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猪恶性高热:氟烷对线粒体呼吸和钙蓄积的影响。

Porcine malignant hyperthermia: effects of halothane on mitochondrial respiration and calcium accumulation.

作者信息

Britt B A, Endrenyi L, Cadman D L, Fan H M, Fung H Y

出版信息

Anesthesiology. 1975 Mar;42(3):292-300.

PMID:163600
Abstract

Vastus lateralis muscle was excised from normal pigs and from pigs susceptible to malignant hyperthermia. Anesthesia consisted of diazepam, N2O:O2, and a lidocaine field block. In the susceptible (MHS) pigs, respiratory control in mitochondria of excised muscle was normal, while electron transport was accelerated. Glutamate log Q3's and log Q4's were in inverse linear relationship to porcine weights. In the presence of glutamate, state 3 respiration was 3.5 times, and state 4 respiration 3.2 times, higher in MHS than in normal mitochondria (independent of weight or halothane dose). Thus, the MHS mitochondria were able to produce ATP more efficiently than normal mitochondria. In vitro, halothane inhibited glutamate Q3's and R.C.I.'s, slightly increased succinate Q3's and R.C.I.'s, had no significant effect on glutamate or succinate Q4's, and, moderately lowered glutamate and succinate P/O ratios. These changes were similar to those observed in normal pigs. Calcium uptake into MHS mitochondria was markedly less than normal but was not significantly altered by in-vitro halothane. These results suggest a mitochondrial membrane component for the defect of procine malignant hyperthermia since calcium is normally associated with the formation of the phospholipid lattice of this membrane. (Key words: Hyperthermia, malignant; Metabolism, mitochondrial; Muscle, skeletal, mitochondria; Anesthetics, volatile, halotbane; Ions, calcium.)

摘要

从正常猪和易患恶性高热的猪身上切除股外侧肌。麻醉采用地西泮、N₂O:O₂和利多卡因局部阻滞。在易患恶性高热(MHS)的猪中,切除肌肉线粒体的呼吸控制正常,而电子传递加速。谷氨酸的log Q₃和log Q₄与猪的体重呈反线性关系。在谷氨酸存在的情况下,MHS猪的状态3呼吸比正常线粒体高3.5倍,状态4呼吸高3.2倍(与体重或氟烷剂量无关)。因此,MHS线粒体比正常线粒体更能有效地产生ATP。在体外,氟烷抑制谷氨酸的Q₃和呼吸控制率(R.C.I.),略微增加琥珀酸的Q₃和R.C.I.,对谷氨酸或琥珀酸的Q₄无显著影响,并适度降低谷氨酸和琥珀酸的磷氧比。这些变化与在正常猪中观察到的相似。MHS线粒体对钙的摄取明显低于正常,但体外氟烷对其无显著改变。这些结果表明,猪恶性高热缺陷存在线粒体膜成分,因为钙通常与该膜的磷脂晶格形成有关。(关键词:高热,恶性;代谢,线粒体;肌肉,骨骼,线粒体;麻醉剂,挥发性,氟烷;离子,钙。)

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引用本文的文献

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The current status of malignant hyperthermia.恶性高热的现状
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2
Permeabilised skeletal muscle reveals mitochondrial deficiency in malignant hyperthermia-susceptible individuals.通透性骨骼肌揭示恶性高热易感个体中线粒体缺陷。
Br J Anaesth. 2019 May;122(5):613-621. doi: 10.1016/j.bja.2019.02.010. Epub 2019 Mar 20.
3
Effect of temperature, time and fascicle size on the caffeine contracture test.温度、时间和肌束大小对咖啡因挛缩试验的影响。
Can Anaesth Soc J. 1980 Jan;27(1):1-11. doi: 10.1007/BF03006840.
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Dantrolene--in vitro studies in malignant hyperthermia susceptible (MHS) and normal skeletal muscle.丹曲林——对恶性高热易感(MHS)和正常骨骼肌的体外研究。
Can Anaesth Soc J. 1984 Mar;31(2):130-54. doi: 10.1007/BF03015252.
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Malignant hyperthermia: molecular defects in membrane permeability.恶性高热:膜通透性的分子缺陷
Experientia. 1985 May 15;41(5):656-61. doi: 10.1007/BF02007707.
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Amide local anaesthetics and malignant hyperthermia.酰胺类局部麻醉药与恶性高热。
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Membrane abnormality in malignant hyperthermia.恶性高热中的膜异常。
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Can Anaesth Soc J. 1976 Nov;23(6):616-23. doi: 10.1007/BF03006744.