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钙离子通道调节改变氟烷诱导的心室肌细胞抑制。

Ca2+ channel modulation alters halothane-induced depression of ventricular myocytes.

作者信息

Kanaya N, Matsumoto M, Kawana S, Tsuchida H, Kimura H, Miyamoto A, Ohshika H, Namiki A

机构信息

Department of Anesthesiology, Sapporo Medical University, School of Medicine, Japan.

出版信息

Can J Anaesth. 1998 Jun;45(6):584-91. doi: 10.1007/BF03012714.

Abstract

PURPOSE

This study examined the direct myocardial depressant effect of halothane and determined whether an L-type Ca2+ channel agonist and antagonists altered the myocardial depression induced by halothane in cultured rat ventricular myocytes.

METHODS

Ventricular myocytes were obtained from neonatal rats by enzymatic digestion with collagenase and then cultured for 6 to 7 days. The myocytes were stabilized in a serum-free medium, and the spontaneous beating rate and amplitude were measured. To assess the halothane-induced conformational changes in L-type Ca2+ channel, receptor binding study was performed using a dihydropyridine derivative, [3H] PN 200-110, in cardiac membrane preparation.

RESULTS

Halothane (1%, 2%, 3%, 4%) decreased the beating rate and amplitude in a concentration-dependent manner (P < 0.05). The myocardial depressant effects of halothane were potentiated by nifedipine or verapamil (P < 0.05). Bay K 8644, an L-type Ca2+ channel agonist, completely prevented the halothane-induced depression in amplitude (P < 0.05), but affected the beating rate less. Adding halothane (2%) decreased (P < 0.05) the maximum binding site density for [3H] PN 200-110 (from 198.6 +/- 23.7 fmol.mg-1 protein to 115.3 +/- 21.6 fmol.mg-1 protein) but did not affect binding affinity (from 0.461 +/- 0.077 nM to 0.307 +/- 0.055 nM).

CONCLUSION

The reduction of Ca2+ current via sarcolemmal L-type Ca2+ channel, probably due to conformational changes in dihydropyridine binding sites, plays an important role in halothane-induced myocardial depression in living heart cells.

摘要

目的

本研究检测了氟烷对心肌的直接抑制作用,并确定L型钙通道激动剂和拮抗剂是否能改变氟烷在培养的大鼠心室肌细胞中所诱导的心肌抑制作用。

方法

采用胶原酶酶解新生大鼠获取心室肌细胞,然后培养6至7天。将肌细胞置于无血清培养基中使其稳定,测量其自发搏动频率和幅度。为评估氟烷诱导的L型钙通道构象变化,在心肌膜制剂中使用二氢吡啶衍生物[3H]PN 200-110进行受体结合研究。

结果

氟烷(1%、2%、3%、4%)以浓度依赖方式降低搏动频率和幅度(P<0.05)。硝苯地平或维拉帕米可增强氟烷的心肌抑制作用(P<0.05)。L型钙通道激动剂Bay K 8644可完全防止氟烷诱导的幅度降低(P<0.05),但对搏动频率影响较小。加入氟烷(2%)可降低(P<0.05)[3H]PN 200-110的最大结合位点密度(从198.6±23.7 fmol·mg-1蛋白降至115.3±21.6 fmol·mg-1蛋白),但不影响结合亲和力(从0.461±0.077 nM降至0.307±0.055 nM)。

结论

通过肌膜L型钙通道的钙电流减少,可能是由于二氢吡啶结合位点的构象变化,在氟烷诱导的活体心肌细胞心肌抑制中起重要作用。

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