Carvalho A J, McKee N H, Green H J
Department of Surgery, University of Toronto, ON, Canada.
Can J Physiol Pharmacol. 1996 Dec;74(12):1333-41.
Complete occlusion of blood flow to rat hind limb by tourniquet was used to study the effects of total ischemia for 1, 2, and 3 h on contractile function and metabolic behaviour of two muscles composed predominantly of either fast-twitch (extensor digitorum longus, EDL) or slow-twitch (soleus, SOL) fibres. Percent loss in twitch force (Pt) was greater (p < 0.05) in SOL than EDL during the first 45 min of ischemia. Following 1 h of ischemia, ATP concentration was lower (p < 0.05) than in the contralateral control (20.8 +/- 2.0 vs. 26.4 +/- 1.5 mmol/kg dry weight). Thereafter, the decline in ATP was greater, with approximately 95% depleted by 3 h of ischemia (1.46 +/- 0.46 mmol/kg dry weight). The effect of ischemia on ATP levels in the SOL was similar to ATP levels in the EDL, 1 h of ischemia also resulted in a large decrement in PCr, from 50.1 +/- 2.9 to 11.7 +/- 2.4 mmol/kg dry weight, and a large increase in lactate, from 25.0 +/- 3.0 to 114 +/- 10 mmol/kg dry weight. As ischemia was prolonged, only lactate was increased (p < 0.05) both at 2 h (171 +/- 12 mmol/kg dry weight) and 3 h (208 +/- 5.4 mmol/kg dry weight). Similar trends were found for SOL. By 3 h of ischemia, glycogen was depleted (p < 0.05) by 88% in EDL and 92% in SOL, respectively. These results support the hypothesis that both high energy phosphate transfer and anerobic glycolysis are of major importance in defending ATP hemostasis, particularly during the 1st h of ischemia, and that the resulting metabolic disturbances are responsible for the large fatigability observed. The mechanisms underlying the greater resistance to fatigue observed for the SOL compared with the EDL during the earlier period of ischemia remain uncertain.
通过止血带完全阻断大鼠后肢的血流,以研究1、2和3小时的完全缺血对主要由快肌纤维(趾长伸肌,EDL)或慢肌纤维(比目鱼肌,SOL)组成的两块肌肉的收缩功能和代谢行为的影响。在缺血的前45分钟内,比目鱼肌的抽搐力损失百分比(Pt)大于趾长伸肌(p < 0.05)。缺血1小时后,ATP浓度低于对侧对照(20.8±2.0对26.4±1.5 mmol/kg干重,p < 0.05)。此后,ATP的下降幅度更大,缺血3小时后约95%被耗尽(1.46±0.46 mmol/kg干重)。缺血对比目鱼肌ATP水平的影响与趾长伸肌相似,缺血1小时也导致磷酸肌酸大幅下降,从50.1±2.9降至11.7±2.4 mmol/kg干重,乳酸大幅增加,从25.0±3.0升至114±10 mmol/kg干重。随着缺血时间延长,仅在2小时(171±12 mmol/kg干重)和3小时(208±5.4 mmol/kg干重)时乳酸增加(p < 0.05)。比目鱼肌也发现了类似趋势。到缺血3小时时,趾长伸肌和比目鱼肌中的糖原分别被耗尽88%和92%(p < 0.05)。这些结果支持以下假设:高能磷酸转移和无氧糖酵解在维持ATP稳态中都起着重要作用,特别是在缺血的第1小时,并且由此产生的代谢紊乱是观察到的严重疲劳的原因。在缺血早期比目鱼肌比趾长伸肌对疲劳具有更大抵抗力的潜在机制仍不确定。