Kim H W, Feola M, Rowley B A, Roberts L A
School of Medicine, Mercer University, Macon, Georgia.
Biomater Artif Cells Artif Organs. 1988;16(1-3):331-45. doi: 10.3109/10731198809132582.
Effects of three unmodified hemoglobin solutions on myocardial contractile function was evaluated using isolated perfused rabbit interventricular septa. The hemoglobin solutions tested were: a human hemoglobin solution (SFHS-A), a bovine hemoglobin prepared by a column chromatography (SFHS-B), and a bovine hemoglobin obtained by a ultrafiltration method (SFHS-C). Myocardial effects were assessed by comparing contractile parameters; developed tension (DT), resting tension (RT), and perfusion pressure (PP), measured before (control perfusion with Tyrode buffer) and during hemoglobin perfusion. Further, to examine the effects of hemoglobin solutions on myocardial contractility following a period of impaired flow, septal responses to a 10-minute period of ischemia (stopflow) were also studied. After a 10-minute perfusion with hemoglobin solution, SFHS-C increased DT to 124 +/- 12% (paired t-test, p less than 0.05) without causing a significant increase in RT or PP while SFHS-A and SFHS-B decreased DT to 96 +/- 20% (p greater than 0.05) and to 77 +/- 7% (p less than 0.05), respectively. A significant rise in PP (40-50% above baseline) was also noted with these solutions (p less than 0.05). Similarly, after a 30-minute reperfusion following a 10-minute ischemia, SFHS-C allowed significantly better percentage recovery (95 +/- 3%) than septa perfused with SFHS-A (81 +/- 2%) or SFHS-B (63 +/- 6%) (Student's t-test, p less than 0.05). These results indicate that hemoglobin solution, if properly prepared, does not seem to have acute deleterious effects on contractile function of the isolated heart.
使用离体灌注兔室间隔评估三种未修饰血红蛋白溶液对心肌收缩功能的影响。所测试的血红蛋白溶液为:一种人血红蛋白溶液(SFHS - A)、一种通过柱色谱法制备的牛血红蛋白(SFHS - B)以及一种通过超滤法获得的牛血红蛋白(SFHS - C)。通过比较收缩参数来评估心肌效应;在血红蛋白灌注前(用台氏缓冲液进行对照灌注)和灌注期间测量的舒张期张力(DT)、静息张力(RT)和灌注压(PP)。此外,为了研究血红蛋白溶液对血流受损一段时间后心肌收缩性的影响,还研究了室间隔对10分钟缺血(停流)期的反应。在用血红蛋白溶液灌注10分钟后,SFHS - C使DT增加到124±12%(配对t检验,p<0.05),而RT或PP没有显著增加,而SFHS - A和SFHS - B分别使DT降低到96±20%(p>0.05)和77±7%(p<0.05)。这些溶液还使PP显著升高(高于基线40 - 50%)(p<0.05)。同样,在10分钟缺血后进行30分钟再灌注后,SFHS - C的恢复百分比(95±3%)明显优于用SFHS - A(81±2%)或SFHS - B(63±6%)灌注的室间隔(学生t检验,p<0.05)。这些结果表明,如果制备得当,血红蛋白溶液似乎对离体心脏的收缩功能没有急性有害影响。