Ocampo M C, Orrego F
Br J Pharmacol. 1981 Oct;74(2):341-51. doi: 10.1111/j.1476-5381.1981.tb09977.x.
1 The efflux, from heart ventricular strips of Rana pipiens, of sodium ((22)Na) and calcium ((45)Ca) was measured simultaneously.2(22)Na efflux could be resolved into two first order kinetic components: k(I) = 0.105 min(-1), thought to represent efflux from the extracellular space, and k(II) = 0.0182 min(-1) representing efflux from the cells.3(45)Ca efflux was also resolved into an extracellular component, k(I) = 0.1216 min(-1); and an intracellular one, k(II) = 0.0102 min(-1). (45)Ca k(II) was greatly increased by 2,4-dinitrophenol (DNP), but unchanged by caffeine. This suggests that it represents a mitochondrial calcium compartment.4(22)Na k(II) was not changed by DNP. This indicates that, at the time of DNP addition, (22)Na was passively bound to undefined intracellular components.5 Ouabain (10(-6) M) decreased (45)Ca efflux (k(II)) initially but at later periods slightly increased it. The former effect is thought to be due to an action at the plasma membrane level, while the latter probably represents an increased exchangeability of mitochondrial calcium. The same effects were always found when ouabain was applied at different times of strip superfusion.6 Ouabain (0.25 to 4 muM) did not decrease the k(II) of (22)Na efflux. Kinetic reasons are presented which indicate that, in this preparation, the activity of the sodium pump may be too fast to be measured by means of (22)Na efflux, therefore these findings do not necessarily mean that ouabain does not inhibit active sodium transport.7 The time course of the inotropic effect of ouabain was also studied in ventricular strips of Rana pipiens heart that were stimulated at 0.2 Hz with biphasic, 2 ms pulses of supramaximal intensity, and incubated in Ringer solution containing 1.1 mM calcium, or in ;calcium-free' Ringer (residual calcium: 5.2 muM), or in ;calcium-free' Ringer with 0.1 mM of the calcium chelator ethyleneglycol bis (beta-aminoethylether) N,N'-tetraacetic acid (EGTA).8 In Ringer, the inotropic effect of ouabain was already observed at 5-10 s after steroid addition, even with the lowest concentration tested (0.25 muM), while signs of toxicity appeared only after 15 min in 4 muM ouabain, the highest concentration used.9 When the strips were incubated in ;calcium-free' Ringer solution, force of contraction decayed to 1-2% of that in 1.1 mM calcium. Addition of 4 muM ouabain to these hypodynamic strips led to a progressive increase in contractile force of up to 300%, that started after a 50 s latency period. No signs of toxicity were observed.10 Incubation of the strips in EGTA-Ringer also reduced contractile force to about 2% of that in Ringer, and 4 muM ouabain also increased force of contraction by approximately the same amount as seen in ;calcium-free' Ringer, but the effect began after a 10 min latency period. The concentration of calcium ion (Ca(2+)) in the extracellular space of strips incubated in EGTA-Ringer, was approximately 800 fold lower than in Ringer, and 60 fold lower than in ;calcium-free' Ringer solution.11 Caffeine (20 mM) induced, in strips previously incubated for 1 h in 4.4 mM calcium Ringer solution plus 10(-6) M ouabain, a marked initial contracture, that relaxed spontaneously, and was followed by slow waves of contracture. This was not observed if the strips were incubated, prior to caffeine, in 4.4 mM calcium Ringer without ouabain, or in 1.1 mM calcium Ringer solution that contained 10(-6) M ouabain.12 Based on these findings, a hypothesis that can explain the inotropic effect of cardioactive steroids is presented.
同时测定了牛蛙心室肌条中钠(²²Na)和钙(⁴⁵Ca)的外流。
²²Na外流可分解为两个一级动力学成分:k(I)=0.105 min⁻¹,被认为代表细胞外空间的外流;k(II)=0.0182 min⁻¹,代表细胞内的外流。
⁴⁵Ca外流也分解为细胞外成分,k(I)=0.1216 min⁻¹;和细胞内成分,k(II)=0.0102 min⁻¹。⁴⁵Ca k(II)被2,4 -二硝基苯酚(DNP)显著增加,但不受咖啡因影响。这表明它代表线粒体钙池。
DNP未改变²²Na k(II)。这表明,在添加DNP时,²²Na被动结合到未定义的细胞内成分上。
哇巴因(10⁻⁶ M)最初降低了⁴⁵Ca外流(k(II))但在后期略有增加。前者的作用被认为是由于在质膜水平的作用,而后者可能代表线粒体钙交换性增加。当在肌条灌流的不同时间应用哇巴因时,总是发现相同的效果。
哇巴因(0.25至4 μM)未降低²²Na外流的k(II)。给出了动力学原因,表明在该制剂中,钠泵活性可能太快以至于无法通过²²Na外流来测量,因此这些发现不一定意味着哇巴因不抑制主动钠转运。
在以0.2 Hz频率用双相最大强度2 ms脉冲刺激的牛蛙心脏心室肌条中,还研究了哇巴因变力作用随时间的变化过程,并将其置于含1.1 mM钙的林格溶液中,或“无钙”林格溶液(残余钙:5.2 μM)中,或含0.1 mM钙螯合剂乙二醇双(β -氨基乙基醚)N,N' -四乙酸(EGTA)的“无钙”林格溶液中孵育。
在林格溶液中,即使使用测试的最低浓度(0.25 μM),在添加类固醇后5 - 10 s就已观察到哇巴因的变力作用,而在使用的最高浓度4 μM哇巴因中,仅在15分钟后才出现毒性迹象。
当肌条在“无钙”林格溶液中孵育时,收缩力衰减至1.1 mM钙时的1 - 2%。向这些动力不足的肌条中添加4 μM哇巴因导致收缩力逐渐增加高达300%,在50 s的延迟期后开始。未观察到毒性迹象。
在EGTA -林格溶液中孵育肌条也将收缩力降低至林格溶液中的约2%,4 μM哇巴因也使收缩力增加的幅度与在“无钙”林格溶液中观察到的大致相同,但该作用在10分钟的延迟期后开始。在EGTA -林格溶液中孵育的肌条细胞外空间中的钙离子(Ca²⁺)浓度比林格溶液中低约800倍,比“无钙”林格溶液中低60倍。
咖啡因(20 mM)在先前在含4.4 mM钙的林格溶液加10⁻⁶ M哇巴因中孵育1小时的肌条中诱导明显的初始挛缩,该挛缩自发松弛,随后是缓慢的挛缩波。如果在咖啡因处理之前,将肌条在不含哇巴因的4.4 mM钙林格溶液中或含10⁻⁶ M哇巴因的1.1 mM钙林格溶液中孵育,则未观察到此现象。
基于这些发现,提出了一个可以解释强心甾体变力作用的假说。