Wildenthal K, Allen D O, Karlsson J, Wakeland J R, Clark C M
J Clin Invest. 1976 Mar;57(3):551-8. doi: 10.1172/JCI108310.
Previous studies of the ability of the immature heart to respond to glucagon have yielded conflicting results. To test the possibility that the apparent discrepancies might be explained in part by species variability, isolated hearts of fetal mice and rats (13-22 days' gestational age) were studied under identical conditions in vitro. Changes in atrial rate and ventricular contractility were measured in spontaneously beating hearts exposed to glucagon, and activation of adenylate cyclase was assayed in cardiac homogenates. In mice of 16 days' gestational age or less, there was no change in heart rate in response to glucagon; at 17-18 days, minimal responsiveness was present; and after 19 days, 10muM glucagon caused an increase in spontaneous atrial rate of 30 +/- 4% (SEM) (P less than 0.001). Measurement of the extent and speed of volume displacement of the isotonically contracting hearts with a specially constructed capacitance transducer revealed that ventricular inotropic responsiveness also appeared after 17-19 days. Cardiac stores of glycogen were reduced in older hearts exposed to glucagon, but not in those aged less than 16 days. In contrast, glucagon failed to activate adenylate cyclase in homogenates of hearts of fetal mice at any age. Furthermore, glucagon failed to elicit an increase in the concentration of cyclic AMP in spontaneously beating hearts that developed tachycardia. Responses in hearts of fetal rats were distinctly different from those in mouse hearts: at no age was there any change in heart rate, strength of contraction, glycogen content, or adenylate cyclase activation. Thus, there are major species differences in cardiac pharmacological maturation. Although the mouse heart develops the ability to increase its rate and strength of contraction and to undergo glycogenolysis in response to glucagon well before birth, the rat heart does not. In addition, there is an apparent disparity in late fetal mouse hearts between the ability of glucagon to induce functional responses and its ability to stimulate adenylate cyclase and increase cyclic AMP levels. It is impossible, of course, to rule out absolutely the possibility that localized increases in a critical cyclic AMP pool were present but too small to measure in the entire tissue. Nevertheless, the most obvious interpretation of our results is that they are compatible with the hypothesis that glucagon may exert some of its hemodynamic effects independently from the adenylate cyclase-cyclic AMP system in the late-fetal mouse heart.
以往关于未成熟心脏对胰高血糖素反应能力的研究结果相互矛盾。为了检验部分明显差异可能是由物种差异所解释的可能性,在相同的体外条件下研究了胎鼠和胎大鼠(胎龄13 - 22天)的离体心脏。在暴露于胰高血糖素的自主跳动心脏中测量心房率和心室收缩性的变化,并在心脏匀浆中测定腺苷酸环化酶的活性。在胎龄16天及以下的小鼠中,对胰高血糖素无心率变化;在17 - 18天,有最小的反应性;19天后,10μM胰高血糖素使自主心房率增加30±4%(标准误)(P<0.001)。用特制的电容换能器测量等容收缩心脏的容积位移程度和速度,显示心室变力反应性也在17 - 19天后出现。暴露于胰高血糖素的较老心脏中糖原储备减少,但胎龄小于16天的心脏中未减少。相反,胰高血糖素在任何胎龄的胎鼠心脏匀浆中均未激活腺苷酸环化酶。此外,胰高血糖素未能使出现心动过速的自主跳动心脏中的环磷酸腺苷浓度增加。胎大鼠心脏的反应与小鼠心脏明显不同:在任何胎龄,心率、收缩强度、糖原含量或腺苷酸环化酶活性均无变化。因此,心脏药理学成熟存在主要的物种差异。尽管小鼠心脏在出生前就已具备对胰高血糖素作出反应从而增加心率和收缩强度以及进行糖原分解的能力,但大鼠心脏却没有。此外,在胎龄后期的小鼠心脏中,胰高血糖素诱导功能反应的能力与其刺激腺苷酸环化酶和增加环磷酸腺苷水平的能力之间存在明显差异。当然,不可能完全排除关键环磷酸腺苷池局部增加但在整个组织中过小而无法测量的可能性。然而,对我们结果最明显的解释是,它们与胰高血糖素可能在胎龄后期的小鼠心脏中独立于腺苷酸环化酶 - 环磷酸腺苷系统发挥一些血流动力学效应的假说相符。