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与仓鼠心肌病相关的代谢异常及对应激的不同反应。

Metabolic abnormalities and differential responses to stress associated with hamster cardiomyopathy.

作者信息

Doliba N, Chang Q, Doliba N, Babsky A, Wroblewski K, Natelson B, Osbakken M

机构信息

Department of Biochemistry/Biophysics, University of Pennsylvania, Philadelphia 19104, USA.

出版信息

Proc Soc Exp Biol Med. 1998 Oct;219(1):48-56. doi: 10.3181/00379727-219-44315.

Abstract

Metabolic differences between cardiomyopathic hamsters (CMHs), as they progress through various physiologic phases before reaching end-stage heart failure (HF), and healthy hamsters (HHs) are often difficult to demonstrate. We suggest that metabolic differences, magnified by application of chronic stress (S: cold immobilization 2 hr/day for 5 days) followed by acute stress (AS: 55 min global ischemia /30 min reperfusion), can be used to characterize different stages in this cardiomyopathic process. High performance liquid chromatography (HPLC) and 31P NMR methods were used to monitor the effects of acute stress applied to nonstressed (NS) and previously stressed CMHs (NS-2.5-month NS-5-month; S-2.5-month, S-5-month) and HHs (NS-HH, S-HH). Cardiac tissue extracts from nonstressed and stressed hamsters were analyzed for ATP and PCr at baseline and after completion of ischemia/reperfusion (AS) using HPLC. In nonstressed hamsters, ATP and PCr were 12% lower in CMHs (both NS-2.5- and NS-5-month) than in NS-HHs. After exposure to stress, ATP was 26% lower in CMHs (S-2.5- and S-5-month) compared to S-HHs, whereas there were minimal differences in PCr between the groups. 31P NMR monitoring of metabolism in the perfused beating heart during application of acute stress produced similar changes (%) in ATP and PCr in all groups (NS and S), whereas Pi increase was less in NS-5-month (118%) compared to NS-2.5-month (179%) and NS-HHs (306.8%), P < 0.05; and in S-5-month (148%) compared to S-2.5-month (216%) and S-HHs (222%). The changes in myocardial pH were inversely related to changes in Pi: NS-5-month (-13.5%); NS-2.5-month (-9.7%); NS-HH (-17.7%). pH changes in stressed cardiomyopathic hamsters were similar to those of S-HHs. The postischemic recovery of ATP and Pi return closer to baseline values in cardiomyopathic hamsters (both NS and S) compared to healthy hamsters. The data suggest that cardiomyopathic hamsters have baseline metabolic abnormalities, and their responses to chronic cold immobilization stress, acute ischemia, and chronic cold immobilization stress plus acute ischemia are different from those in HHs. These responses may help to characterize specific stages of disease.

摘要

在进展至终末期心力衰竭(HF)之前经历不同生理阶段的心肌病仓鼠(CMH)与健康仓鼠(HH)之间的代谢差异往往难以证实。我们认为,通过施加慢性应激(S:每天冷束缚2小时,持续5天)后再施加急性应激(AS:55分钟全心缺血/30分钟再灌注)而放大的代谢差异,可用于表征这种心肌病过程中的不同阶段。采用高效液相色谱(HPLC)和31P核磁共振方法监测急性应激对未应激(NS)和先前已应激的CMH(NS - 2.5个月、NS - 5个月;S - 2.5个月、S - 5个月)以及HH(NS - HH、S - HH)的影响。使用HPLC分析未应激和应激仓鼠的心脏组织提取物在基线以及缺血/再灌注(AS)完成后的ATP和磷酸肌酸(PCr)水平。在未应激的仓鼠中,CMH(NS - 2.5个月和NS - 5个月)的ATP和PCr水平比NS - HH低12%。在经历应激后,与S - HH相比,CMH(S - 2.5个月和S - 5个月)的ATP水平低26%,而两组之间的PCr差异最小。在急性应激期间,对灌注跳动心脏的代谢进行31P核磁共振监测发现,所有组(NS和S)的ATP和PCr变化(%)相似,而NS - 5个月组(118%)的无机磷(Pi)增加幅度低于NS - 2.5个月组(179%)和NS - HH组(306.8%),P < 0.05;S - 5个月组(148%)的Pi增加幅度低于S - 2.5个月组(216%)和S - HH组(222%)。心肌pH值的变化与Pi的变化呈负相关:NS - 5个月组(-13.5%);NS - 2.5个月组(-9.7%);NS - HH组(-17.7%)。应激心肌病仓鼠的pH值变化与S - HH组相似。与健康仓鼠相比,心肌病仓鼠(NS和S)缺血后ATP和Pi恢复至更接近基线值。数据表明,心肌病仓鼠存在基线代谢异常,它们对慢性冷束缚应激、急性缺血以及慢性冷束缚应激加急性缺血的反应与HH不同。这些反应可能有助于表征疾病的特定阶段。

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