Fenton R A, Tsimikas S, Dobson J G
Department of Physiology, University of Massachusetts Medical School, Worcester 01655.
Circ Res. 1990 Feb;66(2):457-68. doi: 10.1161/01.res.66.2.457.
Adenosine (ADO) has an antiadrenergic action in the heart that causes an attenuation of contractile and metabolic responses elicited by beta-adrenergic stimulation. The effect of an increase in oxygen consumption elicited by either beta-adrenergic stimulation or an increase in contraction frequency on interstitial fluid and coronary effluent ADO levels was investigated in isolated perfused isovolumically contracting rat hearts. ADO in left ventricular surface transudates and coronary effluents was rendered fluorescent with chloroacetaldehyde, and the formed ethenoadenosine derivative was quantitated with high-performance liquid chromatography fluorescence detection. Heart preparation integrity was verified by determining the activities of lactate dehydrogenase and ADO deaminase in the transudates. Isoproterenol (10(-8) M) elicited a 45% increase in oxygen consumption and a 54% increase in developed left ventricular pressure in hearts paced at 240 beats/min. With isoproterenol the control transudate ADO concentration (304 pmol/ml) increased 493%, and the control effluent ADO concentration (48 pmol/ml) increased 259%. Increasing the contraction frequency from 180 to 300 beats/min in the presence of 10(-6) M propranolol increased oxygen consumption by 45% and decreased left ventricular pressure by 29%. With the increase in contraction frequency, the transudate ADO concentration did not increase significantly. However, the ADO concentration in the effluent was an average of 269% greater in hearts contracting at the higher frequency. Increasing the contraction frequency of hearts treated with both 10(-6) M propranolol and 10(-5) M atropine also had no significant effect on the level of transudate ADO. The effluent level of ADO increased only 78%. Levels of ADO in transudates were not significantly affected by mesothelial cell metabolism. These results suggest that the beta-adrenergic stimulation the interstitial level of ADO in the heart increases to levels that are sufficient to manifest its antiadrenergic effects. Furthermore, there is not always a correlation between the levels of ADO found in the interstitial and effluent fluid compartments.
腺苷(ADO)在心脏中具有抗肾上腺素能作用,可减弱β-肾上腺素能刺激引起的收缩和代谢反应。在离体灌注的等容收缩大鼠心脏中,研究了β-肾上腺素能刺激或收缩频率增加所引起的耗氧量增加对组织间液和冠状动脉流出液中ADO水平的影响。用氯乙醛使左心室表面渗出液和冠状动脉流出液中的ADO产生荧光,并用高效液相色谱荧光检测法定量所形成的乙烯基腺苷衍生物。通过测定渗出液中乳酸脱氢酶和ADO脱氨酶的活性来验证心脏标本的完整性。异丙肾上腺素(10⁻⁸ M)使以240次/分钟起搏的心脏耗氧量增加45%,左心室舒张末压增加54%。使用异丙肾上腺素时,对照渗出液中ADO浓度(304 pmol/ml)增加了493%,对照流出液中ADO浓度(48 pmol/ml)增加了259%。在存在10⁻⁶ M普萘洛尔的情况下,将收缩频率从180次/分钟增加到300次/分钟,耗氧量增加45%,左心室压力降低29%。随着收缩频率增加,渗出液中ADO浓度没有显著增加。然而,在较高频率收缩的心脏中,流出液中的ADO浓度平均高出269%。增加同时用10⁻⁶ M普萘洛尔和10⁻⁵ M阿托品处理的心脏的收缩频率,对渗出液中ADO水平也没有显著影响。流出液中ADO水平仅增加78%。间皮细胞代谢对渗出液中ADO水平没有显著影响。这些结果表明,β-肾上腺素能刺激使心脏组织间液中ADO水平升高至足以显现其抗肾上腺素能作用的水平。此外,在组织间液和流出液区室中发现的ADO水平之间并不总是存在相关性。