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沙丁胺醇对大鼠膈肌收缩力的变力作用因缩短而增强。

Inotropic effects of salbutamol on rat diaphragm contractility are potentiated by foreshortening.

作者信息

van der Heijden H F, Dekhuijzen P N, Folgering H, van Herwaarden C L

机构信息

Department of Pulmonary Diseases, University Hospital Nijmegen, The Netherlands.

出版信息

Am J Respir Crit Care Med. 1997 Mar;155(3):1072-9. doi: 10.1164/ajrccm.155.3.9116989.

Abstract

The aim of this study was to investigate whether the positive inotropic effects of the beta 2-adrenoceptor agonist salbutamol are increased by foreshortening of the diaphragm, and to determine the mechanism of action of these effects. Diaphragm strips were studied either at optimal resting length (Lo) or at approximately 70% Lo. In an initial experiment (Experiment I) salbutamol was added to the tissue baths in concentrations of 10 micrograms/L or 80 micrograms/L. In a second experiment (Experiment II), the effect of salbutamol (80 micrograms/L) was measured in the presence of 1 microM ryanodine, a sarcoplasmatic reticulum (SR) Ca(2+)-release inhibitor. Each experiment had a time-matched control group. Foreshortening reduced twitch force (Pt), maximal tetanic force (Po), and force-frequency curves. Salbutamol increased Pt and Po both at Lo and approximately 70% Lo. These inotropic effects were significantly greater after foreshortening. The force-frequency curve was shifted upward by salbutamol at both lengths. Force-frequency curves relative to maximal percent of Po were depressed by salbutamol at stimulation frequencies of 80 to 160 Hz. Ryanodine blocked the inotropic effect of salbutamol at both muscle lengths, indicating that these inotropic effects are probably mediated by increased SR Ca2+ release.

摘要

本研究的目的是调查膈肌缩短是否会增强β2肾上腺素能受体激动剂沙丁胺醇的正性肌力作用,并确定这些作用的作用机制。对膈肌条带分别在最佳静息长度(Lo)或约70%Lo下进行研究。在初始实验(实验I)中,将浓度为10微克/升或80微克/升的沙丁胺醇添加到组织浴中。在第二个实验(实验II)中,在存在1微摩尔的雷诺丁(一种肌浆网(SR)钙释放抑制剂)的情况下测量沙丁胺醇(80微克/升)的作用。每个实验都有一个时间匹配的对照组。缩短会降低单收缩力(Pt)、最大强直收缩力(Po)和力-频率曲线。沙丁胺醇在Lo和约70%Lo时均增加了Pt和Po。缩短后,这些正性肌力作用显著增强。在两个长度下,沙丁胺醇均使力-频率曲线向上移动。在80至160赫兹的刺激频率下,相对于Po最大百分比的力-频率曲线被沙丁胺醇压低。雷诺丁在两个肌肉长度下均阻断了沙丁胺醇的正性肌力作用,表明这些正性肌力作用可能是由SR钙释放增加介导的。

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