Ibebunjo C, Srikant C B, Donati F
Department of Anaesthesia, Royal Victoria Hospital, Montréal, Québec, Canada.
Can J Anaesth. 1996 May;43(5 Pt 1):475-84. doi: 10.1007/BF03018110.
Although differences in fibre composition, fibre size or acetylcholine receptor (AChR) density between muscles have often been proposed to explain the unequal sensitivities of muscles to muscle relaxant drugs, it is not clear whether or how these parameters differ among muscles or are related to one another, In this study, several muscles were examined to determine the composition and cross-sectional area (CSA) of types I and II fibres, the surface area of their motor endplates (ESA), and their AChR density.
Biopsies from the thyroarytenoideus, cricoarytenoideus dorsalis, masseter, diaphragm, transversus abdominis, rectus abdominis, gastrocnemius and soleus muscles of goats were processed by muscle histochemistry and morphometry and the ESA:CSA ratio was computed. The number and density of AChRs per endplate were estimated by 125I-alpha-bungarotoxin binding studies.
The mean type I fibre composition (range: 0-100%), fibre diameter (28-50 microns) and the ESA:CSA ratio (0.27-1.01) differed among muscles (P = 0.0001), but there were no significant differences (P > 0.05) in the mean endplate size (577-725 microns 2) AChR number (6.6-14.5 x 10(6)) or AChR density (8,900-22,300 microns-2) probably because of marked individual variations. Fibre size increased and the ESA:CSA ratio decreased in the order laryngeal, diaphragm, jaw, limb and abdominal muscles.
It is concluded that between muscles fibre size varies more than endplate size or AChR number.
尽管人们常常认为,肌肉之间纤维组成、纤维大小或乙酰胆碱受体(AChR)密度的差异可用于解释肌肉对肌肉松弛药物的敏感性不同,但尚不清楚这些参数在不同肌肉之间是否存在差异或如何相互关联,以及它们之间的关系。在本研究中,对几块肌肉进行了检查,以确定I型和II型纤维的组成和横截面积(CSA)、运动终板的表面积(ESA)及其AChR密度。
对山羊的甲杓肌、背侧环杓肌、咬肌、膈肌、腹横肌、腹直肌、腓肠肌和比目鱼肌进行活检,采用肌肉组织化学和形态测量法进行处理,并计算ESA:CSA比值。通过125I-α-银环蛇毒素结合研究估计每个终板的AChR数量和密度。
不同肌肉之间的I型纤维平均组成(范围:0-100%)、纤维直径(28-50微米)和ESA:CSA比值(0.27-1.01)存在差异(P = 0.0001),但平均终板大小(577-725微米2)、AChR数量(6.6-14.5×10(6))或AChR密度(8900-22300微米-2)没有显著差异(P>0.05),这可能是由于个体差异较大。纤维大小按喉肌、膈肌、颌肌、肢体肌和腹肌的顺序增加,而ESA:CSA比值则降低。
得出的结论是,不同肌肉之间纤维大小的差异比终板大小或AChR数量的差异更大。