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压力或容量超负荷肥大对成年离体心肌细胞被动僵硬度的影响。

Effects of pressure- or volume-overload hypertrophy on passive stiffness in isolated adult cardiac muscle cells.

作者信息

Kato S, Koide M, Cooper G, Zile M R

机构信息

Gazes Cardiac Research Institute, Department of Medicine, Medical University of South Carolina, Charleston 29425-5799, USA.

出版信息

Am J Physiol. 1996 Dec;271(6 Pt 2):H2575-83. doi: 10.1152/ajpheart.1996.271.6.H2575.

Abstract

It has been hypothesized that the changes in myocardial stiffness induced by chronic hemodynamic overloading are dependent on changes in the passive stiffness of the cardiac muscle cell (cardiocyte). However, no previous studies have examined the passive constitutive properties of cardiocytes isolated from animals with myocardial hypertrophy. Accordingly, changes in relative passive stiffness of cardiocytes isolated from animals with chronic pressure- or volume-overload hypertrophy were determined by examining the effects of anisosmotic stress on cardiocyte size. Anisosmotic stress was produced by altering superfusate osmolarity. Hypertrophied cardiocytes were enzymatically isolated from 16 adult cats with right ventricular (RV) pressure-overload hypertrophy induced by pulmonary artery banding (PAB) and from 6 adult cats with RV volume-overload hypertrophy induced by creating an atrial septal defect (ASD). Left ventricular (LV) cardiocytes from each cat served as nonhypertrophied, normally loaded, same-animal controls. Superfusate osmolarity was decreased from 305 +/- 3 to 135 +/- 5 mosM and increased to 645 +/- 4 mosM. During anisosmotic stress, there were no significant differences between hypertrophied RV and normal LV cardiocytes in pressure overload PAB cats with respect to percent change in cardiocyte area (47 +/- 2% in RV vs. 48 +/- 2% in LV), diameter (46 +/- 3% in RV vs. 48 +/- 2% in LV), or length (2.4 +/- 0.2% in RV vs. 2.0 +/- 0.3% in LV), or sarcomere length (1.5 +/- 0.1% in RV vs. 1.3 +/- 0.3% in LV). Likewise, there were no significant differences in cardiocyte strain between hypertrophied RV and normal LV cardiocytes from ASD cats. In conclusion, chronic pressure-overload hypertrophy and chronic volume-overload hypertrophy did not alter the cardiocyte response to anisosmotic stress. Thus chronic overload hypertrophy did not alter relative passive cardiocyte stiffness.

摘要

有假说认为,慢性血流动力学过载引起的心肌僵硬度变化取决于心肌细胞(心肌纤维细胞)被动僵硬度的变化。然而,以前没有研究检测过从患有心肌肥大的动物分离出的心肌纤维细胞的被动本构特性。因此,通过检测等渗应激对心肌纤维细胞大小的影响,确定从患有慢性压力或容量过载肥大的动物分离出的心肌纤维细胞相对被动僵硬度的变化。等渗应激通过改变灌流液渗透压产生。肥大的心肌纤维细胞是从16只因肺动脉束带术(PAB)导致右心室(RV)压力过载肥大的成年猫以及6只因制造房间隔缺损(ASD)导致RV容量过载肥大的成年猫中酶解分离得到的。每只猫的左心室(LV)心肌纤维细胞作为未肥大、正常负荷的同动物对照。灌流液渗透压从305±3降低到135±5 mosM,并升高到645±4 mosM。在等渗应激期间,在压力过载PAB猫中,肥大的RV心肌纤维细胞和正常LV心肌纤维细胞在心肌纤维细胞面积变化百分比(RV为47±2%,LV为48±2%)、直径(RV为46±3%,LV为48±2%)、长度(RV为2.4±0.2%,LV为2.0±0.3%)或肌节长度(RV为1.5±0.1%,LV为1.3±0.3%)方面没有显著差异。同样,在ASD猫的肥大RV心肌纤维细胞和正常LV心肌纤维细胞之间,心肌纤维细胞应变也没有显著差异。总之,慢性压力过载肥大和慢性容量过载肥大并未改变心肌纤维细胞对等渗应激的反应。因此,慢性过载肥大并未改变心肌纤维细胞的相对被动僵硬度。

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