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内皮素-1和一氧化氮介导脂多糖诱导的心脏负性肌力作用

[Endothelin-1 and nitric oxide mediated the lipopolysaccharide-induced cardiac negative inotropic role].

作者信息

Yao Hui, Tu Jie, Shan Qi-xian, Xia Qiang

机构信息

School of Basic Medicine, Hangzhou Normal University Hangzhou 310036, China.

出版信息

Zhongguo Ying Yong Sheng Li Xue Za Zhi. 2009 May;25(2):228-32.

PMID:21189559
Abstract

AIM

To investigate the effects of endothelin-1 (ET-1) and nitric oxide (NO) on lipopolysaccharide(LPS)-induced myocardial dysfunction, and explore the related underlying mechanisms.

METHODS

Experimental septic model was established by intraperitoneal injection of LPS (10 mg x kg(-1)). The study was carried out on the isolated rat hearts to determine the roles of ET-1 and NO in the effect of LPS on the cardiac contractility and on the isolated rat ventricular myocytes model to observe the [Ca2+]i homeostasis in cardiac myocytes.

RESULTS

(1) The levels of serum NO2-/NO3- and plasma ET-1 were markedly increased by LPS treatment for 4 hours. (2) LPS induced the decrease in rate-pressure product (RPP), and increase in left ventricular end-diastolic pressure (LVEDP) in the isolated perfused rat hearts. Pretreatment with either aminoguanidine (AMG) (100 mg x kg(-1), i.p.) or BQ-123 (1 mg x kg(-1), i.p.) partially attenuated LPS-induced myocardial depression. When these two drugs were simultaneously given, myocardial depression elicited by LPS was almost abolished. (3) LPS significantly decreased the amplitude of caffeine induced [Ca2+]i transients compared to the control cells. The activity of SR Ca22+ -ATPase was significantly decreased in the cardiac myocytes from LPS-treated rats. Single pretreatment with either AMG or BQ-123 did not attenuate the impairment of SR Ca2+ -ATPase induced by LPS.

CONCLUSION

ET-1 and NO mediate myocardial dysfunction in hearts isolated and decrease [Ca2+]i transients in cardiac myocytes from LPS-treated rats. But neither ET-1 nor NO participates in the impairment of SR Ca2+ -ATPase induced by LPS.

摘要

目的

研究内皮素 -1(ET -1)和一氧化氮(NO)对脂多糖(LPS)诱导的心肌功能障碍的影响,并探讨相关潜在机制。

方法

通过腹腔注射LPS(10 mg·kg⁻¹)建立实验性脓毒症模型。在离体大鼠心脏上进行研究,以确定ET -1和NO在LPS对心脏收缩性影响中的作用;在离体大鼠心室肌细胞模型上观察心肌细胞内[Ca²⁺]i稳态。

结果

(1)LPS处理4小时后,血清NO₂⁻/NO₃⁻水平和血浆ET -1水平显著升高。(2)LPS导致离体灌注大鼠心脏的心率 - 压力乘积(RPP)降低,左心室舒张末期压力(LVEDP)升高。用氨基胍(AMG)(100 mg·kg⁻¹,腹腔注射)或BQ -123(1 mg·kg⁻¹,腹腔注射)预处理可部分减轻LPS诱导的心肌抑制。当同时给予这两种药物时,LPS引起的心肌抑制几乎被消除。(3)与对照细胞相比,LPS显著降低咖啡因诱导的[Ca²⁺]i瞬变幅度。LPS处理大鼠的心肌细胞中肌浆网Ca²⁺ -ATP酶活性显著降低。单独用AMG或BQ -123预处理并不能减轻LPS诱导的肌浆网Ca²⁺ -ATP酶损伤。

结论

ET -1和NO介导离体心脏的心肌功能障碍,并降低LPS处理大鼠心肌细胞内的[Ca²⁺]i瞬变。但ET -1和NO均不参与LPS诱导的肌浆网Ca²⁺ -ATP酶损伤。

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