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异丙肾上腺素对心脏心室肌细胞的变力反应表现出昼夜变化:涉及一氧化氮。

Inotropic response of cardiac ventricular myocytes to beta-adrenergic stimulation with isoproterenol exhibits diurnal variation: involvement of nitric oxide.

机构信息

Department of Cardiovascular Sciences, University of Leicester, Glenfield General Hospital, Leicester LE3 9QP, United Kingdom.

出版信息

Circ Res. 2010 Apr 16;106(7):1244-52. doi: 10.1161/CIRCRESAHA.109.213942. Epub 2010 Feb 18.


DOI:10.1161/CIRCRESAHA.109.213942
PMID:20167926
Abstract

RATIONALE: Although >10% of cardiac gene expression displays diurnal variations, little is known of their impact on excitation-contraction coupling. OBJECTIVE: To determine whether the time of day affects excitation-contraction coupling in rat ventricles. METHODS AND RESULTS: Left ventricular myocytes were isolated from rat hearts at 2 opposing time points, corresponding to the animals resting or active periods. Basal contraction and Ca(2+) was significantly greater in myocytes isolated during the resting versus active periods (cell shortening 12.4+/-0.3 versus 11.0+/-0.2%; P<0.05 and systolic Ca(2+) 422+/-12 versus 341+/-9 nmol/L; P<0.01. This corresponded to a greater sarcoplasmic reticulum (SR) Ca(2+) load (672+/-20 versus 551+/-13 nmol/L P<0.001). The increase in systolic Ca(2+) in response to isoproterenol (>3 nmol/L) was also significantly greater in resting versus active period myocytes, reflecting a greater SR Ca(2+) load at this time. This diurnal variation in response of Ca(2+)-homeostasis to isoproterenol translated to a greater incidence of arrhythmic activity in resting period myocytes. Inhibition of neuronal NO synthase during stimulation with isoproterenol, further increased systolic Ca(2+) and the percentage of arrhythmic myocytes, but this effect was significantly greater in active period versus resting period myocytes. Quantitative RT-PCR analysis revealed a 2.65-fold increase in neuronal NO synthase mRNA levels in active over resting period myocytes (P<0.05). CONCLUSIONS: The threshold for the development of arrhythmic activity in response to isoproterenol is higher during the active period of the rat. We suggest this reflects a reduction in SR Ca(2+) loading and a diurnal variation in neuronal NO synthase signaling.

摘要

背景:尽管超过 10%的心脏基因表达表现出昼夜变化,但对于其对兴奋-收缩偶联的影响知之甚少。

目的:确定一天中的时间是否会影响大鼠心室的兴奋-收缩偶联。

方法和结果:从大鼠心脏的 2 个相反时间点分离出左心室心肌细胞,分别对应于动物的休息和活动期。在休息期分离的心肌细胞的基础收缩和Ca(2+)明显大于活动期(细胞缩短 12.4+/-0.3 对 11.0+/-0.2%;P<0.05 和收缩期Ca(2+) 422+/-12 对 341+/-9 nmol/L;P<0.01。这对应于更大的肌浆网(SR)Ca(2+)负荷(672+/-20 对 551+/-13 nmol/L;P<0.001)。在休息期,异丙肾上腺素(>3 nmol/L)引起的收缩期Ca(2+)的增加也明显大于活动期,反映出此时 SR Ca(2+)负荷增加。这种 Ca(2+)-稳态对异丙肾上腺素反应的昼夜变化转化为休息期心肌细胞心律失常活动的发生率增加。在异丙肾上腺素刺激期间抑制神经元型一氧化氮合酶(nNOS)进一步增加了收缩期Ca(2+)和心律失常心肌细胞的百分比,但这种效应在活动期比休息期心肌细胞中更为显著。实时定量 RT-PCR 分析显示,与休息期相比,活动期心肌细胞中神经元型一氧化氮合酶 mRNA 水平增加了 2.65 倍(P<0.05)。

结论:在大鼠的活动期,异丙肾上腺素引起的心律失常活动的发展阈值更高。我们认为这反映了 SR Ca(2+)负荷减少和神经元型一氧化氮合酶信号的昼夜变化。

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