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实验性糖尿病对离体大鼠心脏对异丙肾上腺素反应性的影响。

Effect of experimental diabetes on isolated rat heart responsiveness to isoproterenol.

作者信息

Vadlamudi R V, McNeill J H

出版信息

Can J Physiol Pharmacol. 1984 Jan;62(1):124-31. doi: 10.1139/y84-020.

Abstract

The isolated perfused working rat heart was used to study experimental diabetes-induced alterations in the sensitivity and responsiveness of the myocardium to the effects of isoproterenol. Experimental diabetes was induced by intravenous administration of either 65 mg/kg alloxan or 60 mg/kg streptozotocin. The positive inotropic and cardiac relaxant effects of isoproterenol were studied at various time points after the induction of diabetes. There were no changes either in the sensitivity or in the maximum responses of diabetic rat hearts to the positive inotropic effect of isoproterenol at any time point studied. However, the cardiac relaxant effect of isoproterenol was depressed in acute as well as chronic diabetic rat hearts when compared with age-matched controls. Ventricular noradrenaline content was unchanged in 180-day diabetic rat hearts indicating the absence of a diabetes-induced sympathetic neuropathy in the heart. The depressed relaxing effect of isoproterenol may have resulted from alterations in energy utilization and sarcoplasmic reticular function in diabetic rat hearts.

摘要

采用离体灌注的工作大鼠心脏来研究实验性糖尿病引起的心肌对异丙肾上腺素作用的敏感性和反应性变化。通过静脉注射65mg/kg四氧嘧啶或60mg/kg链脲佐菌素诱导实验性糖尿病。在诱导糖尿病后的不同时间点研究了异丙肾上腺素的正性肌力和心脏舒张作用。在任何研究的时间点,糖尿病大鼠心脏对异丙肾上腺素正性肌力作用的敏感性或最大反应均无变化。然而,与年龄匹配的对照组相比,急性和慢性糖尿病大鼠心脏中异丙肾上腺素的心脏舒张作用均受到抑制。180天糖尿病大鼠心脏中的心室去甲肾上腺素含量未发生变化,表明心脏不存在糖尿病诱导的交感神经病变。异丙肾上腺素舒张作用的抑制可能是由于糖尿病大鼠心脏能量利用和肌浆网功能的改变所致。

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