Dowell R T, Atkins F L, Love S
Department of Physiology and Biophysics, University of Kentucky, Lexington 40546-0236.
Am J Physiol. 1994 Jun;266(6 Pt 2):H2527-34. doi: 10.1152/ajpheart.1994.266.6.H2527.
A previous study in intact animals assessed cardiovascular alterations in surgically thyroidectomized rats. Hemodynamic challenge via isoproterenol infusion identified abnormal left ventricular relaxation. Challenge by aortic occlusion revealed a latent deficiency in left ventricular contractility which was not apparent during beta-agonist challenge. The present study utilized left ventricular cardiac tissue obtained from the identical control and thyroidectomized animals from which intact heart hemodynamic information had been obtained. Biochemical systems were selected for evaluation based on demonstrated hemodynamic alterations, i.e., beta-adrenergic receptor number/function and contractile protein enzyme properties. The number of beta-receptors on hypothyroid cardiac membranes was significantly decreased, but receptor agonist affinity was not influenced. Basal adenylate cyclase activity in cardiac membranes from control and thyroidectomized rats was nearly identical; however, isoproterenol activation was diminished in hypothyroid cardiac membrane, particularly at the higher levels of beta-agonist stimulation. Adenylate cyclase enzyme activation by forskolin was not influenced by thyroidectomy; however, activation by sodium fluoride was reduced approximately 30% when compared with preparations from control rats. Cardiac myofibrillar enzyme activity for adenosinetriphosphatase (ATPase) was significantly lower in thyroidectomized rats. Despite reduced ATPase activity, myofibrillar calcium sensitivity was unaltered. Myofibrillar creatine kinase enzyme activity was not influenced by thyroidectomy; therefore, compartmentalized ATP regeneration potential via creatine kinase was enhanced relative to substrate utilization via ATPase. Thus hemodynamically significant cardiac influences of hypothyroidism are mediated, at least in part, via 1) reduced beta-receptor number, 2) diminished catecholamine-induced activation of adenylate cyclase, and 3) reduced myofibrillar ATPase activity.
之前一项针对完整动物的研究评估了手术切除甲状腺的大鼠的心血管变化。通过输注异丙肾上腺素进行血流动力学刺激,发现左心室舒张异常。主动脉闭塞刺激显示左心室收缩能力存在潜在缺陷,这在β受体激动剂刺激期间并不明显。本研究使用了从相同的对照动物和甲状腺切除动物获取的左心室心脏组织,之前已从这些动物获得了完整心脏的血流动力学信息。基于已证实的血流动力学变化选择生化系统进行评估,即β-肾上腺素能受体数量/功能和收缩蛋白酶特性。甲状腺功能减退的心脏膜上β受体的数量显著减少,但受体激动剂亲和力未受影响。对照大鼠和甲状腺切除大鼠的心脏膜中基础腺苷酸环化酶活性几乎相同;然而,甲状腺功能减退的心脏膜中异丙肾上腺素激活作用减弱,尤其是在较高水平的β受体激动剂刺激下。福斯高林对腺苷酸环化酶的激活作用不受甲状腺切除术的影响;然而,与对照大鼠的制剂相比,氟化钠的激活作用降低了约30%。甲状腺切除大鼠的心肌肌原纤维中三磷酸腺苷酶(ATPase)的活性显著降低。尽管ATPase活性降低,但肌原纤维对钙的敏感性未改变。甲状腺切除术对肌原纤维肌酸激酶的活性没有影响;因此,相对于通过ATPase的底物利用,通过肌酸激酶进行的ATP再生的区室化潜力增强。因此,甲状腺功能减退对心脏血流动力学有显著影响,至少部分是通过以下方式介导的:1)β受体数量减少,2)儿茶酚胺诱导的腺苷酸环化酶激活作用减弱,3)肌原纤维ATPase活性降低。