Drott C, Lundholm K
Department of Surgery, University of Gothenburg, Sweden.
J Surg Res. 1990 Jul;49(1):62-8. doi: 10.1016/0022-4804(90)90112-f.
The purpose of this study was to evaluate whether heart glucose metabolism can account for elevated heart oxygen consumption in a tumor-bearing host. This is the first report of altered metabolism in perfused hearts from tumor-bearing animals. Glucose, glycerol, lactate, and amino acid metabolism was examined under steady-state conditions in isolated perfused hearts from sarcoma-bearing rats and compared to the metabolism in hearts from starved (96 hr) and fed control rats. Heart dry weight was reduced by 10% in tumor-bearing rats and by 30% in starved rats when compared to freely fed control animals. Cardiac glucose uptake was decreased in tumor-bearing rats (206 +/- 33 mumoles/hr/g dry wt) compared to both starved (298 +/- 18) and fed control rats (293 +/- 25). Hearts from both fed and starved controls released lactate and glycerol at significant rates during perfusion which was not evident in hearts from tumor-bearing rats. The release of individual amino acids from working hearts during perfusion was different among the animal groups with a severe depression of both glutamine and alanine release in tumor-bearing rats. In starved rats alanine release was normal although glutamine release was depressed by more than 50%. The net release of all amino acids was lowest in hearts from tumor-bearing rats, intermediate in the starved animals, and highest in the control animals, while the nonmetabolized amino acids (phenylalanine, tyrosine, methionine) were released at increased rates only from tumor-host hearts, indicating an increased net breakdown of some cardiac proteins in tumor-bearing animals.(ABSTRACT TRUNCATED AT 250 WORDS)
本研究的目的是评估心脏葡萄糖代谢是否能解释荷瘤宿主中心脏耗氧量的升高。这是关于荷瘤动物灌注心脏代谢改变的首篇报道。在稳态条件下,检测了荷肉瘤大鼠离体灌注心脏中的葡萄糖、甘油、乳酸和氨基酸代谢,并与饥饿(96小时)和进食对照大鼠心脏的代谢进行比较。与自由进食的对照动物相比,荷瘤大鼠心脏干重降低了10%,饥饿大鼠心脏干重降低了30%。与饥饿(298±18)和进食对照大鼠(293±25)相比,荷瘤大鼠心脏的葡萄糖摄取量降低(206±33微摩尔/小时/克干重)。在灌注过程中,进食和饥饿对照大鼠的心脏均以显著速率释放乳酸和甘油,而荷瘤大鼠的心脏则未出现这种情况。灌注期间,不同动物组工作心脏释放的个别氨基酸有所不同,荷瘤大鼠谷氨酰胺和丙氨酸的释放均严重减少。在饥饿大鼠中,丙氨酸释放正常,尽管谷氨酰胺释放减少了50%以上。荷瘤大鼠心脏中所有氨基酸的净释放量最低,饥饿动物的居中,对照动物的最高,而非代谢氨基酸(苯丙氨酸、酪氨酸、蛋氨酸)仅从荷瘤宿主心脏中以增加的速率释放,表明荷瘤动物心脏中某些蛋白质的净分解增加。(摘要截短于250字)