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[肥厚型和扩张型心肌病叙利亚仓鼠心室心肌对α1-肾上腺素能受体和血管紧张素II受体刺激的机电反应性]

[Electromechanical responsiveness to alpha 1-adrenoceptor and angiotensin II receptor stimulation in the ventricular myocardium of hypertrophied and dilated cardiomyopathic Syrian hamsters].

作者信息

Yamashita T

机构信息

Department of Cardiovascular Medicine, Hokkaido University School of Medicine, Sapporo, Japan.

出版信息

Hokkaido Igaku Zasshi. 1992 Nov;67(6):815-29.

PMID:1336480
Abstract

It has been postulated that neurohumoral factors, such as sympathetic nervous system or renin-angiotensin system, may play an important role in the development of myocardial lesion in cardiomyopathic hamsters. This study was undertaken to determine whether the electromechanical responsiveness of the ventricular myocardium to alpha 1-adrenoceptor and angiotensin II (Ang II) receptor stimulation is altered in cardiomyopathic (CM) Syrian hamsters. Changes of action potential and isometric tension in response to these receptors stimulation were examined in left ventricular papillary muscles of 14-20 week-old normal (F1 beta), hypertrophic (BIO 14.6) and dilated (BIO 53.58) cardiomyopathic hamsters using conventional microelectrode techniques. Action potential duration (APD) recorded from the papillary muscles (PMs) of BIO 14.6 was significantly shorter than that recorded from BIO 53.58 and F1 beta PMs. Developed tension, which was corrected for the cross-sectional area of PMs, was significantly reduced in PMs of both cardiomyopathic hamsters than those of normal hamsters. Phenylephrine (0.3-30 microM) in the presence of propranolol (1 microM) produced concentration-dependent increases in APD and DT in PMs of normal and cardiomyopathic hamsters. Increases in APD and DT in response to 30 microM phenylephrine (PHE) in BIO 14.6 PMs were significantly greater than those in PMs of F1 beta. However, the increases in APD and DT produced by alpha 1-adrenergic stimulation in BIO 53.58 PMs were comparable to those observed in F1 beta PMs. In order to define ionic mechanism(s) responsible for the greater increase in APD during alpha 1-adrenergic stimulation in PMs of BIO 14.6, effects of PHE on membrane currents were examined in ventricular cells of F1 beta and BIO 14.6 using patch clamp techniques. PHE-induced decrease in the transient outward current (I(to)) in BIO 14.6 cells was similar to that in F1 beta cells. However, PHE produced a significantly greater decrease in the inward rectifier potassium current (IK1) in BIO 14.6 myocytes than in F1 beta ones. The greater inhibition of IK1 may, at least in part, explain the greater prolongation of APD in BIO 14.6 PMs. Angiotensin II (Ang II, 0.01-1 microM) also produced concentration-dependent increases in APD and DT in PMs of normal and cardiomyopathic hamsters. In contrast to electromechanical responses to alpha 1-adrenergic stimulation, Ang II produced a significantly smaller increase in DT in BIO 14.6 PMs than F1 beta ones, concomitantly with a smaller increase in APD. The Ang II-induced increase in DT in BIO 53.58 PMs was also smaller than that in F1 beta PMs.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

据推测,神经体液因素,如交感神经系统或肾素 - 血管紧张素系统,可能在心肌病仓鼠心肌病变的发展中起重要作用。本研究旨在确定在患有心肌病(CM)的叙利亚仓鼠中,心室心肌对α1 - 肾上腺素能受体和血管紧张素II(Ang II)受体刺激的机电反应性是否发生改变。使用传统微电极技术,在14 - 20周龄的正常(F1β)、肥厚型(BIO 14.6)和扩张型(BIO 53.58)心肌病仓鼠的左心室乳头肌中,检测了对这些受体刺激的动作电位和等长张力的变化。从BIO 14.6乳头肌(PMs)记录的动作电位持续时间(APD)明显短于从BIO 53.58和F1β PMs记录的。经乳头肌横截面积校正后的舒张期张力,在两种心肌病仓鼠的PMs中均显著低于正常仓鼠。在普萘洛尔(1μM)存在的情况下,去氧肾上腺素(0.3 - 30μM)使正常和心肌病仓鼠PMs中的APD和舒张期张力(DT)产生浓度依赖性增加。BIO 14.6 PMs中对30μM去氧肾上腺素(PHE)的APD和DT增加显著大于F1β PMs中的增加。然而,α1 - 肾上腺素能刺激在BIO 53.58 PMs中产生的APD和DT增加与在F1β PMs中观察到的相当。为了确定在BIO 14.6 PMs中α1 - 肾上腺素能刺激期间APD增加幅度更大的离子机制,使用膜片钳技术在F1β和BIO 14.6的心室细胞中检测了PHE对膜电流的影响。PHE诱导的BIO 14.6细胞瞬时外向电流(I(to))的减少与F1β细胞中的相似。然而,PHE在BIO 14.6心肌细胞中引起的内向整流钾电流(IK1)的减少明显大于F1β细胞。IK1的更大抑制可能至少部分解释了BIO 14.6 PMs中APD的更大延长。血管紧张素II(Ang II,0.01 - 1μM)也使正常和心肌病仓鼠PMs中的APD和DT产生浓度依赖性增加。与对α1 - 肾上腺素能刺激的机电反应相反,Ang II在BIO 14.6 PMs中引起的DT增加明显小于F1β PMs,同时APD增加也较小。Ang II诱导的BIO 53.58 PMs中DT的增加也小于F1β PMs。(摘要截短至400字)

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