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氟烷改变单个大鼠心室肌细胞内钙离子动员的调控。

Halothane alters control of intracellular Ca2+ mobilization in single rat ventricular myocytes.

作者信息

Wilde D W, Knight P R, Sheth N, Williams B A

机构信息

Department of Anesthesiology, University of Michigan Medical School, Ann Arbor.

出版信息

Anesthesiology. 1991 Dec;75(6):1075-86. doi: 10.1097/00000542-199112000-00020.

DOI:10.1097/00000542-199112000-00020
PMID:1741499
Abstract

In an attempt to understand the cellular mechanisms underlying volatile anesthetic-induced myocardial depression, halothane-induced negative inotropy was investigated in an animal model through continuous monitoring of intracellular Ca2+ concentration [( Ca2+]i) in rat ventricular myocytes loaded with fura-2. Single cells were stimulated with 15 mM caffeine or 15 mM extracellular K+ (K+O) or were paced by extracellular glass suction pipette electrode. With each stimulus modality, halothane (0.6-1.5%) caused a significant (P less than 0.05) and dose-dependent depression of the Ca2+ transient. Caffeine and electrically stimulated Ca2+ transients were reduced, in 1.5% halothane, to 35 +/- 14 and 42 +/- 8% of control, respectively. Resting or basal [Ca2+]i was unaffected by halothane. Halothane did not elicit spontaneous Ca2+ transients in these cells. Single cells stimulated by trains of electrical stimuli at 1.0, 1.5, and 2.0 Hz showed a change in [Ca2+]i from prestimulus levels to a stimulated baseline steady state that appeared to increase with stimulus frequency. Halothane at 0.7% increased the change in resting to stimulated baseline [Ca2+]i and depressed net transients (P less than 0.05) at 1.0 and 1.5 Hz. In contrast, 0.1 microM ryanodine depressed the Ca2+ transients in myocytes stimulated by trains of stimuli, but did not potentiate the change in stimulated baseline [Ca2+]i at any pacing rate. The results are consistent with the hypothesis that halothane reduces Ca2+i availability by causing a net loss of Ca2+ from the sarcoplasmic reticulum. The results from experiments using onset of pacing to induce a sudden increase in Ca2+i load in previously quiescent myocytes suggest that halothane may act to limit sarcoplasmic reticulum and/or sarcolemmal uptake/extrusion mechanisms, as compared to ryanodine, which depletes sarcoplasmic reticulum Ca2+ stores without affecting reuptake and extrusion.

摘要

为了了解挥发性麻醉药诱导心肌抑制的细胞机制,通过连续监测用fura-2负载的大鼠心室肌细胞内的Ca2+浓度[Ca2+]i,在动物模型中研究了氟烷诱导的负性肌力作用。单细胞分别用15 mM咖啡因或15 mM细胞外K+(K+O)刺激,或用细胞外玻璃吸引移液管电极起搏。对于每种刺激方式,氟烷(0.6-1.5%)均引起Ca2+瞬变的显著(P<0.05)且剂量依赖性降低。在1.5%氟烷中,咖啡因和电刺激引起的Ca2+瞬变分别降至对照的35±14%和42±8%。静息或基础[Ca2+]i不受氟烷影响。氟烷未在这些细胞中引发自发Ca2+瞬变。以1.0、1.5和2.0 Hz的电刺激串刺激单细胞时,[Ca2+]i从刺激前水平变化到刺激后的基线稳态,且该稳态似乎随刺激频率增加。0.7%的氟烷增加了静息至刺激后基线[Ca2+]i的变化,并在1.0和1.5 Hz时降低了净瞬变(P<0.05)。相比之下,0.1 μM兰尼碱降低了刺激串刺激的心肌细胞中的Ca2+瞬变,但在任何起搏频率下均未增强刺激后基线[Ca2+]i的变化。这些结果与以下假设一致,即氟烷通过导致肌浆网中Ca2+的净损失而降低Ca2+i的可用性。使用起搏开始诱导先前静止的心肌细胞中Ca2+i负荷突然增加的实验结果表明,与兰尼碱相比,氟烷可能作用于限制肌浆网和/或肌膜摄取/外排机制,兰尼碱耗尽肌浆网Ca2+储存而不影响再摄取和外排。

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