Fan Z
Department of Biophysics, Shanghai Medical University.
Zhonghua Xin Xue Guan Bing Za Zhi. 1990 Aug;18(4):235-7, 255.
Effects of ethmozin on sodium current in isolated single ventricular cells were studied using a giga-ohm seal patch electrode and whole cell clamp technique. The results were quite similar with the previous paper on multiple ventricular cell preparation. Further evidences were used to clarify the uncertainty in the previous work of using conventional microelectrode to record action potential. Ethmozin (1-5 mg/L) suppressed phase 0 of action potential recorded in single cell without significant influence on other portions of action potential, which was shown in current clamp mode. In voltage clamp mode, suppress of sodium current (INa) by ethmozin could be recorded through all the physiological voltage range with slight shift of peak (INa) to the positive voltage. Time course of decay of INa was also slowed down by ethmozin. Thus, the mechanism of the slowing down of the rising phase and propagation velocity as well as a rise in threshold of excitability in ventricular muscle reported before was disclosed. Furthermore, ethmozin modified recovery course of INa by decelerating it, which confirmed its use-dependent action discovered before. However, ethmozin promotes its block effect on INa with tonic block stronger than phasic block. Ethmozin has no influence on other membrane current components such as slow inward calcium current and outward potassium current in the present doses. It was concluded that ethmozin is a specified sodium blocker with modification actions on its gating process.
采用千兆欧封接膜片钳电极和全细胞钳技术,研究了乙吗噻嗪对单个离体心室肌细胞钠电流的影响。结果与之前关于多个心室肌细胞标本的研究颇为相似。进一步的证据用于澄清之前使用传统微电极记录动作电位的研究中的不确定性。在电流钳模式下,乙吗噻嗪(1 - 5mg/L)可抑制单个细胞记录的动作电位0期,而对动作电位的其他部分无显著影响。在电压钳模式下,乙吗噻嗪对钠电流(INa)的抑制作用可在整个生理电压范围内记录到,且峰值(INa)略向正电压方向偏移。乙吗噻嗪还可减缓INa的衰减时间进程。由此揭示了之前报道的心室肌上升相和传导速度减慢以及兴奋性阈值升高的机制。此外,乙吗噻嗪通过使其恢复过程减慢来改变INa的恢复过程,这证实了其之前发现的使用依赖性作用。然而,乙吗噻嗪对INa的阻断作用呈持续性阻断强于阵发性阻断。在当前剂量下,乙吗噻嗪对其他膜电流成分如慢内向钙电流和外向钾电流无影响。得出结论,乙吗噻嗪是一种对门控过程具有修饰作用的特异性钠通道阻滞剂。