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儿茶酚胺对心肌张力再激活的影响。

The effects of catecholamines on tension reactivation in cardiac muscle.

作者信息

Shimoni Y

机构信息

Department of Physiology, Hebrew University Hadassah Medical School, Jerusalem, Israel.

出版信息

Proc R Soc Lond B Biol Sci. 1987 Jul 22;231(1263):231-49. doi: 10.1098/rspb.1987.0043.

Abstract

The effects of adrenaline and the beta-agonist isoprenaline on the time course of tension reactivation were studied in several cardiac tissues. The aim of the study was to assess whether experimental evidence can be found for a role of the sarcoplasmic reticulum in the reactivation of tension. It was assumed that calcium recycles between different parts of the reticulum, and that this recycling may affect tension repriming. Isoprenaline was assumed to enhance such recycling by increasing the uptake of calcium, following its release during a preceding contraction. Isoprenaline (in the range of 40 nM to 4 microM) was found to enhance tension repriming in adult guinea pig atria. However, in adult rat atria, isoprenaline often gave a complex effect, with a smaller degree of repriming at short intervals, and enhanced repriming at longer intervals. This was thought to reflect the balance between the enhancing effect of the drug on calcium recycling and an augmented release from the sarcoplasmic reticulum (SR). In striking contrast, there was no effect of isoprenaline on tension repriming in neonatal guinea pig atria and a retardation in neonatal rat atria. This was interpreted as reflecting the lack of a sarcoplasmic network in the neonatal tissue. The effects of isoprenaline on tension repriming in the frog atrium (which also has a sparse sarcoplasmic reticulum network) were also found to be complex; low concentrations (40 nM) enhanced the process, and high concentrations (0.4 microM) retarded it. Intermediate levels often produced a 'crossover' effect: more reactivation at short intervals, and less at long intervals. The interpretation of these results was that there are two processes which interact to determine the amount of tension produced at short intervals after each contraction: the basal reactivation process and some augmenting mechanism superimposed on it. This mechanism is probably related to other behavioural features of cardiac muscle, such as rate-dependent increases in membrane calcium currents. It is relevant mainly in those cases where tension repriming depends on membrane calcium currents. Further experiments (in the frog atrium) with elevated calcium and with the alpha-adrenergic agonist phenylephrine (both of which slowed down the reactivation process) also support this idea. These agents elevate internal calcium levels, and presumably saturate the augmenting mechanism (by producing maximal tension responses).(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

在多种心脏组织中研究了肾上腺素和β-激动剂异丙肾上腺素对张力再激活时间进程的影响。该研究的目的是评估是否能找到实验证据支持肌浆网在张力再激活中发挥作用。假定钙在肌浆网的不同部分之间循环,且这种循环可能影响张力再引发。假定异丙肾上腺素通过增加钙的摄取来增强这种循环,钙是在前一次收缩期间释放的。已发现异丙肾上腺素(40 nM至4 μM范围内)可增强成年豚鼠心房的张力再引发。然而,在成年大鼠心房中,异丙肾上腺素常常产生复杂的效应,在短间隔时再引发程度较小,而在长间隔时再引发增强。这被认为反映了药物对钙循环的增强作用与肌浆网(SR)钙释放增加之间的平衡。与之形成鲜明对比的是,异丙肾上腺素对新生豚鼠心房的张力再引发没有影响,对新生大鼠心房则有延迟作用。这被解释为反映了新生组织中缺乏肌浆网网络。还发现异丙肾上腺素对蛙心房(其也有稀疏的肌浆网网络)张力再引发的影响也很复杂;低浓度(40 nM)增强该过程,高浓度(0.4 μM)则使其延迟。中等浓度常常产生“交叉”效应:短间隔时再激活更多,长间隔时则更少。对这些结果的解释是,有两个相互作用的过程决定每次收缩后短间隔时产生的张力大小:基础再激活过程以及叠加在其上的某种增强机制。这种机制可能与心肌的其他行为特征有关,如膜钙电流的速率依赖性增加。它主要在张力再引发取决于膜钙电流的那些情况下起作用。用升高的钙以及α-肾上腺素能激动剂去氧肾上腺素(二者均减慢再激活过程)在蛙心房进行的进一步实验(研究)也支持这一观点。这些药物升高内部钙水平,并可能使增强机制饱和(通过产生最大张力反应)。

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