Lane Jem D, Montaigne David, Tinker Andrew
William Harvey Heart Centre, Barts & The London School of Medicine and Dentistry, London, UK.
Department of Cardiac Functional Investigations, CHU Lille, 59000, Lille, France.
J Membr Biol. 2017 Oct;250(5):471-481. doi: 10.1007/s00232-017-9973-y. Epub 2017 Aug 1.
Cardiac electrophysiology is regulated by the autonomic nervous system, and this has both pathophysiological, and possibly therapeutic importance. Furthermore, chamber differences in electrophysiology exist between atria and ventricles, yet there have been few direct comparisons. There is substantial literature on ion channel modulation at the single-cell level but less work on how this affects tissue-level parameters. We used a microelectrode array system to explore these issues using murine atrial and ventricular tissue slices. Activation time, conduction velocity and repolarisation were measured, and their modulation by temperature and pharmacological autonomic agonists were assessed. The system recorded reliable measurements under control conditions in the absence of drug/thermal challenge, and significant baseline differences were found in chamber electrophysiology. The sodium channel blocker mexiletine, produced large magnitude changes in all three measured parameters. Carbachol and isoprenaline induced differing effects in atria and ventricles, whereas temperature produced similar effects on activation and repolarisation.
心脏电生理学受自主神经系统调节,这在病理生理学方面以及可能在治疗方面都具有重要意义。此外,心房和心室在电生理学上存在腔室差异,但直接比较的研究很少。关于单细胞水平离子通道调节的文献很多,但关于这如何影响组织水平参数的研究较少。我们使用微电极阵列系统,利用小鼠心房和心室组织切片来探讨这些问题。测量了激活时间、传导速度和复极化,并评估了温度和药理学自主激动剂对它们的调节作用。该系统在无药物/热刺激的对照条件下记录了可靠的测量结果,并且在腔室电生理学中发现了显著的基线差异。钠通道阻滞剂美西律在所有三个测量参数上都产生了大幅度变化。卡巴胆碱和异丙肾上腺素在心房和心室中诱导出不同的效应,而温度对激活和复极化产生了相似的效应。