Parikh S S, Zou S Z, Tung L
Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD 21205.
Circ Res. 1993 Feb;72(2):297-311. doi: 10.1161/01.res.72.2.297.
The mechanics of cardiac systole and relaxation have been studied primarily at the level of the whole heart or intact muscle. End-systolic pressure-volume relations of frog hearts have been found to be load dependent, whereas those of the mammal are relatively load independent. On the other hand, myocardial relaxation as studied at the muscle level is load independent in the frog but markedly load dependent in the mammal. Interpretation of these studies is complicated because of the unknown contribution of extracellular connective tissue, neurohumoral factors, and, in the case of the heart, the complex chamber geometry. Therefore, it is valuable to study cardiac mechanics at the level of the basic unit of contractile activity--the isolated myocyte. The goal of this study was to subject isolated frog cardiomyocytes to mechanical loading paradigms that mimic those presented to the cells within the heart. In the first part of this study, the afterload and preload of contracting cells were varied to study their effects on the end-systolic force-length relation, which was consistently found to be load independent over the range of isotonic shortening tested (typically 5%). We also investigated the force-length-time response of the cells to test the concept of the heart behaving as a time-varying elastance. Our results suggest that in this regard the frog myocyte behaves like mammalian muscle, and they are consistent with the presence of a small viscosity within the cell. We conclude that the tissue structure of the frog heart may contribute to disparity in mechanical behavior at the different structural levels. In the second part of this study, we subjected isolated frog cardiomyocytes to four different loading paradigms to test the hypothesis that myocardial relaxation in the frog is independent of load. These sequences consisted of afterloaded contractions followed by conventional isotonic-isometric relaxation (ACCR) or afterloaded contractions followed by physiologically reversed isometric-isotonic relaxation (ACPR). Relaxation was measured under isometric conditions using a variable afterload with either the ACCR or ACPR paradigms. The decay of force was independent of the cell length at which it occurred or the amount of shortening prior to it within the contractile cycle. Relaxation also was measured as relengthening of the cell under isotonic late-load conditions, using the ACPR paradigm either with a variable afterload or variable late load. Relengthening had a time course that was unaffected by changes in afterload (i.e., extents of shortening) or late load (equivalent to the filling pressure for the heart).(ABSTRACT TRUNCATED AT 400 WORDS)
心脏收缩和舒张的机制主要是在全心脏或完整肌肉水平上进行研究的。已发现青蛙心脏的收缩末期压力-容积关系依赖于负荷,而哺乳动物的则相对不依赖负荷。另一方面,在肌肉水平上研究的心肌舒张在青蛙中不依赖负荷,但在哺乳动物中明显依赖负荷。由于细胞外结缔组织、神经体液因素的作用不明,以及在心脏情况下腔室几何结构复杂,对这些研究的解释变得复杂。因此,在收缩活动的基本单位——分离的心肌细胞水平上研究心脏力学是很有价值的。本研究的目的是使分离的青蛙心肌细胞接受模拟心脏内细胞所承受的力学加载模式。在本研究的第一部分,改变收缩细胞的后负荷和前负荷,以研究它们对收缩末期力-长度关系的影响,在测试的等张收缩范围内(通常为5%),始终发现该关系不依赖负荷。我们还研究了细胞的力-长度-时间响应,以检验心脏表现为随时间变化的弹性元件这一概念。我们的结果表明,在这方面青蛙心肌细胞的行为类似于哺乳动物的肌肉,并且与细胞内存在小的粘性相一致。我们得出结论,青蛙心脏的组织结构可能导致不同结构水平上力学行为的差异。在本研究的第二部分,我们使分离的青蛙心肌细胞接受四种不同的加载模式,以检验青蛙心肌舒张不依赖负荷这一假设。这些序列包括后负荷收缩后接着传统的等张-等长舒张(ACCR)或后负荷收缩后接着生理上反向的等长-等张舒张(ACPR)。使用带有ACCR或ACPR模式的可变后负荷,在等长条件下测量舒张。力的衰减与发生衰减时的细胞长度或收缩周期内衰减前的缩短量无关。还使用带有可变后负荷或可变晚期负荷的ACPR模式,在等张晚期负荷条件下将细胞的再伸长作为舒张进行测量。再伸长的时间进程不受后负荷变化(即缩短程度)或晚期负荷(相当于心脏的充盈压力)的影响。(摘要截短至400字)