Nakamura Y, Bing O H, Wiegner A W, Konishi T, Apstein C S, Pfeffer M A, Kawai C
Jpn Circ J. 1986 Oct;50(10):998-1006. doi: 10.1253/jcj.50.998.
To examine the effects of hypertrophy and fibrosis on myocardial mechanics, we studied isolated left ventricular papillary muscles from 6-month-old male SHR and allylamine-fed rats. In SHR, the peak developed tension (DT) and the maximum rate of tension development (dT/dt) were higher compared to control male Wistar-Kyoto rats (WKY). With 15 min of hypoxia, the DT and the dT/dt declined similarly in both groups and the ratios of DT and dT/dt to their prehypoxic values after 15 min of hypoxia were not different in the two groups. From allylamine-fed rats, only 4 papillary muscles had more than 25% interstitial fibrosis by point-counting (AL-B group), but 9 muscles had no fibrotic involvement and their left ventricular hydroxyproline concentration was normal (AL-A group). The myocardial diameters, the passive stiffness constant and the duration of isometric contractions at Lmax were increased in AL-B group, but the resting tension, the DT at Lmax and the force-velocity relations did not differ from controls. The mechanical properties of the AL-A group muscles were not different from controls. However, when pumping function was examined in the intact heart from the AL-A group, the LVEDP was increased and the peak cardiac output normalized by body weight was decreased. Thus, hypertrophied muscle from SHR shows hyperfunction without an increase in susceptibility to hypoxic stress. Even if fibrosis progresses, hypertrophy can compensate for the reduction in contractile component up to a certain degree.(ABSTRACT TRUNCATED AT 250 WORDS)
为研究肥厚和纤维化对心肌力学的影响,我们研究了6月龄雄性自发性高血压大鼠(SHR)和给予烯丙基胺的大鼠分离的左心室乳头肌。与对照雄性Wistar-Kyoto大鼠(WKY)相比,SHR的峰张力(DT)和张力发展最大速率(dT/dt)更高。缺氧15分钟后,两组的DT和dT/dt均类似下降,且两组在缺氧15分钟后DT和dT/dt与其缺氧前值的比值无差异。在给予烯丙基胺的大鼠中,通过点数法只有4根乳头肌间质纤维化超过25%(AL-B组),但9根肌肉无纤维化累及且其左心室羟脯氨酸浓度正常(AL-A组)。AL-B组的心肌直径、被动僵硬度常数和在Lmax时等长收缩持续时间增加,但静息张力、Lmax时的DT和力-速度关系与对照组无差异。AL-A组肌肉的力学性能与对照组无差异。然而,当对AL-A组完整心脏的泵功能进行检测时,左心室舒张末压升高,按体重标准化的峰值心输出量降低。因此,SHR的肥厚心肌表现为功能亢进,且对缺氧应激的易感性未增加。即使纤维化进展,肥厚在一定程度上也可补偿收缩成分的减少。(摘要截断于250字)