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酸中毒对兔心肌机械功能和Ca2+交换的影响。

Effects of acidosis on mechanical function and Ca2+ exchange in rabbit myocardium.

作者信息

Poole-Wilson P A, Langer G A

出版信息

Am J Physiol. 1979 Apr;236(4):H525-33. doi: 10.1152/ajpheart.1979.236.4.H525.

Abstract

The effects of acidosis on myocardial function and calcium exchange have been studied in the isolated but arterially perfused interventricular septum of the rabbit. Temperature was 28 degrees C and stimulation rate 48 beats/min. Acidosis was induced either by increase of the perfusate PCO2 (pH reduced from 7.35 to 6.68) or by decrease of the bicarbonate-chloride ratio (pH 7.35 to 6.72). The effect on calcium efflux was assessed by introduction of acidosis at different times during the washout of 45Ca2+ from the muscle. The uptake of 47Ca2+ was recorded directly with a NaI crystal and counter. An increase of perfusate PCO2 caused a rapid fall in developed tension. The efflux of slowly exchanging 45Ca2+ and the uptake of 47Ca2+ were inhibited. There was no rapid displacement of calcium from the muscle. Decrease of the bicarbonate-chloride ratio caused a slower fall of developed tension and neither the efflux nor uptake of calcium were altered. These results suggest that developed tension and calcium exchange in the myocardium are more responsive to acidosis within the cell or cell membrane than to extracellular acidosis.

摘要

在离体但有动脉灌注的兔室间隔中,研究了酸中毒对心肌功能和钙交换的影响。温度为28℃,刺激频率为48次/分钟。通过提高灌注液PCO₂(pH从7.35降至6.68)或降低碳酸氢盐-氯化物比值(pH从7.35降至6.72)来诱导酸中毒。在肌肉中45Ca²⁺洗脱过程中的不同时间引入酸中毒,评估其对钙外流的影响。用碘化钠晶体和计数器直接记录47Ca²⁺的摄取。灌注液PCO₂升高导致舒张期张力迅速下降。缓慢交换的45Ca²⁺的外流和47Ca²⁺的摄取受到抑制。肌肉中的钙没有快速移位。碳酸氢盐-氯化物比值降低导致舒张期张力下降较慢,钙的外流和摄取均未改变。这些结果表明,心肌中的舒张期张力和钙交换对细胞内或细胞膜内的酸中毒比对细胞外酸中毒更敏感。

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