Blanc François-Xavier, Langeron Olivier, Coirault Catherine, Salmeron Sergio, Lambert Francine, Riou Bruno, Lecarpentier Yves
Institut National de la Santé et de la Recherche Médicale (INSERM), ENSTA, Ecole Polytechnique, Palaiseau, France.
Chest. 2004 Jan;125(1):236-42. doi: 10.1378/chest.125.1.236.
STUDY OBJECTIVES/DESIGN: Impaired function of striated and arterial smooth muscle is known to occur in humans and animals with various forms of cardiac diseases, but limited information is available on the mechanical behavior of airway smooth muscle. We tested the hypothesis that the baseline mechanical properties of tracheal smooth muscle (TSM) were impaired at an early stage of cardiac overload.
We used a model of cardiac hypertrophy induced by surgical abdominal aortic stenosis (AS) in adult rabbits. Twelve animals with AS and 8 sham-operated control rabbits were studied 12 weeks after surgery. In rabbits with AS, the heart weight/body weight ratio was higher than in control rabbits (2.36 +/- 0.43 g/kg vs 1.98 +/- 0.20 g/kg, p < 0.05) [mean +/- SD], attesting to moderate cardiac hypertrophy. No clinical signs of congestive heart failure were observed.
Isolated TSM strips were electrically stimulated at 37 degrees C, 2.5 mM Ca(2+), against 8 to 10 load levels, from zero load to full isometry. Force-velocity relationship was elicited using the conventional afterloaded isotonic method.
Peak isometric tension was lower in rabbits with AS than in control rabbits (25 +/- 11 mN/mm(2) vs 34 +/- 14 mN/mm(2), p < 0.05), whereas maximum unloaded shortening velocity, maximum extent of muscle shortening, and relaxation parameters did not differ between groups. The curvature of the force-velocity relationship (which reflects the myothermal economy of force generation) and peak mechanical efficiency were lower in rabbits with AS than in control rabbits.
These results indicate that the contraction of isolated rabbit TSM was less powerful and less economical in cardiac hypertrophy, attesting to early impairment of the mechanical properties of TSM during cardiac overload.
研究目的/设计:已知在患有各种形式心脏病的人类和动物中,横纹肌和动脉平滑肌功能受损,但关于气道平滑肌力学行为的信息有限。我们检验了这样一个假设,即在心脏超负荷的早期阶段,气管平滑肌(TSM)的基线力学特性会受损。
我们使用成年兔腹部主动脉缩窄(AS)手术诱导的心脏肥大模型。在手术后12周,对12只患有AS的动物和8只假手术对照兔进行了研究。在患有AS的兔中,心脏重量/体重比高于对照兔(2.36±0.43 g/kg对1.98±0.20 g/kg,p<0.05)[平均值±标准差],证明存在中度心脏肥大。未观察到充血性心力衰竭的临床症状。
在37℃、2.5 mM [Ca(2+)](0)条件下,对分离的TSM条带进行电刺激,对抗8至10个负荷水平,从零负荷到完全等长收缩。使用传统的后负荷等张方法得出力-速度关系。
患有AS的兔的等长收缩峰值张力低于对照兔(25±11 mN/mm²对34±14 mN/mm²,p<0.05),而最大无负荷缩短速度、肌肉最大缩短程度和松弛参数在两组之间没有差异。患有AS的兔的力-速度关系曲线(反映力产生的肌热经济性)和峰值机械效率低于对照兔。
这些结果表明,在心脏肥大时,分离的兔TSM收缩力较弱且经济性较差,证明在心脏超负荷期间TSM力学特性早期受损。