Nora Eccles Harrison Cardiovascular Research and Training Institute, University of Utah, Salt Lake City, Utah.
Nora Eccles Harrison Cardiovascular Research and Training Institute, University of Utah, Salt Lake City, Utah
Am J Physiol Heart Circ Physiol. 2015 Mar 1;308(5):H485-99. doi: 10.1152/ajpheart.00257.2014. Epub 2014 Dec 30.
Mitochondrial membrane potential (ΔΨm) depolarization has been implicated in the loss of excitability (asystole) during global ischemia, which is relevant for the success of defibrillation and resuscitation after cardiac arrest. However, the relationship between ΔΨm depolarization and asystole during no-flow ischemia remains unknown. We applied spatial Fourier analysis to confocally recorded fluorescence emitted by ΔΨm-sensitive dye tetramethylrhodamine methyl ester. The time of ischemic ΔΨm depolarization (tmito_depol) was defined as the time of 50% decrease in the magnitude of spectral peaks reflecting ΔΨm. The time of asystole (tasys) was determined as the time when spontaneous and induced ventricular activity ceased to exist. Interventions included tachypacing (150 ms), myosin II ATPase inhibitor blebbistatin (heart immobilizer), and the combination of blebbistatin and the inhibitor of glycolysis iodoacetate. In the absence of blebbistatin, confocal images were obtained during brief perfusion with hyperkalemic solution and after the contraction failed between 7 and 15 min of ischemia. In control, tmito_depol and tasys were 24.4 ± 6.0 and 26.0 ± 5.0 min, respectively. Tachypacing did not significantly affect either parameter. Blebbistatin dramatically delayed tmito_depol and tasys (51.4 ± 8.6 and 45.7 ± 5.3 min, respectively; both P < 0.0001 vs. control). Iodoacetate combined with blebbistatin accelerated both events (tmito_depol, 12.7 ± 1.8 min; and tasys, 6.5 ± 1.1 min; both P < 0.03 vs. control). In all groups pooled together, tasys was strongly correlated with tmito_depol (R(2) = 0.845; P < 0.0001). These data may indicate a causal relationship between ΔΨm depolarization and asystole or a similar dependence of the two events on energy depletion during ischemia. Our results urge caution against the use of blebbistatin in studies addressing pathophysiology of myocardial ischemia.
线粒体膜电位 (ΔΨm) 去极化与心脏停搏期间的兴奋性丧失(停搏)有关,这与除颤和心脏骤停后复苏的成功相关。然而,无血流灌注性缺血期间 ΔΨm 去极化与停搏之间的关系尚不清楚。我们应用空间傅里叶分析对 ΔΨm 敏感性染料四甲基罗丹明甲酯发射的共焦荧光进行了分析。缺血时 ΔΨm 去极化的时间 (tmito_depol) 定义为反映 ΔΨm 的光谱峰幅度降低 50%的时间。停搏时间 (tasys) 定义为自发和诱发的心室活动停止存在的时间。干预措施包括快节奏起搏 (150 ms)、肌球蛋白 II ATP 酶抑制剂 blebbistatin(心肌固定剂)以及 blebbistatin 和糖酵解抑制剂碘乙酸的组合。在没有 blebbistatin 的情况下,在短暂灌注高钾溶液期间以及在缺血 7 至 15 分钟之间收缩失败时获得共焦图像。在对照中,tmito_depol 和 tasys 分别为 24.4 ± 6.0 和 26.0 ± 5.0 分钟。快节奏起搏对这两个参数均无显著影响。Blebbistatin 显著延迟了 tmito_depol 和 tasys(分别为 51.4 ± 8.6 和 45.7 ± 5.3 分钟;均 P < 0.0001 与对照相比)。碘乙酸与 blebbistatin 联合加速了这两个事件(tmito_depol,12.7 ± 1.8 分钟;tasys,6.5 ± 1.1 分钟;均 P < 0.03 与对照相比)。在所有分组中,tasys 与 tmito_depol 呈强相关性(R(2) = 0.845;P < 0.0001)。这些数据可能表明 ΔΨm 去极化与停搏之间存在因果关系,或者这两个事件在缺血期间对能量耗竭具有相似的依赖性。我们的结果告诫人们在研究心肌缺血病理生理学时要谨慎使用 blebbistatin。