Jansson E, Sylvén C, Arvidsson I, Eriksson E
Department of Clinical Physiology, Karolinska Hospital, Stockholm, Sweden.
Acta Physiol Scand. 1988 Apr;132(4):515-7. doi: 10.1111/j.1748-1716.1988.tb08358.x.
Biopsies from m. quadriceps femoris from the operated leg of nine patients were taken before, and 6 weeks after, knee surgery. During the whole postoperative period the operated leg was immobilized with the knee in 40-50 degrees of flexion. Myoglobin (MYO) and the enzymes citrate synthase (CS), creatine kinase (CK) and its isozymes MB (CK-MB) and mitochondrial CK (CK-MIT), aspartate aminotransferase (ASAT), phosphofructokinase (PFK) and lactate dehydrogenase (LD) were determined on the biopsies. Citrate synthase, ASAT, CK, CK-MB, CK-MIT and LD activities were decreased (12-30%) after the postoperative leg immobilization period. Phosphofructokinase did not change, while MYO content was increased (16%). In conclusion, a different control of the synthesis of oxidative enzymes and MYO is suggested, as the induced changes following immobilization were in opposite directions. The function of the increased MYO content may be to facilitate the oxygen extraction.
对9名患者手术侧股四头肌进行活检,分别在膝关节手术前及术后6周取样。在整个术后期间,手术侧下肢保持膝关节屈曲40 - 50度固定。对活检样本测定肌红蛋白(MYO)以及柠檬酸合酶(CS)、肌酸激酶(CK)及其同工酶MB(CK - MB)和线粒体CK(CK - MIT)、天冬氨酸转氨酶(ASAT)、磷酸果糖激酶(PFK)和乳酸脱氢酶(LD)。术后下肢固定期后,柠檬酸合酶、ASAT、CK、CK - MB、CK - MIT和LD活性降低(12 - 30%)。磷酸果糖激酶未发生变化,而MYO含量增加(16%)。总之,由于固定后诱导的变化方向相反,提示氧化酶和MYO的合成存在不同调控。增加的MYO含量的作用可能是促进氧摄取。