Zile M R, Richardson K, Cowles M K, Buckley J M, Koide M, Cowles B A, Gharpuray V, Cooper G
Department of Medicine, Gazes Cardiac Research Institute, Medical University of South Carolina and the Veterans Administration Medical Center, Charleston 29425-5799, USA.
Circulation. 1998 Aug 11;98(6):567-79. doi: 10.1161/01.cir.98.6.567.
The purpose of this study was to determine whether changes in the constitutive properties of the cardiac muscle cell play a causative role in the development of diastolic dysfunction.
Cardiocytes from normal and pressure-hypertrophied cats were embedded in an agarose gel, placed on a stretching device, and subjected to a change in stress (sigma), and resultant changes in cell strain (epsilon) were measured. These measurements were used to examine the passive elastic spring, viscous damping, and myofilament activation. The passive elastic spring was assessed in protocol A by increasing the sigma on the agarose gel at a constant rate to define the cardiocyte sigma-versus-epsilon relationship. Viscous damping was assessed in protocol B from the loop area between the cardiocyte sigma-versus-epsilon relationship during an increase and then a decrease in sigma. In both protocols, myofilament activation was minimized by a reduction in [Ca2+]i. Myofilament activation effects were assessed in protocol C by defining cardiocyte sigma versus epsilon during an increase in sigma with physiological [Ca2+]i. In protocol A, the cardiocyte sigma-versus-epsilon relationship was similar in normal and hypertrophied cells. In protocol B, the loop area was greater in hypertrophied than normal cardiocytes. In protocol C, the sigma-versus-epsilon relation in hypertrophied cardiocytes was shifted to the left compared with normal cells.
Changes in viscous damping and myofilament activation in combination may cause pressure-hypertrophied cardiocytes to resist changes in shape during diastole and contribute to diastolic dysfunction.
本研究的目的是确定心肌细胞组成特性的变化是否在舒张功能障碍的发展中起因果作用。
将正常和压力超负荷肥大猫的心肌细胞包埋在琼脂糖凝胶中,置于拉伸装置上,施加应力(σ)变化,并测量由此产生的细胞应变(ε)变化。这些测量用于检查被动弹性弹簧、粘性阻尼和肌丝激活。在方案A中,通过以恒定速率增加琼脂糖凝胶上的σ来评估被动弹性弹簧,以确定心肌细胞σ与ε的关系。在方案B中,根据σ增加然后降低期间心肌细胞σ与ε关系之间的环路面积评估粘性阻尼。在这两个方案中,通过降低[Ca2+]i使肌丝激活最小化。在方案C中,通过在具有生理[Ca2+]i的σ增加期间定义心肌细胞σ与ε来评估肌丝激活效应。在方案A中,正常细胞和肥大细胞的心肌细胞σ与ε关系相似。在方案B中,肥大心肌细胞的环路面积大于正常心肌细胞。在方案C中,与正常细胞相比,肥大心肌细胞的σ与ε关系向左移动。
粘性阻尼和肌丝激活的变化共同作用可能导致压力超负荷肥大的心肌细胞在舒张期抵抗形状变化,并导致舒张功能障碍。