Rehr R B, Fuhs B E, Hirsch J I, Feher J J
Department of Radiology, Medical College of Virginia.
Am Heart J. 1991 Nov;122(5):1257-69. doi: 10.1016/0002-8703(91)90564-x.
The effect of reperfusion with and without free radical scavengers on sarcoplasmic reticulum and contractile function was examined in a canine model of 15-minute coronary artery occlusion followed by reperfusion. Dogs were reperfused with (n = 13) or without (n = 16) superoxide dismutase and catalase or were killed at 15 minutes of ischemia (n = 17). Superoxide dismutase and catalase were administered as a bolus (20,000 and 12,500 U/kg, respectively) beginning 1.25 minutes before reperfusion followed by infusion of 16,000 and 12,500 U/kg/hr, respectively. Sarcoplasmic reticulum function was evaluated from the rate of calcium uptake of unfractionated subepicardial, subendocardial, and transmural homogenates determined with and without ruthenium red to close the calcium release channel. Mechanical function was evaluated by means of sonomicrometry. Fifteen minutes of ischemia significantly (p less than 0.05) depressed the sarcoplasmic reticulum calcium uptake rate only in the subendocardium (from 25 +/- 2 to 14 +/- 1 nmol/min/mg without ruthenium red and from 60 +/- 3 to 49 +/- 3 nmol/min/mg with ruthenium red). Reperfusion with or without superoxide dismutase and catalase restored homogenate calcium uptake rates to normal, although severe contractile dysfunction persisted. This indicates that damage to the sarcoplasmic reticulum may not be the major cause of postreperfusion contractile dysfunction. Ischemia-reperfusion caused a decrease in systolic shortening from 19 +/- 2% to 1 +/- 2% with and from 18 +/- 1% to 4 +/- 1% without free radical scavengers (p = NS between groups). Thus administration of superoxide dismutase and catalase beginning shortly before reperfusion had no effect on postreperfusion contractile dysfunction or sarcoplasmic reticulum function.
在犬冠状动脉闭塞15分钟后再灌注的模型中,研究了有无自由基清除剂时再灌注对肌浆网和收缩功能的影响。给犬再灌注时使用(n = 13)或不使用(n = 16)超氧化物歧化酶和过氧化氢酶,或者在缺血15分钟时处死(n = 17)。超氧化物歧化酶和过氧化氢酶在再灌注前1.25分钟分别静脉推注(分别为20,000和12,500 U/kg),随后分别以16,000和12,500 U/kg/小时的速度输注。通过用和不用钌红封闭钙释放通道来测定未分级的心外膜下、心内膜下和透壁匀浆的钙摄取率,以此评估肌浆网功能。通过声纳测量法评估机械功能。15分钟的缺血仅使心内膜下肌浆网钙摄取率显著降低(p < 0.05)(不用钌红时从25±2降至14±1 nmol/分钟/毫克,用钌红时从60±3降至49±3 nmol/分钟/毫克)。无论有无超氧化物歧化酶和过氧化氢酶,再灌注均使匀浆钙摄取率恢复正常,尽管严重的收缩功能障碍仍然存在。这表明肌浆网损伤可能不是再灌注后收缩功能障碍的主要原因。缺血 - 再灌注使有自由基清除剂时的收缩期缩短从19±2%降至1±2%,无自由基清除剂时从18±1%降至4±1%(两组之间p =无显著性差异)。因此,在再灌注前不久给予超氧化物歧化酶和过氧化氢酶对再灌注后收缩功能障碍或肌浆网功能没有影响。