Pisarenko O I, Oleĭnikov O D, Shul'zhenko V S, Studneva I M, Kapel'ko V I
Kardiologiia. 1990 Aug;30(8):65-9.
Ischemia and subsequent reperfusion with 5.5 mM glucose or sodium acetate were studied for impact on energy metabolism of the guinea pig isolated heart and glutamate, aspartate, and alanine levels in it and myocardial outflow. Acetate reperfusion resulted in a more significant reduction in the pool of adenine nucleotides and total creatine (phosphocreatine + creatine) by 48 and 60% of the baselines, respectively than did glucose reperfusion (as much as 65 and 76% reduction, respectively). The total glutamate and aspartate pool was twice as less as the baseline after reperfusion with any of the substrates, with acetate, tissue glutamate concentration was decreased by 42% of the baseline, whereas with glucose, it was reduced by as much as 62%. The consumption of amino acids was largely associated with their implication in alanine synthesis, which was stimulated by glycolysis/glucogenolysis at the early stage of reperfusion. The residue glutamate and aspartate contents in the reperfused hearts positively correlated with the pool of adenine nucleotides, total creatine, and the recovery of myocardial contractility. The findings suggest that the myocardial levels of these amino acids are closely associated with its energy state following ischemia and thus may affect the recovery of cardiac contractility.
研究了用5.5 mM葡萄糖或醋酸钠进行缺血及随后的再灌注对豚鼠离体心脏能量代谢、其中谷氨酸、天冬氨酸和丙氨酸水平以及心肌流出量的影响。与葡萄糖再灌注相比(分别减少多达65%和76%),醋酸钠再灌注导致腺嘌呤核苷酸池和总肌酸(磷酸肌酸+肌酸)分别比基线水平显著降低48%和60%。用任何一种底物再灌注后,总谷氨酸和天冬氨酸池比基线水平减少了一半,用醋酸钠时,组织谷氨酸浓度降低了基线水平的42%,而用葡萄糖时,降低了多达62%。氨基酸的消耗在很大程度上与其参与丙氨酸合成有关,丙氨酸合成在再灌注早期受到糖酵解/糖原分解的刺激。再灌注心脏中残留的谷氨酸和天冬氨酸含量与腺嘌呤核苷酸池、总肌酸以及心肌收缩力的恢复呈正相关。这些发现表明,这些氨基酸的心肌水平与缺血后的能量状态密切相关,因此可能影响心脏收缩力的恢复。