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阶梯现象对离体血液灌注小鼠心脏等容功能的影响。

Effect of treppe on isovolumic function in the isolated blood-perfused mouse heart.

作者信息

Brooks W W, Apstein C S

机构信息

Department of Veterans Affairs Medical Center, Boston, MA 02130, USA.

出版信息

J Mol Cell Cardiol. 1996 Aug;28(8):1817-22. doi: 10.1006/jmcc.1996.0171.

Abstract

The effects of treppe on left ventricular function in the isolated mouse heart perfused with physiological buffer or with erythrocyte-rich buffer were compared. Left ventricular systolic and diastolic pressures were measured in the isovolumically contracting (balloon in the left ventricle) mouse hearts. Hearts were isolated from 12 adult Swiss-Webster mice and perfused at constant pressure (approximately 85 mmHg) via the aorta. Perfusate consisted of non-recirculating oxygenated Krebs-Henseleit (KH) solution without or with washed cow red blood cells at a hematocrit of 20% (KH-RBC20). The measured ionized calcium concentration of the perfusates were adjusted to 2.2 mmol/l and the temperature held constant at 37 degrees C. Left ventricular systolic pressure, its derivative and diastolic pressures were recorded via a pressure transducer attached to a small latex balloon which was placed in the left ventricle through a left atrial incision. The balloon volume was adjusted to achieve an end-diastolic pressure of 4-8 mmHg. Left ventricular (LV) developed pressure averaged 111 +/- 4 (mean +/- S.E.M.) with KH alone and 108 +/- 4 mmHg with KH-RBC20 while the coronary flows were 3.1 +/- 0.18 and 0.95 +/- 0.15 ml/min respectively. In both KH solution alone and KH-RBC20, developed pressure remained relatively stable from 3 to 5 Hz while +/- dp/dt increased approximately 10% above values observed at 3 Hz. During KH perfusion with increasing stimulation rates, left ventricular pressure and +/- dP/dt, to a lesser extent, decreased while end-diastolic pressure markedly increased at stimulation rates higher than 5 Hz. However, KH-RBC20 perfusion prevented the marked increase in diastolic pressure with increasing stimulation rates (from 5 to 10 Hz). No significant difference in left ventricular developed pressure or +/dP/dt response to treppe were in evidence between groups. These results demonstrate that diastolic function of the isovolumically contracting mouse heart is sensitive to treppe and different techniques of perfusion. Buffer perfusion alone may limit accurate measurement of left ventricular diastolic properties and exacerbate changes in diastolic function, particularly under conditions of increased oxygen demand. The erythrocyte perfused mouse heart provides an in vitro model for determining cardiac function which is physiologically superior to buffer perfusion, and may be useful to investigators to assess gene influence on left ventricular function in genetically altered mice.

摘要

比较了阶梯现象对用生理缓冲液或富含红细胞的缓冲液灌注的离体小鼠心脏左心室功能的影响。在等容收缩(左心室内有球囊)的小鼠心脏中测量左心室收缩压和舒张压。从12只成年瑞士-韦伯斯特小鼠分离心脏,通过主动脉以恒定压力(约85 mmHg)进行灌注。灌注液由不循环的含氧克氏-亨氏(KH)溶液组成,不含或含有经洗涤的牛红细胞,血细胞比容为20%(KH-RBC20)。将灌注液中测得的离子钙浓度调整为2.2 mmol/l,并将温度保持在37℃恒定。通过连接到一个小乳胶球囊的压力传感器记录左心室收缩压、其变化率和舒张压,该球囊通过左心房切口置于左心室内。调整球囊体积以达到4-8 mmHg的舒张末期压力。单独使用KH时左心室(LV)的发展压力平均为111±4(平均值±标准误),使用KH-RBC20时为108±4 mmHg,而冠状动脉血流量分别为3.1±0.18和0.95±0.15 ml/min。在单独的KH溶液和KH-RBC20中,发展压力在3至5 Hz时保持相对稳定,而±dp/dt比在3 Hz时观察到的值增加约10%。在KH灌注期间,随着刺激频率增加,左心室压力和±dP/dt在较小程度上降低,而在高于5 Hz的刺激频率下舒张末期压力显著增加。然而,KH-RBC20灌注可防止随着刺激频率增加(从5至10 Hz)舒张压的显著增加。两组之间在左心室发展压力或对阶梯现象的±dP/dt反应方面没有明显差异。这些结果表明,等容收缩小鼠心脏的舒张功能对阶梯现象和不同的灌注技术敏感。单独的缓冲液灌注可能会限制左心室舒张特性的准确测量,并加剧舒张功能的变化,特别是在氧需求增加的情况下。红细胞灌注的小鼠心脏提供了一种用于确定心脏功能的体外模型,其在生理上优于缓冲液灌注,可能对研究人员评估基因对基因改变小鼠左心室功能的影响有用。

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