Nakae Yuri, Fujita Satoshi, Namiki Akiyoshi
*Department of Anesthesiology, Sapporo Medical University School of Medicine; and †Departments of Anesthesiology and Critical Care Medicine, Asahikawa Medical College, Japan.
Anesth Analg. 2003 Mar;96(3):733-739. doi: 10.1213/01.ANE.0000050281.16556.33.
We investigated whether delta- and kappa-opioid agonists alter myocardial function, intracellular Ca(2+) concentration (Ca(2+)), and myofilament Ca(2+) sensitivity in intact guinea pig beating hearts and whether these effects are mediated by an opioid receptor. Intact guinea pig hearts were perfused with modified Krebs Ringer solution containing delta- (TAN-67) and kappa- (ICI-199441) opioid agonists in the absence and presence of delta- (BNTX) and kappa- (nor-BNI) opioid antagonists, respectively, while functional variables and Ca(2+) were recorded. TAN-67 (1 microM) and ICI-199441 (1 microM) decreased heart rate (P < 0.05). TAN-67 (1 microM) and ICI-199441 (1 micro M) decreased available Ca(2+) without changing developed left ventricular pressure (LVP) (P < 0.05). TAN-67 (1 microM) and ICI-199441 (1 microM) also caused a leftward shift in the curve of developed LVP as a function of available Ca(2+) (P < 0.05). ICI-199441 (1 microM) produced a steeper slope in the relation curve compared with baseline (P < 0.05). BNTX (1 microM) and nor-BNI (1 microM) blocked the effects of TAN-67 and ICI-199441, respectively. delta- and kappa-opioid agonists enhance myofilament Ca(2+) sensitivity despite decreasing available Ca(2+) in intact isolated guinea pig hearts, and these effects are mediated by delta- and kappa-opioid receptor stimulation.
Our results indicate that delta- and kappa-opioid agonists enhance myofilament Ca(2+) sensitivity despite decreasing available intracellular Ca(2+) concentrations in intact isolated guinea pig beating hearts, and these effects are mediated by delta- and kappa-opioid receptor stimulation.
我们研究了δ-和κ-阿片受体激动剂是否会改变完整豚鼠跳动心脏的心肌功能、细胞内钙离子浓度([Ca²⁺]i)以及肌丝对钙离子的敏感性,以及这些作用是否由阿片受体介导。完整的豚鼠心脏分别在不存在和存在δ-(BNTX)和κ-(nor-BNI)阿片受体拮抗剂的情况下,用含有δ-(TAN-67)和κ-(ICI-199441)阿片受体激动剂的改良克雷布斯林格溶液灌注,同时记录功能变量和[Ca²⁺]i。TAN-67(1微摩尔)和ICI-199441(1微摩尔)降低了心率(P < 0.05)。TAN-67(1微摩尔)和ICI-199441(1微摩尔)降低了可利用的[Ca²⁺]i,而不改变左心室舒张末压(LVP)(P < 0.05)。TAN-67(1微摩尔)和ICI-199441(1微摩尔)还使LVP随可利用[Ca²⁺]i变化的曲线向左移位(P < 0.05)。与基线相比,ICI-199441(1微摩尔)使关系曲线的斜率更陡(P < 0.05)。BNTX(1微摩尔)和nor-BNI(1微摩尔)分别阻断了TAN-67和ICI-199441的作用。在完整的离体豚鼠心脏中,尽管可利用的[Ca²⁺]i降低,但δ-和κ-阿片受体激动剂仍能增强肌丝对钙离子的敏感性,且这些作用由δ-和κ-阿片受体刺激介导。
我们的结果表明,在完整的离体豚鼠跳动心脏中,尽管细胞内可利用的钙离子浓度降低,但δ-和κ-阿片受体激动剂仍能增强肌丝对钙离子的敏感性,且这些作用由δ-和κ-阿片受体刺激介导。