Milei J, Núñez R G, Bolomo N J
Res Exp Med (Berl). 1979 Dec;176(2):117-21. doi: 10.1007/BF01851750.
Myocardial lesions induced by isoproterenol (ISP) are similar to those of human "coagulative mycocytolysis" or "myofibrillar degeneration". The localization of tritiated ISP in the damaged myocardium of rats has been recently described. Since H3-ISP was noted in "grooves" along the sarcolemma of ischemic and necrotic fibers, an action on the membrane with exaggerated calcium inflow was suggested. For this reason, the quantity of 45Ca in rats treated with ISP was studied. Thirty rats were given 5 mu Ci of 45Ca. Twenty (Group B) of them were also given ISP 10 mg/kg. Animals were killed at 1 h after the injections. The hearts were sectioned transversally and autoradiography was performed. Serial sections were examined to localize the 45Ca, and its topographic distribution. In Group A (injected only with 45Ca) the myocardium showed + of 45Ca (600 dots in a field x 400) inside the fibers. In Group B (injected also with ISP) 45Ca was deposited +++ (more than 1,200 dots) and related to extensive myocytolysis. These findings confirm that the crucial point in the ISP-induced lesions is the increase of calcium inflow, and if the pathogenesis of human myocytolysis is related to catecholamine effects pharmacological measures may be adopted to prevent these myocardial lesions.
异丙肾上腺素(ISP)诱导的心肌损伤与人类“凝固性肌细胞溶解”或“肌原纤维变性”相似。最近描述了氚标记的ISP在大鼠受损心肌中的定位。由于在缺血和坏死纤维的肌膜“沟”中发现了H3-ISP,提示其对膜有作用,导致钙内流增加。因此,研究了用ISP处理的大鼠体内45Ca的含量。30只大鼠注射5μCi的45Ca。其中20只(B组)还注射了10mg/kg的ISP。注射后1小时处死动物。将心脏横切并进行放射自显影。检查连续切片以定位45Ca及其拓扑分布。在A组(仅注射45Ca)中,心肌纤维内45Ca显示为+(每视野400×600个点)。在B组(也注射了ISP)中,45Ca沉积为+++(超过1200个点),且与广泛的肌细胞溶解有关。这些发现证实,ISP诱导损伤的关键点是钙内流增加,如果人类肌细胞溶解的发病机制与儿茶酚胺作用有关,则可采取药理学措施预防这些心肌损伤。