Sprengel U, Münkel B, Robicsek F, Masters T N, Schaper J
Max-Planck-Institute for Physiological and Clinical Research, Department of Experimental Cardiology, Bad Nauheim, Germany.
Ann Thorac Surg. 1995 Sep;60(3):767-72. doi: 10.1016/0003-4975(95)00596-D.
Recently, our group showed that in human hearts proteins are extremely sensitive to ischemic injury. The purpose of this investigation was to evaluate the effects of ischemia on contractile and cytoskeletal proteins in rabbit and pig hearts and to compare these findings with those obtained in humans.
Rabbit hearts were arrested by perfusion with Euro-Collins solution at different temperatures. Hearts perfused with buffer served as controls. Tissue samples were incubated for varying time intervals and processed for immunohistochemistry and electron microscopy. Porcine hearts were treated in the same manner. Changes in the localization of myosin, desmin, and tropomyosin antibodies were evaluated and the degree of ischemic injury was determined by electron microscopy.
Healthy animal hearts tolerate ischemia better than human hearts. Cardiac proteins are more sensitive to ischemia than the ultrastructural cellular organelles. Temperatures as low as 0 degree C produce more cell damage than 4 degrees C and should therefore be avoided. The Euro-Collins solution protects the myocardium better than buffer.
We conclude that healthy animal hearts are more resistant to ischemia than diseased human hearts and that results from experimental studies should be interpreted with caution with regard to the human situation.
最近,我们小组发现,在人类心脏中,蛋白质对缺血性损伤极为敏感。本研究的目的是评估缺血对兔和猪心脏收缩蛋白及细胞骨架蛋白的影响,并将这些结果与在人类心脏中获得的结果进行比较。
通过在不同温度下用Euro-Collins溶液灌注使兔心脏停搏。用缓冲液灌注的心脏作为对照。将组织样本孵育不同时间间隔后进行免疫组织化学和电子显微镜检查。猪心脏也采用相同的处理方式。评估肌球蛋白、结蛋白和原肌球蛋白抗体定位的变化,并通过电子显微镜确定缺血损伤的程度。
健康动物心脏比人类心脏对缺血的耐受性更好。心脏蛋白比超微结构细胞器对缺血更敏感。低至0摄氏度的温度比4摄氏度产生更多的细胞损伤,因此应避免使用。Euro-Collins溶液比缓冲液能更好地保护心肌。
我们得出结论,健康动物心脏比患病的人类心脏对缺血更具抵抗力,并且在考虑人类情况时,对实验研究结果的解释应谨慎。