyagi T, Fujii A M, Flanagan M F, Arnold L, Mirsky I, Izumo S

机构信息

Cardiovascular Division, Brigham & Women's Hospital, 330 Brookline Ave., Boston, Massachusetts 02115, U.S.A.

出版信息

Pediatr Res. 2001 Aug;50(2):246-53. doi: 10.1203/00006450-200108000-00014.

Abstract

We have previously demonstrated that pressure-overload hypertrophy in adult sheep is associated with myocardial dysfunction whereas that in young lambs is associated with normal contractility. To probe for possible mechanisms of these age-dependent differences, we assessed mRNA expression of genes encoding critical components of myocardial Ca(2+) handling in the same animal model. We studied left ventricular myocardium of young and adult sheep with short-term (48 h) and long-term (6 wk) pressure overload induced by ascending aortic constriction. Six weeks of pressure overload induced the significant left ventricular hypertrophy (36 and 39% increase in left ventricular/body weight ratio in lambs and sheep, respectively). The Ca(2+) ATPase and Na(+)/Ca(2+) exchanger mRNA decreased with pressure overload only in the adult (p < 0.05). Ca(2+) channel mRNA was slightly increased by pressure overload regardless of age (p < 0.05). Calsequestrin, sarcoplasmic reticulum Ca(2+) release channel, or myosin heavy-chain mRNA levels did not significantly differ. In adult sheep after 6 wk of pressure overload, decreases in load-adjusted midwall shortening (systolic dysfunction) and prolongation of relaxation time constant (diastolic dysfunction) correlated with decreases in Ca(2+)-ATPase mRNA. The sarcoplasmic reticulum Ca(2+)-ATPase protein level and Ca(2+) uptake activity of isolated sarcoplasmic reticulum vesicles were depressed only in the adult with pressure-overload hypertrophy but not in the young. We demonstrated age-dependent differences in mRNA expression of Ca(2+)-handling protein genes in response to pressure overload, which preceded the occurrence of hypertrophy and myocardial dysfunction. Thus, altered expression of Ca(2+)-handling protein genes may be one of the primary responses to pressure overload rather than a phenomenon secondary to myocardial hypertrophy.

摘要

我们之前已经证明,成年绵羊的压力超负荷肥大与心肌功能障碍有关,而幼龄羔羊的压力超负荷肥大则与正常收缩性有关。为了探究这些年龄依赖性差异的可能机制,我们在同一动物模型中评估了编码心肌钙(Ca2+)处理关键成分的基因的mRNA表达。我们研究了通过升主动脉缩窄诱导短期(48小时)和长期(6周)压力超负荷的幼龄和成年绵羊的左心室心肌。六周的压力超负荷导致显著的左心室肥大(羔羊和绵羊的左心室/体重比分别增加36%和39%)。仅在成年动物中,压力超负荷使Ca2+ATP酶和钠/钙(Na+/Ca2+)交换体的mRNA减少(p<0.05)。无论年龄如何,压力超负荷均使钙通道mRNA略有增加(p<0.05)。肌集钙蛋白、肌浆网钙释放通道或肌球蛋白重链的mRNA水平无显著差异。在成年绵羊压力超负荷6周后,负荷调整后的室壁中层缩短(收缩功能障碍)降低和舒张时间常数延长(舒张功能障碍)与Ca2+-ATP酶mRNA减少相关。仅在压力超负荷肥大的成年动物中,分离的肌浆网囊泡的肌浆网Ca2+-ATP酶蛋白水平和Ca2+摄取活性降低,而幼龄动物中未降低。我们证明了在压力超负荷时,钙处理蛋白基因的mRNA表达存在年龄依赖性差异,这在肥大和心肌功能障碍发生之前就已出现。因此,钙处理蛋白基因表达的改变可能是对压力超负荷的主要反应之一,而不是心肌肥大的继发现象。

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