Kokubun S, Nishimura M, Noma A, Irisawa H
Pflugers Arch. 1982 Mar;393(1):15-22. doi: 10.1007/BF00582385.
The rabbit A-V node was dissected into pieces (0.2 x 0.2 x 0.2 mm) smaller than its space constant of 692 +/- 96 micrometers (n = 5). These small specimens showed spontaneous action potentials whose configurations were similar to those of large specimens before dissection. The membrane time constant was 21.5 +/- 1.5 ms (n = 5). Voltage clamp experiments were performed on the above specimens using the two-microelectrode technique. On depolarization from the holding potential of -40 mV to various potential levels a transient inward current and delayed outward current were recorded. On repolarization an outward current tail was observed. The transient inward current was blocked by application of D 600 (2 x 10(-7) g/ml) but was insensitive to TTX (1 x 10(-7) g/ml). The inward current was decreased by superfusion with Na- or Ca-free Tyrode solution. Thus, this current was classified as the slow inward current (is). When the K concentration in the Tyrode solution was varied, the reversal potential of the outward current tail changed as expected for a K electrode, indicating that the outward current was carried by K ions. On hyperpolarization slow activation of inward current was recorded. The reversal potential of this current was between -20 and -30 mV, which was analogous to hyperpolarization activated current, ih, in the S-A node. A contribution of sodium current (iNa) to the action potential was obviously demonstrated from an inhibitory effect of TTX on the upstroke of the anodal break excitation. The ionic selectivity of each current system is compared with analogous current systems in other cardiac tissues and a possible mechanism for the slow conduction in the A-V node is discussed.
将兔房室结切成小于其692±96微米空间常数(n = 5)的小块(0.2×0.2×0.2毫米)。这些小标本呈现出自发动作电位,其形态与解剖前的大标本相似。膜时间常数为21.5±1.5毫秒(n = 5)。使用双微电极技术对上述标本进行电压钳实验。从-40 mV的钳制电位去极化到不同电位水平时,记录到一个瞬态内向电流和延迟外向电流。复极化时观察到外向电流尾。瞬态内向电流可被施加D 600(2×10⁻⁷克/毫升)阻断,但对TTX(1×10⁻⁷克/毫升)不敏感。用无钠或无钙的台氏液灌流可使内向电流减小。因此,该电流被归类为慢内向电流(is)。当改变台氏液中的钾浓度时,外向电流尾的反转电位如钾电极所预期的那样发生变化,表明外向电流由钾离子携带。超极化时记录到内向电流的缓慢激活。该电流的反转电位在-20至-30 mV之间,类似于窦房结中的超极化激活电流ih。从TTX对阳极断相兴奋上升支的抑制作用明显证明了钠电流(iNa)对动作电位的贡献。将每个电流系统的离子选择性与其他心脏组织中的类似电流系统进行比较,并讨论了房室结中缓慢传导的可能机制。