Kimura M, Kimura I, Fujihara M, Hoshino N
Department of Chemical Pharmacology, Faculty of Pharmaceutical Sciences, Toyama Medical and Pharmaceutical University, Japan.
Life Sci. 1988;42(9):1029-36. doi: 10.1016/0024-3205(88)90433-x.
The skeletal muscles of alloxan-induced diabetic mice and genetically diabetic KK-CAY mice are hypersensitive to a depolarizing blocker, succinylcholine (SuCh) but not to the competitive antagonist, d-tubocurarine (d-TC). The mechanism by which the action of the depolarizing blocker is modified in the diabetic state was investigated on the binding of 14C-SuCh to the microsomal fraction isolated from mouse skeletal muscles. The Scatchard plot of microsomal preparations from normal ddY mice showed positive cooperativity in SuCh binding, whereas that of the preparations from alloxan-induced diabetic mice as well as genetically diabetic KK-CAY mice lost the positive cooperative interactions. The dissociation constant (Kd) of high affinity site in diabetic muscles was significantly lower than that in non-diabetic ddY muscle. The microsomal fractions from denervated muscles of normal ddY mice maintained weakly positive cooperativity in SuCh binding, and the affinity of SuCh binding in denervated muscles was lower than that of non-denervated muscles. In conclusion, the diabetic state selectively altered the SuCh binding mode. This alteration seems to be closely correlated with the pharmacological hypersensitivity to SuCh.
四氧嘧啶诱导的糖尿病小鼠和遗传性糖尿病KK - CAY小鼠的骨骼肌对去极化阻滞剂琥珀酰胆碱(SuCh)高度敏感,但对竞争性拮抗剂d - 筒箭毒碱(d - TC)不敏感。通过研究14C - SuCh与从小鼠骨骼肌分离的微粒体部分的结合,探讨了在糖尿病状态下去极化阻滞剂作用被改变的机制。正常ddY小鼠微粒体制剂的Scatchard图显示在SuCh结合方面存在正协同性,而四氧嘧啶诱导的糖尿病小鼠以及遗传性糖尿病KK - CAY小鼠制剂的Scatchard图失去了正协同相互作用。糖尿病肌肉中高亲和力位点的解离常数(Kd)显著低于非糖尿病ddY肌肉中的解离常数。正常ddY小鼠去神经肌肉的微粒体部分在SuCh结合方面保持弱正协同性,且去神经肌肉中SuCh结合的亲和力低于非去神经肌肉。总之,糖尿病状态选择性地改变了SuCh的结合模式。这种改变似乎与对SuCh的药理学超敏反应密切相关。