Palmer S, Kentish J C
Department of Pharmacology, United Medical and Dental Schools, St Thomas's Hospital, London, UK.
J Mol Cell Cardiol. 1996 Apr;28(4):797-805. doi: 10.1006/jmcc.1996.0074.
The Ca2+ sensitivity of cardiac myofibrillar force production can be decreased by acidosis or inorganic phosphate (P(i)) and increased by caffeine. To investigate whether the source of tissue influences the potency of these agents, we compared the actions of acidosis (change of pH from 7.0 to 6.2), P(i) and caffeine (both 20 mM) on force production of skinned cardiac muscles from adult ventricle, adult atrium and neonate ventricle of the rat. Maximum Ca(2+)-activated force was reduced by all three interventions and the responses of the different muscle types to a given intervention were similar. Acidosis reduced myofibrillar Ca2+ sensitivity by 1.09 and 1.04 pCa units in adult ventricle and atrium, respectively, and P(i) reduced it by 0.19 and 0.22 pCa units. However, each effect was only one-third as great in the neonate ventricle, which showed falls of 0.33 pCa units for acidosis and 0.06 for P(i). In contrast, caffeine raised the Ca2+ sensitivity by the same amount (approximately 0.4 pCa units) in all three muscle types. The differential effect between adult and neonate seen with both acidosis and P(i) suggests some similarity in the mechanisms by which these factors decrease Ca2+ sensitivity. In contrast, the equal effects of caffeine on neonate and adult suggests that caffeine acts by a completely different mechanism. The lower pH- and P(i)-sensitivity of the neonatal ventricle can help to explain why neonatal and adult myocardium exhibit differential force responses to ischaemia (or hypoxia alone).
酸中毒或无机磷酸盐(P(i))可降低心肌肌原纤维产生力的钙离子敏感性,而咖啡因则可提高该敏感性。为研究组织来源是否会影响这些药物的效力,我们比较了酸中毒(pH从7.0变为6.2)、P(i)和咖啡因(均为20 mM)对大鼠成年心室、成年心房和新生心室的去表皮心肌产生力的作用。所有这三种干预均降低了最大钙离子激活的力,并且不同肌肉类型对给定干预的反应相似。酸中毒使成年心室和心房的肌原纤维钙离子敏感性分别降低1.09和1.04个pCa单位,P(i)使其降低0.19和0.22个pCa单位。然而,在新生心室中,每种效应仅为上述的三分之一,酸中毒使pCa单位下降0.33,P(i)使其下降0.06。相比之下,咖啡因在所有三种肌肉类型中均使钙离子敏感性提高相同幅度(约0.4个pCa单位)。酸中毒和P(i)在成年和新生组织中产生的不同效应表明,这些因素降低钙离子敏感性的机制存在一些相似性。相反,咖啡因对新生和成年组织产生相同效应,表明咖啡因的作用机制完全不同。新生心室对pH和P(i)较低的敏感性有助于解释为什么新生和成年心肌对缺血(或仅缺氧)表现出不同的力反应。