Swynghedauw B, Schwartz K, Lauer B, Lompré A M, Mercadier J J, Samuel J L, Rappaport L
INSERM U 127, Hôpital Lariboisière, Paris, France.
Eur Heart J. 1988 Apr;9 Suppl E:1-6. doi: 10.1093/eurheartj/9.suppl_e.1.
In response to increasing demand, cardiac muscle develops several adaptational mechanisms. Gene expression is modified: the heart hypertrophies and its structure changes in order to improve the efficiency of the contraction. The sarcomere modifications are both species and tissue specific. An isoenzymic shift of myosin from the high ATPase activity form V1 to the slow activity form V3 occurs in all conditions where V1 is initially predominant, i.e. rat (and also rabbit) ventricles and the atria of other species, including humans. The isoenzymic shift was not observed in conditions where V3 is predominant, as in human (and also cat and pig) ventricles. Similar changes are observed in skeletal muscle suggesting that the primary determinant of these modifications is not dependent on the innervation but only on the mechanical activity.
为应对不断增加的需求,心肌会形成多种适应性机制。基因表达发生改变:心脏肥大,其结构发生变化以提高收缩效率。肌节的改变具有物种和组织特异性。在所有V1最初占主导的情况下,即大鼠(以及兔子)的心室和包括人类在内的其他物种的心房中,肌球蛋白会发生同工酶转变,从高ATP酶活性形式V1转变为低活性形式V3。在V3占主导的情况下,如人类(以及猫和猪)的心室中,未观察到同工酶转变。在骨骼肌中也观察到了类似的变化,这表明这些改变的主要决定因素不依赖于神经支配,而仅取决于机械活动。