Zhang Xiao-Yun, Chen Yan-Jing, Ge Fu-Gui, Wang De-Bao
Department of Physiology, Zhangjiakou Medical College, Zhangjiakou 075029.
Sheng Li Xue Bao. 2003 Aug 25;55(4):405-10.
The purpose of this study was to clarify the characteristics of the pacemaker cells in the left ventricular outflow tract (aortic vestibule) and compare them with those of the cells in the sinoatrial node (SAN). By using conventional intracellular microelectrode technique to record their action potentials, some ionic channel blockers were used to observe their electrophysiological effects on the two types of pacemaker cells in the rabbit, especially on the ionic movement during phase 0 and phase 4. The results obtained are as follows. (1) Perfusion with 1 micromol/L verapamil (VER) resulted in a significant reduction in the amplitude of action potential (APA), maximal rate of depolarization (V(max)), absolute value of the maximal diastolic potential (MDP), velocity of diastolic depolarization (VDD) and rate of pacemaker firing (RPF), and also a prolongation of the 90% of the duration of action potential (APD(90)) in the pacemaker cells of the SAN and aortic vestibule (P<0.05). (2) Perfusion with 180 micromol/L nickel chloride (NiCl2) resulted in a decrease in VDD in the two types of the pacemaker cells (P<0.01). APA, V(max) and RPF fell notably, and the APD(90) prolonged in the sinoatrial node cells (P<0.05). (3) 2 mmol/L 4-aminopyridine (4-AP) led to a increase in VDD in both types of pacemaker cells (P<0.01). At the same time the absolute values of MDP, APA and V(max) decreased significantly, and APD(90) prolonged notably (P<0.05). During the perfusion, RPF in SAN increased markedly, while RPF in aortic vestibule exhibited no significant change. (4) 2 mmol/L cesium chloride (CsCl) led to a decrease in VDD and RPF in the two types of the pacemaker cells (P<0.05).These results suggested: (1) the ion currents in phase 0 and phase 4 of depolarization and repolarization of slow-response activity in aortic vestibule are similar to those in dominant pacemaker cells of sinoatrial node; (2) for the pacemaker cells in the left ventricular outflow tract, Ca(2+) current is the main depolarizing ion current of the phase 0, K(+) current is the main factor responsible for the repolarization. Attenuation of K(+) current is responsible for the phase 4 spontaneous depolarization. In addition, it seems that I(Ca-T), I(Ca-L) and I(f ) play some role in the pacemaker currents.
本研究的目的是阐明左心室流出道(主动脉前庭)起搏细胞的特征,并将其与窦房结(SAN)细胞的特征进行比较。通过使用传统的细胞内微电极技术记录其动作电位,使用一些离子通道阻滞剂观察它们对家兔两种起搏细胞的电生理作用,特别是对0期和4期离子运动的影响。获得的结果如下。(1)用1 μmol/L维拉帕米(VER)灌注导致窦房结和主动脉前庭起搏细胞的动作电位幅度(APA)、最大去极化速率(V(max))、最大舒张电位绝对值(MDP)、舒张期去极化速度(VDD)和起搏发放频率(RPF)显著降低,并且动作电位持续时间的90%(APD(90))延长(P<0.05)。(2)用180 μmol/L氯化镍(NiCl2)灌注导致两种起搏细胞的VDD降低(P<0.01)。APA、V(max)和RPF显著下降,并且窦房结细胞的APD(90)延长(P<0.05)。(3)2 mmol/L 4-氨基吡啶(4-AP)导致两种起搏细胞的VDD增加(P<0.01)。同时,MDP、APA和V(max)的绝对值显著降低,并且APD(90)显著延长(P<0.05)。在灌注期间,窦房结的RPF显著增加,而主动脉前庭的RPF没有显著变化。(4)2 mmol/L氯化铯(CsCl)导致两种起搏细胞的VDD和RPF降低(P<0.05)。这些结果表明:(1)主动脉前庭慢反应活动去极化和复极化0期和4期的离子电流与窦房结主导起搏细胞的离子电流相似;(2)对于左心室流出道的起搏细胞,Ca(2+)电流是0期主要的去极化离子电流,K(+)电流是负责复极化的主要因素。K(+)电流的衰减是4期自发去极化的原因。此外,似乎I(Ca-T)、I(Ca-L)和I(f )在起搏电流中起一定作用。