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小鼠束支中的不连续传导是由束支结构引起的。

Discontinuous conduction in mouse bundle branches is caused by bundle-branch architecture.

作者信息

van Veen Toon A B, van Rijen Harold V M, van Kempen Marjan J A, Miquerol Lucile, Opthof Tobias, Gros Daniel, Vos Marc A, Jongsma Habo J, de Bakker Jacques M T

机构信息

Department of Medical Physiology, University Medical Center Utrecht, Utrecht, The Netherlands.

出版信息

Circulation. 2005 Oct 11;112(15):2235-44. doi: 10.1161/CIRCULATIONAHA.105.547893. Epub 2005 Oct 3.

Abstract

BACKGROUND

Recordings of the electrical activity of mouse bundle branches (BBs) suggest reduced conduction velocity (CV) in the midseptal compared with the proximal part of the BB. The present study was performed to elucidate the mechanism responsible for this slowing of conduction.

METHODS AND RESULTS

Hearts of 16 mice were isolated and Langendorff perfused. After the right and left ventricular free walls were removed, the extracellular activity of the BB was mapped with a 247-point electrode. Premature stimulation was used to estimate CV restitution in the BBs. Expression/distribution of connexin40 (Cx40), Cx43, and Cx45 was determined. Morphology of the conduction system was assessed by whole-mount acetylcholine esterase staining and in Cx40(+/KI-GFP) hearts. Effective CV in the midseptal part of the left and right BBs was reduced by 50% compared with the proximal BB. CV restitution in the proximal and midseptal parts of the BBs was similar. Myocytes labeled positive for Cx40 and Cx45 in the entire BB. Cx43 colocalized with Cx40 and Cx45 only in the very distal BB. Subcellular distribution of gap junctions differed between proximal and distal BBs. Geometry of the midseptal and distal BBs revealed on both sides a profuse network of interlacing fibers, whereas the proximal BB consisted of a single (right BB) or multiple (left BB) parallel fibers.

CONCLUSIONS

Comparison of connexin expression/distribution, geometry of the BBs, and CV characteristics suggests that increased path length for activation resulting from BB geometry is responsible for the apparently reduced CV in the midseptal BB of the mouse heart.

摘要

背景

小鼠束支(BB)电活动记录表明,与BB近端相比,中隔部位的传导速度(CV)降低。本研究旨在阐明导致这种传导减慢的机制。

方法与结果

分离16只小鼠的心脏并进行Langendorff灌注。去除左右心室游离壁后,用247点电极绘制BB的细胞外活动图。采用早搏刺激来估计BB中的CV恢复情况。测定连接蛋白40(Cx40)、Cx43和Cx45的表达/分布。通过整装乙酰胆碱酯酶染色和在Cx40(+/KI-GFP)心脏中评估传导系统的形态。与近端BB相比,左右BB中隔部分的有效CV降低了50%。BB近端和中隔部分的CV恢复情况相似。整个BB中Cx40和Cx45标记阳性的心肌细胞。Cx43仅在BB最远端与Cx40和Cx45共定位。近端和远端BB之间间隙连接的亚细胞分布不同。中隔和远端BB的几何结构在两侧均显示出丰富的交织纤维网络,而近端BB由单根(右BB)或多根(左BB)平行纤维组成。

结论

连接蛋白表达/分布、BB几何结构和CV特征的比较表明,BB几何结构导致的激活路径长度增加是小鼠心脏中隔BB中CV明显降低的原因。

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