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氟烷对链脲佐菌素诱导的糖尿病大鼠心室肌细胞收缩及细胞内钙的影响。

Effects of halothane on contraction and intracellular calcium in ventricular myocytes from streptozotocin-induced diabetic rats.

作者信息

Rithalia A, Qureshi M A, Howarth F C, Harrison S M

机构信息

School of Biomedical Sciences, University of Leeds, Leeds LS2 9JT, UK.

出版信息

Br J Anaesth. 2004 Feb;92(2):246-53. doi: 10.1093/bja/aeh048.

Abstract

BACKGROUND

Some of the cellular targets affected by volatile anaesthetics (e.g. halothane) which contribute to the negative inotropic effects of these agents are also affected during the progression of diabetic cardiomyopathy. A previous report suggested that halothane inhibited contraction to a lesser extent in papillary muscle from diabetic animals and so the aim of this study was to investigate possible mechanisms underlying this effect.

METHODS

Contractility and cytosolic calcium ion (Ca(2+)) transients were measured (fura-2) in ventricular myocytes isolated from control and streptozotocin (STZ)-induced diabetic rats in the absence and presence of halothane 0.6 mmol litre(-1) at 1 Hz stimulation. Sarcoplasmic reticulum (SR) Ca(2+) content was assessed by rapid application of caffeine. All experiments were carried out at 36-37 degrees C.

RESULTS

The amplitude of shortening, the electrically evoked Ca(2+) transient, SR Ca(2+) content and myofilament Ca(2+) sensitivity, though not altered by STZ treatment, were significantly reduced by halothane to a similar extent in control and STZ myocytes. The time course of contraction and Ca(2+) transient were prolonged in myocytes from STZ-treated rats compared with controls but this was not altered further by halothane. STZ treatment appeared to reduce Ca(2+) efflux from the cell, an effect reversed by halothane.

CONCLUSIONS

In contrast to a previous report, we could find no evidence of amelioration of the negative inotropic effect of halothane in myocytes from the STZ-induced diabetic rat. Contractility, the cytosolic Ca(2+) transient, SR Ca(2+) content and myofilament Ca(2+) sensitivity were qualitatively similar in control and STZ myocytes and were all depressed to the same extent by halothane.

摘要

背景

挥发性麻醉剂(如氟烷)所影响的一些细胞靶点,这些靶点会导致这些药物的负性肌力作用,在糖尿病性心肌病进展过程中也会受到影响。先前的一份报告表明,氟烷对糖尿病动物乳头肌收缩的抑制作用较小,因此本研究的目的是探讨这种作用潜在的机制。

方法

在1Hz刺激下,分别在不存在和存在0.6mmol/L氟烷的情况下,测量从对照大鼠和链脲佐菌素(STZ)诱导的糖尿病大鼠分离的心室肌细胞的收缩力和胞质钙离子(Ca(²⁺))瞬变(用fura-2)。通过快速施加咖啡因评估肌浆网(SR)Ca(²⁺)含量。所有实验均在36 - 37℃下进行。

结果

缩短幅度、电诱发的Ca(²⁺)瞬变、SR Ca(²⁺)含量和肌丝Ca(²⁺)敏感性,虽不受STZ处理影响,但在对照和STZ处理的肌细胞中,氟烷均使其显著降低至相似程度。与对照相比,STZ处理大鼠的肌细胞收缩和Ca(²⁺)瞬变的时间进程延长,但氟烷并未使其进一步改变。STZ处理似乎减少了细胞内Ca(²⁺)外流,氟烷可逆转这一效应。

结论

与先前的报告相反,我们未发现氟烷对STZ诱导的糖尿病大鼠肌细胞负性肌力作用有改善的证据。对照和STZ处理的肌细胞在收缩力、胞质Ca(²⁺)瞬变、SR Ca(²⁺)含量和肌丝Ca(²⁺)敏感性方面在性质上相似,且均被氟烷抑制至相同程度。

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