Cerbai E, Barbieri M, Mugelli A
Institute of Pharmacology, University of Ferrara, Italy.
Circulation. 1996 Oct 1;94(7):1674-81. doi: 10.1161/01.cir.94.7.1674.
Cellular electrophysiological alterations may contribute to arrhythmogenesis in cardiac hypertrophy. An L-like current occurs in left ventricular myocytes (LVMs) isolated from the hypertrophied heart of old spontaneously hypertensive rats (SHR). Factors that influence L occurrence during development of cardiac hypertrophy were studied by determining its presence, amplitude, characteristics, and beta-adrenoceptor modulation.
Patch-clamped LVMs from young (2 to 3 months old) or old (18 to 24 months old) normotensive Wistar-Kyoto rats (WKY) and SHR were used. A diastolic depolarization phase was present in old SHR. An If-like current occurred in > 90% of LVMs from old SHR and WKY and in approximately = 15% of LVMs from young rats (P < .05). Activation curves of If were similar in old rats, with the midpoint at -92.9 +/- 2.9 mV in WKY (n = 42) and -88.1 +/- 1.5 mV in SHR (n = 25); maximal specific conductance was 54.4 +/- 1.7 in SHR and 20.1 +/- 0.5 picosiemens/picofarad in WKY (P < .05). In WKY, If amplitude was linearly related to membrane capacitance, an index of cell size (r = .53, P < .001). This relation was absent in SHR, in which a significant positive correlation was found between the heart weight to body weight ratio and I(f) density. In both old WKY and old SHR, 0.1 mumol/L (-)-isoproterenol increased I(f) amplitude by shifting its activation curve toward more positive potentials.
In LVMs from both WKY and SHR, the occurrence of I(f) increases with aging. Density appears linearly related to the severity of cardiac hypertrophy and increases with beta-adrenoceptor stimulation, which suggests that I(f) may contribute to an increased propensity of the hypertrophied heart for arrhythmias.
细胞电生理改变可能在心脏肥大时的心律失常发生中起作用。在从老年自发性高血压大鼠(SHR)肥大心脏分离的左心室肌细胞(LVMs)中出现一种L样电流。通过确定其存在、幅度、特性及β-肾上腺素能受体调节来研究心脏肥大发展过程中影响L样电流出现的因素。
使用来自年轻(2至3个月龄)或老年(18至24个月龄)正常血压的Wistar-Kyoto大鼠(WKY)和SHR的膜片钳记录的LVMs。老年SHR存在舒张期去极化阶段。超过90%的老年SHR和WKY的LVMs以及约15%的年轻大鼠的LVMs中出现If样电流(P <.05)。老年大鼠中If的激活曲线相似,WKY(n = 42)的中点为-92.9±2.9 mV,SHR(n = 25)为-88.1±1.5 mV;SHR的最大比电导为54.4±1.7,WKY为20.1±0.5皮西门子/皮法(P <.05)。在WKY中,If幅度与作为细胞大小指标的膜电容呈线性相关(r =.53,P <.001)。SHR中不存在这种关系,在SHR中发现心脏重量与体重比与If密度之间存在显著正相关。在老年WKY和老年SHR中,0.1 μmol/L(-)-异丙肾上腺素通过将其激活曲线向更正电位移动来增加If幅度。
在WKY和SHR的LVMs中,If的出现随年龄增长而增加。密度似乎与心脏肥大的严重程度呈线性相关,并随β-肾上腺素能受体刺激而增加,这表明If可能导致肥大心脏发生心律失常的倾向增加。