Meerson F Z, Malyshev I Iu, Sazonova T E
Kardiologiia. 1989 Aug;29(8):69-75.
The experiments with rat isolated hearts and papillary muscles showed that adaptation to short-term stresses increased myocardial resistance to arrhythmogenic and contractile effects of excessive Ca2+. Adaptation caused a three- and fivefold reduction in the contracture and premature beats, respectively, while Ca2+ levels were increased from 1.36 to 10 mM. In the experiments with papillary muscles, the adaptation showed a 6.5-fold decrease in the contracture and significantly limited resting potential depression resulted from lower Na+ concentrations (up to 9 mM) in the perfusion solution. The adaptation to stresses was found to restrict depression of cardiomyocyte electrophysiological parameters that was due to high Ca2+ levels and high heart rate. With the factors, the resting potential in adaptation proved to be significantly higher than in controls and the time of action potential was twice as such as in controls. Biochemical studies demonstrated that Ca2+ transport rates in the sarcoplasmic reticulum, cardiomyocytes of adapted animals were increased by more than 30% whereas the sarcoplasmic reticulum of the heart was more resistant to the effects of endogenous factors of degradation. The authors also discuss a possible mechanism of the cardioprotective effects of adaptation to stress undamaging exposures, which is associated with limited depression of electrophysiological parameters on pathological exposures and with increased Ca2+-transporting capacity of the sarcoplasmic reticulum.
对大鼠离体心脏和乳头肌进行的实验表明,适应短期应激可增强心肌对过量Ca2+致心律失常和收缩作用的抵抗力。当Ca2+浓度从1.36 mM增加到10 mM时,适应分别使挛缩和早搏减少了三倍和五倍。在乳头肌实验中,适应使挛缩减少了6.5倍,并显著限制了由于灌注液中Na+浓度降低(高达9 mM)导致的静息电位降低。发现对压力的适应可限制由于高Ca2+水平和高心率引起的心肌细胞电生理参数降低。受这些因素影响,适应状态下的静息电位明显高于对照组,动作电位时间是对照组的两倍。生化研究表明,适应动物心肌细胞肌浆网中的Ca2+转运速率提高了30%以上,而心脏肌浆网对内源性降解因子的作用更具抵抗力。作者还讨论了适应应激无损暴露的心脏保护作用的可能机制,这与病理暴露时电生理参数的有限降低以及肌浆网Ca2+转运能力的增加有关。