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甲状腺功能减退对骨骼肌收缩时血流反应的影响。

Effects of hypothyroidism on the skeletal muscle blood flow response to contractions.

作者信息

Bausch L, McAllister R M

机构信息

Department of Anatomy and Physiology, Kansas State University, 224 Coles Hall, Manhattan, KS 66506, USA.

出版信息

J Vet Med A Physiol Pathol Clin Med. 2003 Apr;50(3):117-22. doi: 10.1046/j.1439-0442.2003.00510.x.

Abstract

Hypothyroidism is associated with impaired blood flow to skeletal muscle under whole body exercise conditions. It is unclear whether poor cardiac and/or vascular function account for blunted muscle blood flow. Our experiment isolated a small group of hindlimb muscles and simulated exercise via tetanic contractions. We hypothesized that muscle blood flow would be attenuated in hypothyroid rats (HYPO) compared with euthyroid rats (EUT). Rats were made hypothyroid by mixing propylthiouracil in their drinking water (2.35 x 10-3 mol/l). Treatment efficacy was evidenced by lower serum T3 concentrations and resting heart rates in HYPO (both P<0.05). In the experimental preparation, isometric contractions of the lower right hindlimb muscles at a rate of 30 tetani/min were induced via sciatic nerve stimulation. Regional blood flows were determined by the radiolabelled microsphere method at three time points: rest, 2 min of contractions and 10 min of contractions. Muscle blood flow generally increased from rest ( approximately 5-10 ml/min per 100 g) through contractions for both groups. Further, blood flow during contractions did not differ between groups for any muscle (eg. red section of gastrocnemius muscle; EUT, 59.9 +/- 14.1; HYPO, 61.1 +/- 15.0; NS between groups). These findings indicate that hypothyroidism does not significantly impair skeletal muscle blood flow when only a small muscle mass is contracting. Our findings suggest that impaired blood flow under whole body exercise is accounted for by inadequate cardiac function rather than abnormal vascular function.

摘要

甲状腺功能减退与全身运动条件下骨骼肌血流受损有关。目前尚不清楚心脏和/或血管功能不佳是否是导致肌肉血流减弱的原因。我们的实验分离出一小群后肢肌肉,并通过强直收缩模拟运动。我们假设与甲状腺功能正常的大鼠(EUT)相比,甲状腺功能减退的大鼠(HYPO)的肌肉血流会减弱。通过在大鼠饮用水中混合丙硫氧嘧啶(2.35×10-3 mol/l)使其甲状腺功能减退。HYPO组较低的血清T3浓度和静息心率证明了治疗效果(两者P<0.05)。在实验准备中,通过坐骨神经刺激诱导右下后肢肌肉以30次强直/分钟的速率进行等长收缩。在三个时间点通过放射性微球法测定局部血流:静息、收缩2分钟和收缩10分钟。两组肌肉血流一般从静息时(每100克约5-10毫升/分钟)到收缩时均增加。此外,两组之间任何肌肉在收缩期间的血流均无差异(例如腓肠肌红色部分;EUT组,59.9±14.1;HYPO组,61.1±15.0;组间无显著差异)。这些发现表明,当只有一小部分肌肉收缩时,甲状腺功能减退不会显著损害骨骼肌血流。我们的研究结果表明,全身运动时血流受损是由心脏功能不足而非血管功能异常引起的。

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