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猫心内膜和心外膜来源的心室肌细胞的电生理特性及对模拟缺血的反应。

Electrophysiological properties and responses to simulated ischemia in cat ventricular myocytes of endocardial and epicardial origin.

作者信息

Kimura S, Bassett A L, Furukawa T, Cuevas J, Myerburg R J

机构信息

Department of Medicine (Division of Cardiology), University of Miami School of Medicine, Florida 33101.

出版信息

Circ Res. 1990 Feb;66(2):469-77. doi: 10.1161/01.res.66.2.469.

DOI:10.1161/01.res.66.2.469
PMID:2297813
Abstract

In multicellular preparations, there are differences in action potential configuration between endocardium and epicardium, and electrophysiological alterations induced by ischemia are more drastic in epicardium than in endocardium. The present study was designed to examine electrophysiological properties of single cardiac myocytes enzymatically isolated from the endocardial and epicardial surfaces of the cat left ventricle and to determine whether the differential responses to ischemia of intact tissue occur in single cells. Action potentials recorded from the isolated single cells of epicardial surface had lower action potential amplitude and a prominent notch between phase 1 and phase 2, compared with those of the cells isolated from the endocardial surface; these findings are similar to those in intact endocardial and epicardial preparations. Resting membrane potentials recorded from both endocardial and epicardial single cells were sensitive to the change in extracellular K+ concentration and had properties of a K+ electrode. Action potential duration was frequency dependent in both cell types and was shorter in epicardial cells than in endocardial cells at a stimulation rate of 3 Hz. When the cells were superfused with Tyrode's solution that was altered to mimic an ischemic environment in vivo (PO2, 30-40 mm Hg; pH 6.8; [K+], 10 mM; and glucose free), resting membrane potential, action potential amplitude, and action potential duration were reduced, and the refractory period was shortened in both endocardial and epicardial single cells, but there were no differences in the degree of changes in action potentials and refractory periods induced between the two cell types. Action potential changes induced by L-alpha-lysophosphatidylcholine (5-40 mg/l) were also similar in endocardial and epicardial single cells.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在多细胞制剂中,心内膜和心外膜的动作电位形态存在差异,缺血诱导的电生理改变在心外膜比在心内膜更为剧烈。本研究旨在检测从猫左心室心内膜和心外膜表面酶解分离的单个心肌细胞的电生理特性,并确定完整组织对缺血的不同反应是否在单细胞中出现。与从心内膜表面分离的细胞相比,从心外膜表面分离的单个细胞记录的动作电位幅度较低,且在第1期和第2期之间有一个明显的切迹;这些发现与完整的心内膜和心外膜制剂中的发现相似。从心内膜和心外膜单个细胞记录的静息膜电位对细胞外钾离子浓度的变化敏感,具有钾电极的特性。两种细胞类型的动作电位持续时间均与频率相关,在3Hz刺激频率下,心外膜细胞的动作电位持续时间比心内膜细胞短。当用模拟体内缺血环境的台氏液(PO2,30 - 40mmHg;pH 6.8;[K+],10mM;无葡萄糖)灌注细胞时,心内膜和心外膜单个细胞的静息膜电位、动作电位幅度和动作电位持续时间均降低,不应期缩短,但两种细胞类型之间动作电位和不应期的变化程度没有差异。L-α-溶血磷脂酰胆碱(5 - 40mg/l)诱导的心内膜和心外膜单个细胞的动作电位变化也相似。(摘要截断于250字)

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