Yu G R, Wang B Y, Zheng D S, Huang M X, Gu B K, Chen Y L, Shang M, Jin Z J, Cheng T O
J Electrocardiol. 1985 Jan;18(1):97-103. doi: 10.1016/s0022-0736(85)80040-6.
Action potentials of isolated ventricular myocardial fibers of pigs and the electrophysiological actions of dl-demethylcoclaurine (DMC) or higenamine on the porcine myocardial cells were studied by glass microelectrodes. The action potentials of porcine ventricular myocardial fibers were similar to those of other mammalian hearts. Amplitude of the action potential was 115 +/- 9 mV, duration of action potential 242 +/- 30 ms, resting membrane potential -85 +/- 5 mV and the maximum rise of depolarization of action potential 151 +/- 27 V/s. After perfusion with normal Tyrode's solution containing DMC 5 micrograms/ml, the amplitude of action potential was increased and the duration of action potential was prolonged, the amplitude and duration of the plateau of action potential were increased and the slope of phase 2 of action potential was reduced (p less than 0.05). The resting potential, the slope of phase 3 and the maximum depolarization rate of phase 0 of action potential did not change. In Tyrode's solution containing Mn++ 3 mM, these electrophysiological actions of DMC disappeared. DMC may abolish the conduction block induced by K+-rich solution. In Tyrode's solution containing K+ 32 mM, the upstroke of action potential showed 2 phases under influence of DMC. The second phase disappeared when Mn++ was added. All findings indicate that DMC can be considered as an activator of the slow channel. The electrophysiological mechanism and clinical significance of DMC were discussed.
采用玻璃微电极研究了猪离体心室肌纤维的动作电位以及dl-去甲乌药碱(DMC)或去甲肾上腺素对猪心肌细胞的电生理作用。猪心室肌纤维的动作电位与其他哺乳动物心脏的相似。动作电位幅度为115±9mV,动作电位持续时间为242±30ms,静息膜电位为-85±5mV,动作电位去极化最大上升速率为151±27V/s。用含5μg/ml DMC的正常台氏液灌注后,动作电位幅度增大,动作电位持续时间延长,动作电位平台期的幅度和持续时间增加,动作电位2期斜率降低(p<0.05)。静息电位、动作电位3期斜率和0期最大去极化速率未改变。在含3mM Mn++的台氏液中,DMC的这些电生理作用消失。DMC可消除富钾溶液诱导的传导阻滞。在含32mM K+的台氏液中,在DMC影响下动作电位的上升显示为2期。加入Mn++后第二相消失。所有结果表明,DMC可被视为慢通道的激活剂。并讨论了DMC的电生理机制和临床意义。