Aickin C C
Annu Rev Physiol. 1986;48:349-61. doi: 10.1146/annurev.ph.48.030186.002025.
Regulation of pHi in the face of acidosis resulting from contracture would appear to be of such fundamental importance to the physiology of the muscle cell that a process common to all muscle types seems a reasonable prediction. However, this has not been found to be the case. The transmembrane Na+ gradient clearly plays a major role and the process appears to be electroneutral in all three classes of muscle, but the transport mechanisms, even within the mammal, are different. It is an interesting observation that the ability of the muscle cell to regulate pHi in the presence of CO2, presumably governed by PHCO3, is related to PCl although there is little evidence for HCO3- permeation through Cl- channels. Virtually no recovery from CO2-induced acidosis is observed in normally polarized frog skeletal muscle, where PCl forms a large part of the resting conductance, whereas the same steady state pHi is recorded in the presence of various CO2 levels in mammalian smooth muscle, where PCl is very low. The study of pHi regulation in vertebrate muscle has provided important lessons for the subject as a whole. Experience in cardiac muscle has shown that if Na+-Ca2+ exchange is present, great care is required in interpretation of results where the transmembrane Na+ gradient is altered or where Ca2+ levels are changed. Interpretation may be even more complex, bearing in mind the recent reports that Ca2+ inhibits Na+-H+ exchange. "Indeed," it seems appropriate to conclude, "if a little knowledge is dangerous, where is the man who has so much as to be out of danger?" (Thomas Huxley).
面对因挛缩导致的酸中毒时,细胞内pH值(pHi)的调节对于肌肉细胞的生理功能似乎至关重要,以至于可以合理推测存在一种所有肌肉类型共有的过程。然而,事实并非如此。跨膜钠离子梯度显然起着主要作用,并且在所有三类肌肉中该过程似乎都是电中性的,但即使在哺乳动物体内,转运机制也有所不同。一个有趣的现象是,肌肉细胞在二氧化碳存在下调节pHi的能力(大概受PHCO3控制)与氯离子通透性(PCl)有关,尽管几乎没有证据表明碳酸氢根离子通过氯离子通道渗透。在正常极化的青蛙骨骼肌中,几乎观察不到由二氧化碳引起的酸中毒的恢复,在这种肌肉中PCl构成了静息电导的很大一部分,而在哺乳动物平滑肌中,尽管PCl非常低,但在不同二氧化碳水平下记录到的pHi稳态相同。对脊椎动物肌肉中pHi调节的研究为整个该领域提供了重要的经验教训。心肌方面的经验表明,如果存在钠钙交换,那么在解释跨膜钠离子梯度改变或钙离子水平变化时的结果时需要格外小心。考虑到最近有报道称钙离子会抑制钠氢交换,解释可能会更加复杂。“的确,”似乎可以这样总结,“如果一点知识是危险的,那么拥有如此多知识以至于脱离危险的人在哪里呢?”(托马斯·赫胥黎)