Migliaro E R, Michelini M, Durán H N
Departamento de Fisiología, Facultad de Medicina, Montevideo, Uruguay.
Acta Physiol Pharmacol Ther Latinoam. 1997;47(2):107-18.
Simultaneous recordings of action potential and isometric tension of right papillary muscles were performed. After regular stimulation at 1 Hz, pauses of 10 min were allowed. In the first beat after rest, we measured action potential duration at the 90% of the repolarization (APD90), maximal twitch tension (T), time to peak of contraction (TTP), and rate of development of tension (+dT/dt) and relaxation (-dT/dt). Values were normalized against pre-rest ones. No significative changes were observed after rest at 35 degrees C. After rest at 25 degrees C APD90 and TTP were prolonged but T was reduced. Post-rest +dT/dt were slower, dT/dt did not show significative changes. Nifedipine 10 microM prevented post-rest APD90 lengthening, and produced a further reduction of mechanical response. Substitution of external Na+ by Li+ shortened APD90, increased T of either regular or post-rest beats and led to calcium overload signs. When pause were allowed during Na+ substitution, calcium overload signs were attenuated. We conclude that the combination of rest and room temperature diminished [Ca++]i mainly by Na+/Ca++ mechanism. The reduction of [Ca++]i in turn could delay the inactivation of iCa. As a consequence, longer APs were obtained, accompanied by weaker and slower mechanical responses. Changes in TTP and + dT/dt could suggest that post-rest contractions in room temperature, are dependent of extracellular Ca++ rather than a deplected RS.
对右心室乳头肌的动作电位和等长张力进行同步记录。在以1Hz的频率进行规律刺激后,允许有10分钟的间歇期。在休息后的第一个搏动中,我们测量了复极化90%时的动作电位时程(APD90)、最大收缩张力(T)、收缩达峰时间(TTP)、张力发展速率(+dT/dt)和松弛速率(-dT/dt)。这些值相对于休息前的值进行了归一化处理。在35℃休息后未观察到明显变化。在25℃休息后,APD90和TTP延长,但T降低。休息后的 +dT/dt较慢,dT/dt未显示出明显变化。10μM的硝苯地平可防止休息后APD90延长,并使机械反应进一步降低。用Li+替代细胞外Na+可缩短APD90,增加规律搏动或休息后搏动的T,并导致钙超载迹象。当在Na+替代期间允许有间歇期时,钙超载迹象会减弱。我们得出结论,休息和室温的联合作用主要通过Na+/Ca++机制降低了[Ca++]i。[Ca++]i的降低反过来可能延迟iCa的失活。因此,获得了更长的动作电位,同时伴有较弱和较慢的机械反应。TTP和 +dT/dt的变化可能表明,在室温下休息后的收缩依赖于细胞外Ca++,而不是耗尽的肌浆网(RS)。