Mask W K, Abd-Elfattah A S, Jessen M, Brunsting L A, Lekven J, Wechsler A S
Department of Surgery, Duke University Medical Center, Durham, North Carolina.
Ann Thorac Surg. 1989 Jul;48(1):109-12. doi: 10.1016/0003-4975(89)90191-4.
Neonatal myocardium demonstrates better recovery from ischemia than does adult tissue. We tested the hypothesis that developmental differences in adenine nucleotide degradation might facilitate recovery by quantitating depletion of high-energy phosphates in nine-day-old embryonic (n = 9) and 15-month-old adult (n = 14) chicken hearts at 15-, 30-, 45-, and 60-minute intervals of normothermic ischemia in vitro. Nucleotides adenosine triphosphate, adenosine diphosphate, and adenosine monophosphate and nucleosides adenosine, inosine, hypoxanthine, and xanthine were determined by high-performance liquid chromatography. Several observations in metabolite degradative response to ischemia were noted. The embryonic myocardium maintained higher adenosine triphosphate and adenosine monophosphate levels over the course of the investigation than did mature myocardium. Moreover, the adult group showed an increase in diffusible nucleoside pool metabolites. Relative immaturity of enzymes responsible for nucleotide degradation may facilitate postischemic recovery by preserving nondiffusible high-energy phosphate precursors to participate in salvage resynthesis of adenosine triphosphate.
新生儿心肌从缺血中恢复的能力比成体组织更强。我们通过在体外对9日龄胚胎鸡心脏(n = 9)和15月龄成年鸡心脏(n = 14)进行常温缺血15、30、45和60分钟,定量高能磷酸盐的消耗,来验证腺嘌呤核苷酸降解的发育差异可能促进恢复这一假设。通过高效液相色谱法测定三磷酸腺苷、二磷酸腺苷、一磷酸腺苷以及腺苷、肌苷、次黄嘌呤和黄嘌呤等核苷。在代谢物对缺血的降解反应中观察到了几个现象。在整个研究过程中,胚胎心肌维持的三磷酸腺苷和一磷酸腺苷水平高于成熟心肌。此外,成年组可扩散核苷池代谢物有所增加。负责核苷酸降解的酶相对不成熟,可能通过保留不可扩散的高能磷酸盐前体以参与三磷酸腺苷的补救再合成,从而促进缺血后恢复。