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豚鼠左心室基底部心肌细胞中延迟整流电流(IKr和IKs)的区域差异导致动作电位时程的差异。

Regional differences in the delayed rectifier current (IKr and IKs) contribute to the differences in action potential duration in basal left ventricular myocytes in guinea-pig.

作者信息

Bryant S M, Wan X, Shipsey S J, Hart G

机构信息

Department of Cardiovascular Medicine, University of Oxford, John Radcliffe Hospital, UK.

出版信息

Cardiovasc Res. 1998 Nov;40(2):322-31. doi: 10.1016/s0008-6363(98)00133-3.

Abstract

OBJECTIVE

To compare the properties of single myocytes isolated from different layers of the basal region of the left ventricle and to test the hypothesis that differences in the delayed rectifier current (IK) contribute to regional differences in action potential duration.

METHODS

Myocytes were isolated from basal sub-endocardial, mid-myocardial and sub-epicardial layers of the guinea-pig left ventricle. Membrane voltage and current were measured using the switch-clamp technique.

RESULTS

Mean action potential duration measured at 90% repolarisation (APD90) was longer in sub-endocardial myocytes than in mid-myocardial and sub-epicardial myocytes [APD90 ms at 0.2 Hz: sub-endocardial 292 +/- 12 (n = 40), mid-myocardial 243 +/- 8 (n = 42) and sub-epicardial 227 +/- 9 (n = 36), P < 0.001, analysis of variance (ANOVA)]. The APD-rate relationship (stimulation frequencies 2, 1, 0.2 and 0.017 Hz) was steeper in sub-endocardial than in mid-myocardial or sub-epicardial myocytes (P < 0.001, ANOVA). The density of IK was greater in mid-myocardial (4.05 +/- 0.09 pA pF-1) and sub-epicardial (3.90 +/- 0.41 pA pF-1) than in sub-endocardial myocytes (2.74 +/- 0.27 pA pF-1, P < 0.01 ANOVA). The rapidly-activating (IKr) and slowly-activating (IKs) components of IK were significantly smaller in sub-endocardial than in mid-myocardial or sub-epicardial myocytes. D,L-Sotalol-induced prolongation of APD90 was similar in the three regions studied.

CONCLUSIONS

There are significant transmural gradients in the electrophysiological properties of myocytes isolated from the base of the left ventricular free wall in guinea-pig. Sub-endocardial myocytes had a longer APD90 attributable in part to a significantly smaller IK density. We have been unable to identify M cells in the guinea-pig left ventricular free wall.

摘要

目的

比较从左心室基底区域不同层分离出的单个心肌细胞的特性,并验证延迟整流电流(IK)的差异导致动作电位时程区域差异这一假说。

方法

从豚鼠左心室的心内膜下基底、心肌中层和心外膜下基底各层分离心肌细胞。使用膜片钳技术测量膜电压和电流。

结果

在90%复极化时测量的平均动作电位时程(APD90)在心内膜下心肌细胞中比在心肌中层和心外膜下心肌细胞中更长[在0.2 Hz时的APD90毫秒数:心内膜下为292±12(n = 40),心肌中层为243±8(n = 42),心外膜下为227±9(n = 36),P < 0.001,方差分析(ANOVA)]。心内膜下心肌细胞的APD-频率关系(刺激频率为2、1、0.2和0.017 Hz)比心肌中层或心外膜下心肌细胞更陡峭(P < 0.001,ANOVA)。IK的密度在心肌中层(4.05±0.09 pA pF-1)和心外膜下(3.90±0.41 pA pF-1)比在心内膜下心肌细胞中更大(2.74±0.27 pA pF-1,P < 0.01,ANOVA)。IK的快速激活成分(IKr)和缓慢激活成分(IKs)在心内膜下比在心肌中层或心外膜下心肌细胞中显著更小。D,L-索他洛尔诱导的APD90延长在研究的三个区域中相似。

结论

从豚鼠左心室游离壁基部分离出的心肌细胞的电生理特性存在显著的跨壁梯度。心内膜下心肌细胞的APD90更长,部分原因是IK密度显著更小。我们未能在豚鼠左心室游离壁中识别出M细胞。

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