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使用阿梅氏缩窄环对实验性慢性缺血心肌进行的形态学和生化研究。

Morphologic and biochemical studies on the experimental chronic ischemic myocardium with the Ameroid constrictor.

作者信息

Katagiri T, Toba K, Takeyama Y, Ozawa K, Niitani H

出版信息

Jpn Circ J. 1978 Mar;42(3):345-52. doi: 10.1253/jcj.42.345.

Abstract
  1. Morphologic as well as biochemical alterations in chronic ischemic myocardial tissue without infarction were studied in dogs utilizing the Ameroid constrictor. 2. Serum creatine kinase activity elevated at around three weeks after placing the Ameroid constrictor around the circumflex branch of the left coronary artery suggestive of myocardial tissue injury followed by the initial activation caused by surgery. 3. Subendocardial proliferation of connective tissue was observed in about 60% of the experiments, but the middle and the subepicardial muscles were morphologically intact. 4. The marked increase in glycogen particles was observed in the subendocardial muscle cells in most of the experiments, and mild features of myocardial cellular necrosis were found in approximately 60% of the experiments. 5. ATPase activities of the structural proteins as well as sarcoplasmic reticulum in the ischemic myocardium shoed relatively higher values than those in the non-ischemic myocardium. However, no substructural changes were observed in SDS gel electrophoresis in both the fractions. 6. The alterations in the chronic myocardial ischemia are supposed to be essentially the same as those in myocardial necrosis followed by acute coronary occlusion.
摘要
  1. 利用阿梅罗氏缩窄环,在犬身上研究了无梗死的慢性缺血心肌组织的形态学和生化改变。2. 在将阿梅罗氏缩窄环置于左冠状动脉回旋支周围约三周后,血清肌酸激酶活性升高,提示心肌组织损伤,继而是手术引起的初始激活。3. 在约60%的实验中观察到心内膜下结缔组织增生,但中层和心外膜下心肌在形态上完整。4. 在大多数实验中,在心内膜下心肌细胞中观察到糖原颗粒显著增加,在约60%的实验中发现了心肌细胞坏死的轻微特征。5. 缺血心肌中结构蛋白以及肌浆网的ATP酶活性显示出比非缺血心肌中相对更高的值。然而,在两个组分的SDS凝胶电泳中均未观察到亚结构变化。6. 慢性心肌缺血的改变被认为与急性冠状动脉闭塞后心肌坏死的改变基本相同。

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