Chen W P, Su M J
Pharmacological Institute, College of Medicine, National Taiwan University, Taipei, Taiwan, ROC.
J Biomed Sci. 2001 Nov-Dec;8(6):453-61. doi: 10.1007/BF02256607.
Alterations in alpha(1)-adrenoceptor (alpha(1)AR) density and related signal transduction proteins were reported in cardiomyopathic hearts in the failing stage. The electromechanical modification of alpha(1)-adrenergic stimulation in the failing heart is unclear. The present study compares the alpha(1)AR-stimulated electromechanical response in failing ventricles of genetically cardiomyopathic BIO 14.6 hamsters (280-320 days old) with that in age-matched normal Syrian hamsters. The action potential was recorded with a conventional microelectrode technique, and twitch force was measured with a transducer. In the presence of propranolol, phenylephrine increased the contraction and prolonged the action potential duration (APD) to similar values in ventricles of both strains, despite a prolonged basal APD in cardiomyopathic ventricles. The positive inotropism stimulated by phenylephrine was inhibited by staurosporine, and was potentiated by 4 beta-phorbol-12,13-dibutyrate (PDBu) in both strains. The maximum positive inotropic effect of phenylephrine in PDBu-treated ventricles of normal hamsters was significantly greater than that in BIO 14.6 hamsters. The effects of phenylephrine on the ventricular force-frequency relationship and on the mechanical restitution in both normal and BIO 14.6 strain hamsters were examined. The uniform negative force-frequency relationship and the altered mechanical restitution reveal a defect of intracellular Ca(2+) handling in cardiomyopathic BIO 14.6 hamsters. alpha(1)-Adrenergic modulation cannot convert the defective properties in the model of the failing heart. Nevertheless, phenylephrine decreased post-rest potentiation in short rest periods, and enhanced post-rest decay after longer resting periods. The results indicate that alpha(1)-adrenergic action enhances a gradual loss of Ca(2+) from the sarcoplasmic reticulum, although its action in prolonging the APD can indirectly increase the influx of Ca(2+).
据报道,在心力衰竭阶段的心肌病心脏中,α1 - 肾上腺素能受体(α1AR)密度及相关信号转导蛋白发生了改变。衰竭心脏中α1 - 肾上腺素能刺激的机电修饰尚不清楚。本研究比较了遗传性心肌病BIO 14.6仓鼠(280 - 320日龄)衰竭心室与年龄匹配的正常叙利亚仓鼠心室中α1AR刺激的机电反应。采用传统微电极技术记录动作电位,用换能器测量抽搐力。在普萘洛尔存在的情况下,去氧肾上腺素增加了两种品系心室的收缩并将动作电位时程(APD)延长至相似值,尽管心肌病心室的基础APD较长。去氧肾上腺素刺激的正性肌力作用在两种品系中均被星形孢菌素抑制,并被4β - 佛波醇 - 12,13 - 二丁酸酯(PDBu)增强。去氧肾上腺素在正常仓鼠经PDBu处理的心室中的最大正性肌力作用显著大于BIO 14.6仓鼠。研究了去氧肾上腺素对正常和BIO 14.6品系仓鼠心室力 - 频率关系及机械恢复的影响。均匀的负性力 - 频率关系和改变的机械恢复揭示了心肌病BIO 14.6仓鼠细胞内Ca2 + 处理存在缺陷。α1 - 肾上腺素能调节不能改变衰竭心脏模型中的缺陷特性。然而,去氧肾上腺素在短休息期降低了休息后增强作用,并在较长休息期后增强了休息后衰减。结果表明,α1 - 肾上腺素能作用增强了肌浆网Ca2 + 的逐渐丢失,尽管其延长APD的作用可间接增加Ca2 + 的内流。