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冠状动脉中的生物力学信号在心脏负荷过重时触发代谢过程。

Biomechanical signals in the coronary artery triggering the metabolic processes during cardiac overload.

作者信息

Gerová M, Pechánová O, Stoev V, Kittová M, Bernátová I, Juráni M, Dolezel S

机构信息

Department of Physiology, Medical School, Comenius University; Bratislava, Slovakia.

出版信息

Mol Cell Biochem. 1995;147(1-2):69-73. doi: 10.1007/BF00944785.

Abstract

Peculiarities in structure and deformability of epicardial conduit coronary arteries are described. The thin wall of animal coronary artery contrasts the human coronary artery in which the remarkable wall thickness is due namely by the intima thickness. Deformation in length and diameter of conduit coronary arteries, due to the left and right ventricle volume increase, has been defined in non-beating canine heart. Ramus interventricularis anterior being firmly tethered to the myocardium undergoes about 3 times larger deformation than ramus circumflexus. In anaesthetized dogs a 30% increase in blood pressure, elicited by aortic constriction, induces an increase in diameter of coronary artery, in segment length, in blood flow and consequently in shear stress which represents a load for circumferentially running smooth muscle bundles, longitudinally running smooth muscle bundles, as well as for the endothelium. The above load lasting 4 h is already reflected by an increase in total RNA content and [14C] leucin incorporation in the left ventricle myocardium in the wall of ramus interventricularis anterior, not in ramus circumflexus. The findings fit completely with the different range of deformation of both the above coronary branches and indicates an increase in proteosynthesis not only in myocardium, but in ramus interventricularis anterior as well. An increase in ornithindecarboxylase activity in coronary wall leading to an increase in biogenic polyamines, is present in the case only, when blood pressure increase is induced by infusion of noradrenaline.

摘要

描述了心外膜导管冠状动脉的结构和可变形性特点。动物冠状动脉壁薄,与人类冠状动脉形成对比,人类冠状动脉壁厚度显著,主要是由于内膜厚度。在非搏动的犬心脏中,已确定由于左、右心室容积增加,导管冠状动脉的长度和直径会发生变形。前室间支牢固地附着于心肌,其变形程度比旋支大约大三倍。在麻醉犬中,主动脉缩窄引起血压升高30%,会导致冠状动脉直径、节段长度、血流量增加,进而导致剪切应力增加,这对环行平滑肌束、纵行平滑肌束以及内皮来说都是一种负荷。上述负荷持续4小时,已在前室间支壁的左心室心肌中反映为总RNA含量增加和[14C]亮氨酸掺入增加,而旋支中则没有。这些发现与上述两个冠状动脉分支的不同变形范围完全相符,表明不仅心肌,而且前室间支中蛋白质合成也增加。仅在通过输注去甲肾上腺素诱导血压升高的情况下,冠状动脉壁中的鸟氨酸脱羧酶活性增加,导致生物源性多胺增加。

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