Smogorzewski M, Zayed M, Zhang Y B, Roe J, Massry S G
Department of Medicine, University of Southern California School of Medicine, Los Angeles 90033.
Am J Physiol. 1993 Jun;264(6 Pt 2):H1998-2006. doi: 10.1152/ajpheart.1993.264.6.H1998.
The heart is a target organ for parathyroid hormone (PTH), and the action of this hormone on the myocardium may be mediated through the ability of PTH to increase cytosolic calcium ([Ca2+]i) in the myocardial cells. However, direct evidence for such an effect of PTH is lacking, and the mechanism(s) through which the hormone can potentially exert such an effect have not been elucidated. In the present study these questions were examined using cardiac myocytes isolated from adult rats. Both PTH-(1-34) and PTH-(1-84) produced a dose-dependent increase in [Ca2+]i of myocytes, but the effect of the latter was significantly (P < 0.01) greater than the former. This action of PTH was abolished by the inactivation of the hormone, the use of a PTH antagonist, or by verapamil. The G protein activator, guanosine 5'-O-(3-thiothriphosphate) (GTP gamma S), mimicked the effect of PTH, whereas pertussis toxin, the G protein inhibitor, guanosine 5'-O-(2-thiodiphosphate) (GDP beta S), or ryanodine significantly reduced the PTH-induced rise in [Ca2+]i. Dibutyryl- and 8-bromoadenosine-3',5'-cyclic monophosphate, forskolin, 12-O-tetradecanoylphorbol 13-acetate, and staurosporine did not increase [Ca2+]i in myocytes, and staurosporine did not alter the PTH-induced rise in [Ca2+]i. BAY K 8644 augmented the effect of PTH on [Ca2+]i. These data demonstrate that 1) PTH increases [Ca2+]i of cardiac myocytes, 2) this action is receptor mediated and is produced by activation of the L-type calcium channels following stimulation of G protein(s), and 3) the rise in [Ca2+]i is due to both augmented entry of calcium into the myocytes and mobilization of calcium from sarcoplasmic reticulum by a calcium-induced calcium release mechanism.
心脏是甲状旁腺激素(PTH)的靶器官,该激素对心肌的作用可能是通过PTH增加心肌细胞胞质钙浓度([Ca2+]i)的能力介导的。然而,缺乏PTH这种作用的直接证据,且该激素发挥这种作用的机制尚未阐明。在本研究中,使用从成年大鼠分离的心肌细胞对这些问题进行了研究。PTH-(1-34)和PTH-(1-84)均使心肌细胞的[Ca2+]i呈剂量依赖性增加,但后者的作用明显(P<0.01)强于前者。PTH的这种作用可通过激素失活、使用PTH拮抗剂或维拉帕米消除。G蛋白激活剂鸟苷5'-O-(3-硫代三磷酸)(GTPγS)模拟了PTH的作用,而百日咳毒素、G蛋白抑制剂鸟苷5'-O-(2-硫代二磷酸)(GDPβS)或ryanodine则显著降低了PTH诱导的[Ca2+]i升高。二丁酰和8-溴腺苷-3',5'-环磷酸单酯、福斯可林、12-O-十四酰佛波醇13-乙酸酯和星形孢菌素均未增加心肌细胞的[Ca2+]i,且星形孢菌素未改变PTH诱导的[Ca2+]i升高。BAY K 8644增强了PTH对[Ca2+]i的作用。这些数据表明:1)PTH增加心肌细胞的[Ca2+]i;2)这种作用是由受体介导的,是在G蛋白刺激后通过L型钙通道激活产生的;3)[Ca2+]i升高是由于钙进入心肌细胞增加以及通过钙诱导的钙释放机制从肌浆网动员钙所致。