Lakatta E G, Jewell B R
Circ Res. 1977 Mar;40(3):251-7. doi: 10.1161/01.res.40.3.251.
In cat papillary muscles at 30 degrees C, bathed with Tyrode's solution containing 2.25 mM Ca2+, the effect of various inotropic interventions (varying the stimulus frequency and continual paired stimulation) on the shape of the steady state length-tension relation was examined at lengths from Lmax, where tension production is maximal, to 0.87 Lmax. The relative steepness of the length-tension curves for peak tension developed (DT) and for maximum rate of tension development (dT/dT) varied inversely with the degree of potentiation. Thus, during paired pulse stimulation the relative decline in DT and dT/dT for a given change in muscle length was significantly less than the decline observed during stimulation at 5 min-1. When a muscle was stretched DT did not reach its final steady level for several minutes, and this slow increase in DT contributed significantly to the steepness of the steady state length-tension relation. The half-time of the slow increase in DT exhibited beat-dependency, and conditions that reduce the transsarcolemmal influx of calcium (reduction in bathing [Ca2+] or the presence of verapamil) significantly prolonged the time course of the slow increase and reduced its magnitude. These results support the hypothesis (1) that there is length-dependence of the excitation-contraction coupling process, such that an increase in muscle length is accompanied by greater activation of the contractile system; and (2) that this is due at least in part to an increased influx of calcium into the muscle cells. The implication of this hypothesis is that the influence of muscle length on myocardial performance (the Frank-Starling relation) should not be regarded as fundamentally different in character from other inotropic interventions.
在30摄氏度下,用含有2.25 mM Ca2+的台氏液灌注猫乳头肌,在从产生最大张力的Lmax到0.87 Lmax的长度范围内,研究了各种变力干预(改变刺激频率和持续成对刺激)对稳态长度-张力关系形状的影响。对于产生的峰值张力(DT)和最大张力发展速率(dT/dT),长度-张力曲线的相对陡度与增强程度呈反比。因此,在成对脉冲刺激期间,对于给定的肌肉长度变化,DT和dT/dT的相对下降明显小于在5次/分钟刺激期间观察到的下降。当肌肉被拉伸时,DT在几分钟内未达到其最终稳态水平,DT的这种缓慢增加对稳态长度-张力关系的陡度有显著贡献。DT缓慢增加的半衰期表现出搏动依赖性,降低跨肌膜钙内流的条件(降低灌注液中的[Ca2+]或存在维拉帕米)显著延长了缓慢增加的时间进程并降低了其幅度。这些结果支持以下假设:(1)兴奋-收缩偶联过程存在长度依赖性,即肌肉长度增加伴随着收缩系统的更大激活;(2)这至少部分是由于进入肌肉细胞的钙内流增加。该假设的含义是,肌肉长度对心肌性能的影响(弗兰克-斯塔林关系)在本质上不应被视为与其他变力干预有根本不同。