Mukherjee A, Wong T M, Buja L M, Lefkowitz R J, Willerson J T
J Clin Invest. 1979 Nov;64(5):1423-8. doi: 10.1172/JCI109600.
Experimental myocardial ischemia produced in dogs by proximal left anterior descending coronary artery ligation is accompanied by relatively rapid (1 h) increases in the number of (-) [3H]dihydroalprenolol binding sites without changing their dissociation constants in ischemic left ventricular tissue. The changes, persist for at least 8 h and are accompanied by marked decreases in myocardial tissue ischemic region norepinephrine content. In contrast, in the same canine model 1 h of proximal left anterior descending coronary artery ligation did not result in a significant change in the number of [3H]quinuclidynl benzilate binding sites of their dissociation constants. However, the number of [3H]quinuclidynl benzilate binding sites (muscarinic cholinergic receptors) are 50--70% greater than (-) [3H]dihydroalprenolol binding sites (beta adrenergic receptors) in canine left ventricular tissue. Thus, the data suggest that proximal left anterior descending coronary artery occlusion for 1 h significantly increases the number of beta adrenergic receptors in ischemic left ventricular tissue without changing the number of muscarinic cholinergic receptors. Whether the ischemia-produced increase in cardiac beta-receptor content is causally related to increased cyclic AMP levels that develop in ischemic tissue and/or an etiologic factor in arrhythmias originating from ischemic myocardial tissue will have to be determined in additional studies.
通过结扎左冠状动脉前降支近端在犬身上制造的实验性心肌缺血,伴随着缺血左心室组织中(-)[³H]二氢阿普洛尔结合位点数量相对快速(1小时)的增加,而其解离常数不变。这些变化至少持续8小时,并伴随着心肌组织缺血区域去甲肾上腺素含量的显著降低。相比之下,在同一犬模型中,结扎左冠状动脉前降支近端1小时并未导致[³H]喹核醇基苯甲酸酯结合位点数量或其解离常数发生显著变化。然而,犬左心室组织中[³H]喹核醇基苯甲酸酯结合位点(毒蕈碱胆碱能受体)的数量比(-)[³H]二氢阿普洛尔结合位点(β肾上腺素能受体)多50 - 70%。因此,数据表明结扎左冠状动脉前降支近端1小时可显著增加缺血左心室组织中β肾上腺素能受体的数量,而不改变毒蕈碱胆碱能受体的数量。缺血导致的心脏β受体含量增加是否与缺血组织中升高的环磷酸腺苷水平存在因果关系和/或是否是缺血心肌组织引发心律失常的病因,还有待进一步研究确定。