Kang J X, Xiao Y F, Leaf A
Department of Medicine, Harvard Medical School, Boston, MA, USA.
Proc Natl Acad Sci U S A. 1995 Apr 25;92(9):3997-4001. doi: 10.1073/pnas.92.9.3997.
Because previous studies showed that polyunsaturated fatty acids can reduce the contraction rate of spontaneously beating heart cells and have antiarrhythmic effects, we examined the effects of the fatty acids on the electrophysiology of the cardiac cycle in isolated neonatal rat cardiac myocytes. Exposure of cardiomyocytes to 10 microM eicosapentaenoic acid for 2-5 min markedly increased the strength of the depolarizing current required to elicit an action potential (from 18.0 +/- 2.4 pA to 26.8 +/- 2.7 pA, P < 0.01) and the cycle length of excitability (from 525 ms to 1225 ms, delta = 700 +/- 212, P < 0.05). These changes were due to an increase in the threshold for action potential (from -52 mV to -43 mV, delta = 9 +/- 3, P < 0.05) and a more negative resting membrane potential (from -52 mV to -57 mV, delta = 5 +/- 1, P < 0.05). There was a progressive prolongation of intervals between spontaneous action potentials and a slowed rate of phase 4 depolarization. Other polyunsaturated fatty acids--including docosahexaenoic acid, linolenic acid, linoleic acid, arachidonic acid, and its nonmetabolizable analog eicosatetraynoic acid, but neither the monounsaturated oleic acid nor the saturated stearic acid--had similar effects. The effects of the fatty acids could be reversed by washing with fatty acid-free bovine serum albumin. These results show that free polyunsaturated fatty acids can reduce membrane electrical excitability of heart cells and provide an electrophysiological basis for the antiarrhythmic effects of these fatty acids.
由于先前的研究表明多不饱和脂肪酸可降低自发搏动的心脏细胞的收缩速率并具有抗心律失常作用,我们研究了这些脂肪酸对新生大鼠离体心肌细胞心动周期电生理学的影响。将心肌细胞暴露于10微摩尔的二十碳五烯酸中2 - 5分钟,可显著增加引发动作电位所需的去极化电流强度(从18.0±2.4皮安增加到26.8±2.7皮安,P<0.01)以及兴奋性周期长度(从525毫秒增加到1225毫秒,差值=700±212,P<0.05)。这些变化是由于动作电位阈值升高(从-52毫伏升高到-43毫伏,差值=9±3,P<0.05)以及静息膜电位更负(从-52毫伏变为-57毫伏,差值=5±1,P<0.05)。自发动作电位之间的间隔逐渐延长,4期去极化速率减慢。其他多不饱和脂肪酸——包括二十二碳六烯酸、亚麻酸、亚油酸、花生四烯酸及其不可代谢的类似物二十碳四烯酸,但单不饱和油酸和饱和硬脂酸均无此作用。用不含脂肪酸的牛血清白蛋白洗涤可逆转脂肪酸的作用。这些结果表明游离多不饱和脂肪酸可降低心脏细胞的膜电兴奋性,并为这些脂肪酸的抗心律失常作用提供了电生理基础。