Tenthorey D, de Ribaupierre Y, Kucera P, Raddatz E
Institute of Physiology, Faculty of Medicine, University of Lausanne, Switzerland.
J Cardiovasc Pharmacol. 1998 Feb;31(2):195-202. doi: 10.1097/00005344-199802000-00004.
Perturbations of the trans-sarcolemmal and sarcoplasmic Ca2+ transport contribute to the abnormal myocardial activity provoked by anoxia and reoxygenation. Whether Ca2+ pools of the extracellular compartment and sarcoplasmic reticulum (SR) are involved to the same extent in the dysfunction of the anoxic-reoxygenated immature heart has not been investigated. Spontaneously contracting hearts isolated from 4-day-old chick embryos were submitted to repeated anoxia (1 min) followed by reoxygenation (5 min). Heart rate, atrioventricular propagation velocity, ventricular shortening, velocities of contraction and relaxation, and incidence of arrhythmias were studied, recorded continuously. Addition of verapamil (10 nM), which blocks selectively sarcolemmal L-type Ca2+ channels, was expected to protect against excessive entry of extracellular Ca2+, whereas addition of ryanodine (10 nM), which opens the SR Ca2+ release channel, was expected to increase cytosolic Ca2+ concentration. Verapamil (a) had no dromotropic effect by contrast to adult heart, (b) attenuated ventricular contracture induced by repeated anoxia, (c) shortened cardioplegia induced by reoxygenation, and (d) had remarkable antiarrhythmic properties during reoxygenation specially. On the other hand, ryanodine potentiated markedly arrhythmias both during anoxia and at reoxygenation. Thus despite its immaturity, the SR seems to be functional early in the developing chick heart and involved in the reversible dysfunction induced by anoxia-reoxygenation. Moreover, Ca2+ entry through L-type channels appears to worsen arrhythmias especially during reoxygenation. These findings show that the Ca2+-handling systems involved in irregular activity in immature heart, such as the embryonic chick heart, may differ from those in the adult.
跨肌膜和肌浆网钙转运的紊乱导致了缺氧和复氧所引发的异常心肌活动。细胞外间隙和肌浆网(SR)的钙库在缺氧-复氧未成熟心脏功能障碍中所起作用的程度是否相同,尚未得到研究。从4日龄鸡胚分离出的自发收缩心脏,经历反复缺氧(1分钟)后再复氧(5分钟)。持续记录心率、房室传导速度、心室缩短、收缩和舒张速度以及心律失常的发生率。加入维拉帕米(10 nM),它能选择性阻断肌膜L型钙通道,预期可防止细胞外钙过度内流;而加入雷诺丁(10 nM),它能打开SR钙释放通道,预期会增加胞质钙浓度。维拉帕米(a)与成年心脏不同,没有变传导作用;(b)减轻了反复缺氧诱导的心室挛缩;(c)缩短了复氧诱导的心脏停搏;(d)尤其在复氧期间具有显著的抗心律失常特性。另一方面,雷诺丁在缺氧和复氧期间均显著增强心律失常。因此,尽管未成熟,但SR在发育中的鸡心脏早期似乎就有功能,并参与了缺氧-复氧诱导的可逆性功能障碍。此外,通过L型通道的钙内流似乎会加重心律失常,尤其是在复氧期间。这些发现表明,参与未成熟心脏(如鸡胚心脏)不规则活动的钙处理系统可能与成年心脏不同。