Silverman H S, Stern M D, Lakatta E G
Division of Cardiology, Johns Hopkins Hospital, Baltimore, Maryland 21205.
Am J Cardiovasc Pathol. 1992;4(3):256-64.
The hypoxic cardiac myocyte has been used as a simplified model of myocardial ischemia. Precise control of oxygen tension is possible in a system with limited diffusion barriers offering an advantage over tissue preparations. This system was employed to study the effects of graded reductions in oxygen tension on cell morphology, spontaneous and electrically stimulated mechanical activity, and [Ca2+]i in single adult rat cardiac myocytes. All of 10 resting myocytes exposed to glucose-free anoxia (pO2 < .02 torr) abruptly underwent rigor contracture, retaining a clear sarcomere pattern, following a lag period of 22.6 +/- 2.8 minutes. These cells relengthened at reoxygenation 5 minutes following rigor onset. In contrast, 5 of 12 cells exposed to graded hypoxia (1-3 torr) were partially rounded and displayed a disorganized sarcomere pattern during hypoxic exposure and further shortened at reoxygenation (p = .03). Spontaneous mechanical oscillations thought to result from spontaneous sarcoplasmic reticulum calcium cycling only developed in those cells exposed to hypoxia, and their frequency was markedly enhanced in 6 of the 12 exposed cells. None of the 10 cells exposed to anoxia showed an increase in spontaneous activity. When spontaneous mechanical activity and underlying Ca2+i oscillations were induced by raising buffer [Ca2+] in 3 indo-1 loaded myocytes, anoxia abolished these as well. Cells stimulated at 0.2 Hz demonstrated spontaneous calcium oscillations and a significant rise in [Ca2+]i (indo-1 fluorescence ratio) prior to rigor onset only when exposed to graded hypoxia. Thus moderate hypoxia may cause earlier calcium loading and more progressive cell destruction than occurs during anoxia.(ABSTRACT TRUNCATED AT 250 WORDS)
缺氧心肌细胞已被用作心肌缺血的简化模型。在扩散屏障有限的系统中可以精确控制氧张力,这比组织标本具有优势。该系统用于研究氧张力分级降低对成年大鼠单个心肌细胞的细胞形态、自发和电刺激机械活性以及细胞内钙离子浓度([Ca2+]i)的影响。10个静息心肌细胞暴露于无糖缺氧环境(pO2 < 0.02托)后,在22.6±2.8分钟的延迟期后,突然发生强直收缩,肌节模式清晰,复氧5分钟后这些细胞重新伸长。相比之下,12个暴露于分级缺氧(1 - 3托)的细胞中有5个部分变圆,在缺氧暴露期间肌节模式紊乱,复氧时进一步缩短(p = 0.03)。被认为是由自发肌浆网钙循环引起的自发机械振荡仅在那些暴露于缺氧的细胞中出现,并且在12个暴露细胞中有6个细胞中其频率明显增加。10个暴露于缺氧的细胞均未出现自发活动增加。当通过提高3个indo - 1负载细胞的缓冲液[Ca2+]诱导自发机械活动和潜在的Ca2+i振荡时,缺氧也会消除这些现象。仅在暴露于分级缺氧时,以0.2 Hz刺激的细胞在强直收缩开始前表现出自发钙振荡和[Ca2+]i(indo - 1荧光比值)显著升高。因此,中度缺氧可能比缺氧期间更早地导致钙负荷增加和更渐进性的细胞破坏。(摘要截短于250字)