Carvalho A J, McKee N H, Green H J
Department of Surgery, University of Toronto, Ontario, Canada.
Plast Reconstr Surg. 1997 Jan;99(1):163-71. doi: 10.1097/00006534-199701000-00025.
The purpose of this study was to investigate the significance of fiber type and the effects of the duration of ischemia on metabolic and contractile function of skeletal muscle. Under anesthesia, the distal tendons of the fast twitch extensor digitorum longus (EDL) and slow twitch soleus (SOL) muscles of the right hindlimb of female Wistar rats (250 to 300 gm) were connected to force transducers. Rats were assigned to group 1, 1 hour of ischemia; group 2, 2 hours of ischemia; or group 3, 3 hours of ischemia (n = 10 for each group). After ischemia, muscles were assessed for 2 hours of reperfusion. In both muscles, isometric twitch (Pt) and tetanus (Po) and 11 metabolic parameters were measured and compared with controls. After 1, 2, or 3 hours of ischemia Pt and Po were significantly (p < 0.05) lower than preischemic values. After 2 hours of reperfusion, forces and metabolic parameters of group 1 recovered to preischemic levels. However, contractile function of either muscle failed to recover fully after 2 hours of ischemia and 2 hours of reperfusion (SOL: Pt = 43.7 +/- 12 percent of initial; EDL: Pt = 32.2 +/- 9.2 percent) or after 3 hours of ischemia and 2 hours of reperfusion (SOL: Pt = 26.8 +/- 11 percent of initial; EDL: Pt = 19.3 +/- 6.8 percent). Although ADP and AMP recovered to preischemic levels in both muscles after 2 hours of ischemia and 2 hours of reperfusion, ATP recovered to just 70 percent in the soleus muscles (13.4 +/- 1.7 mmol/kg dry weight) and 60 percent in the extensor digitorum longus muscles (17.93 +/- 4.1 mmol/kg dry weight). After 3 hours of ischemia and 2 hours of reperfusion, ATP was further significantly (p < 0.05) decreased in the soleus muscles (48 percent initial) but not in the extensor digitorum longus muscles. Significant partial correlation coefficients (p < 0.005) were obtained between ATP levels and Pt (SOL: r = 0.757; EDL: r = 0.619) or Po (SOL: r = 0.810; EDL: r = 0.759). For this rat hindlimb model, we conclude that both fiber type and the duration of ischemia significantly affect metabolic and contractile function.
本研究的目的是探讨纤维类型的意义以及缺血持续时间对骨骼肌代谢和收缩功能的影响。在麻醉状态下,将雌性Wistar大鼠(250至300克)右后肢的快肌趾长伸肌(EDL)和慢肌比目鱼肌(SOL)的远端肌腱连接到力传感器上。大鼠被分为三组:第1组,缺血1小时;第2组,缺血2小时;第3组,缺血3小时(每组n = 10)。缺血后,对肌肉进行2小时的再灌注评估。在这两块肌肉中,测量等长收缩抽搐(Pt)和强直收缩(Po)以及11个代谢参数,并与对照组进行比较。缺血1、2或3小时后,Pt和Po显著低于缺血前值(p < 0.05)。再灌注2小时后,第1组的肌力和代谢参数恢复到缺血前水平。然而,在缺血2小时和再灌注2小时后(比目鱼肌:Pt =初始值的43.7 +/- 12%;趾长伸肌:Pt =初始值的32.2 +/- 9.2%)或缺血3小时和再灌注2小时后(比目鱼肌:Pt =初始值的26.8 +/- 11%;趾长伸肌:Pt =初始值的19.3 +/- 6.8%),两块肌肉的收缩功能均未完全恢复。尽管在缺血2小时和再灌注2小时后,两块肌肉中的二磷酸腺苷(ADP)和一磷酸腺苷(AMP)恢复到缺血前水平,但比目鱼肌中的三磷酸腺苷(ATP)仅恢复到70%(13.4 +/- 1.7 mmol/kg干重),趾长伸肌中的ATP恢复到60%(17.93 +/- 4.1 mmol/kg干重)。在缺血3小时和再灌注2小时后,比目鱼肌中的ATP进一步显著降低(p < 0.05)(为初始值的48%),而趾长伸肌中的ATP未降低。在ATP水平与Pt(比目鱼肌:r = 0.757;趾长伸肌:r = 0.619)或Po(比目鱼肌:r = 0.810;趾长伸肌:r = 0.759)之间获得了显著的偏相关系数(p < 0.005)。对于该大鼠后肢模型,我们得出结论,纤维类型和缺血持续时间均显著影响代谢和收缩功能。