Tan H L, Janse M J
Department of Clinical and Experimental Cardiology, University of Amsterdam, Netherlands.
J Mol Cell Cardiol. 1994 Jun;26(6):733-42. doi: 10.1006/jmcc.1994.1088.
We separated mechanical and electrical activity during ischemia and we assessed the contribution of each of these variables to ischemia induced cellular electrical uncoupling. In two groups of rabbit papillary muscles, mechanical and electrical activity at the onset of ischemia was abolished. We determined how this affected the time of onset of uncoupling. Also, action potential duration (APD80), conduction velocity and extracellular pH were recorded. In the first group, the BDM group, mechanical arrest was achieved with 10 mM BDM (2,3-butanedione monoxime). This had no effect on APD80 and conduction velocity. In the second group, the quiescent group, electrical as well as mechanical arrest was obtained by not stimulating the muscles. The effect of electrical arrest was estimated as the difference between this group and the BDM group. Mechanical arrest delayed uncoupling significantly (control: 14.6 +/- 0.9 (min), mean +/- S.E.M., n = 10; BDM: 19.3 +/- 1.1, n = 10; P < 0.025). Electrical arrest caused an even greater delay (quiescent: 41.6 +/- 4.6, n = 7; P < 0.001 v control and BDM). In the BDM group, these effects were not associated with a difference of APD80 during ischemia, but with a smaller decrease of conduction velocity. Delay of uncoupling correlated with delay of extracellular acidosis. We conclude: (1) mechanical and electrical activity both are significant determinants of ischemia induced uncoupling; (2) delay of uncoupling is associated with delay of extracellular acidosis, indicating a reduced rate of metabolism.
我们在缺血期间分离了机械活动和电活动,并评估了这些变量各自对缺血诱导的细胞电偶联丧失的作用。在两组兔乳头肌中,缺血开始时的机械活动和电活动均被消除。我们确定了这对电偶联丧失起始时间的影响。此外,还记录了动作电位时程(APD80)、传导速度和细胞外pH值。在第一组即BDM组中,用10 mM BDM(2,3 - 丁二酮一肟)实现机械性停搏。这对APD80和传导速度没有影响。在第二组即静止组中,通过不刺激肌肉实现电活动和机械活动的停搏。电活动停搏的作用通过该组与BDM组之间的差异来评估。机械性停搏显著延迟了电偶联丧失(对照组:14.6 +/- 0.9(分钟),平均值 +/- 标准误,n = 10;BDM组:19.3 +/- 1.1,n = 10;P < 0.025)。电活动停搏导致了更大的延迟(静止组:41.6 +/- 4.6,n = 7;与对照组和BDM组相比,P < 0.001)。在BDM组中,这些作用与缺血期间APD80的差异无关,而是与传导速度的较小下降有关。电偶联丧失的延迟与细胞外酸中毒的延迟相关。我们得出结论:(1)机械活动和电活动都是缺血诱导的电偶联丧失的重要决定因素;(2)电偶联丧失的延迟与细胞外酸中毒的延迟相关,表明代谢速率降低。