Tielens E T, Forder J R, Chatham J C, Marrelli S P, Ladenson P W
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Cardiovasc Res. 1996 Aug;32(2):306-10. doi: 10.1016/0008-6363(96)00096-x.
Acute inotropic effects of triiodothyronine (T3) have been reported, employing both in vivo experimental animal models and in vitro isolated heart perfusions. However, the mechanisms responsible for these acute inotropic effects remain unclear. The aim of this study, therefore, was to delineate the role of the beta-adrenergic receptor system in these acute responses.
The hearts from both euthyroid and hypothyroid (treated with 0.05% PTU in drinking water) male Sprague-Dawley rats were used in 5 experimental study protocols. Hearts from euthyroid rats were perfused with buffer containing either T3(10(-7) M) or control while continuously recording left ventricular function for 10 min ('acute effects'). Two-hour perfusions ('subacute effects') and cardiac responses following increasing doses of isoproterenol (10(-10) to 10(-6) M) in the presence or absence of T3-containing buffer (acute interaction) were also determined. In hypothyroid rats, the subacute responses and the acute interactions were investigated.
In the presence of T3, an acute, significant potentiation of the inotropic responses following beta-adrenergic stimulation with isoproterenol was observed in both rat cohorts, which was more pronounced in hearts from euthyroid rats. An acute (< 40 s), but transient (79 +/- 8 s), direct inotropic response was observed in hearts from euthyroid rats. No cardiac responses were seen during a 2-h perfusion in hearts from either euthyroid or hypothyroid rats.
The acute inotropic effects of T3 in non-ischemic myocardium probably result from an acute interaction between T3 and catecholamines rather than through a direct inotropic effect of T3 alone.
已报道三碘甲状腺原氨酸(T3)的急性变力作用,采用了体内实验动物模型和体外离体心脏灌注实验。然而,这些急性变力作用的机制仍不清楚。因此,本研究的目的是阐明β-肾上腺素能受体系统在这些急性反应中的作用。
将正常甲状腺和甲状腺功能减退(饮用水中添加0.05%丙硫氧嘧啶治疗)的雄性Sprague-Dawley大鼠的心脏用于5个实验研究方案。用含T3(10⁻⁷ M)或对照的缓冲液灌注正常甲状腺大鼠的心脏,同时连续记录左心室功能10分钟(“急性效应”)。还测定了两小时灌注(“亚急性效应”)以及在存在或不存在含T3缓冲液的情况下增加异丙肾上腺素剂量(10⁻¹⁰至10⁻⁶ M)后的心脏反应(急性相互作用)。对甲状腺功能减退大鼠,研究了亚急性反应和急性相互作用。
在T3存在的情况下,在两个大鼠队列中均观察到异丙肾上腺素β-肾上腺素能刺激后变力反应的急性、显著增强,在正常甲状腺大鼠的心脏中更明显。在正常甲状腺大鼠的心脏中观察到急性(<40秒)但短暂(79±8秒)的直接变力反应。在正常甲状腺或甲状腺功能减退大鼠的心脏两小时灌注期间均未观察到心脏反应。
T3在非缺血心肌中的急性变力作用可能是由于T3与儿茶酚胺之间的急性相互作用,而非单独通过T3的直接变力作用。