Tajima T, Dohi Y
Jpn Heart J. 1985 Nov;26(6):985-92. doi: 10.1536/ihj.26.985.
We used standard microelectrode techniques to study the histamine induced or enhanced delayed afterdepolarization (DAD) and triggered activity (TA) of guinea-pig papillary muscle superfused with low-potassium Tyrode's solution. Before histamine, a series of driven action potentials did not induce DAD and TA. Immediately after histamine (10(-5)M), DAD was induced and, finally, TA was induced after high rate pacing (150/min to 300/min). The effect of histamine was antagonized by cimetidine (5 X 10(-6) to 5 X 10(-5)M) but not by diphenhydramine. Also, the amplitude of DAD decreased after verapamil (10(-7) to 3 X 10(-6)M) and lidocaine (4 X 10(-5) to 8 X 10(-5)M). To investigate indirect evidence of increased cyclic AMP mediation in this histamine induced DAD, we studied the effects of a phosphodiesterase inhibitor (papaverine 10(-5)M) or activator (N-methylimidazole 20 mM) on the histamine induced or enhanced DAD. The former enhanced and the latter depressed the histamine-induced (or enhanced) DAD. Thus, histamine may induce or enhance the DAD and TA by increasing the slow inward current. This mechanism may be mediated by histamine H2-receptors and the adenylate cyclase system in the cardiac ventricular muscle.
我们采用标准微电极技术,研究了组胺诱导或增强的延迟后去极化(DAD)以及在低钾台氏液中灌流的豚鼠乳头肌的触发活动(TA)。在给予组胺之前,一系列驱动动作电位并未诱导出DAD和TA。给予组胺(10⁻⁵M)后即刻,诱导出了DAD,最终在高频率起搏(150次/分钟至300次/分钟)后诱导出了TA。组胺的作用被西咪替丁(5×10⁻⁶至5×10⁻⁵M)拮抗,但未被苯海拉明拮抗。此外,维拉帕米(10⁻⁷至3×10⁻⁶M)和利多卡因(4×10⁻⁵至8×10⁻⁵M)作用后,DAD的幅度降低。为了研究在这种组胺诱导的DAD中,环磷酸腺苷(cAMP)介导增加的间接证据,我们研究了磷酸二酯酶抑制剂(罂粟碱10⁻⁵M)或激活剂(N-甲基咪唑20 mM)对组胺诱导或增强的DAD的影响。前者增强而后者抑制组胺诱导(或增强)的DAD。因此,组胺可能通过增加缓慢内向电流来诱导或增强DAD和TA。这种机制可能由心肌中的组胺H₂受体和腺苷酸环化酶系统介导。