慢性缺氧对大鼠左右心室功能,心肌肌原纤维Ca^2＋,Mg^2＋—A…

模ｍ中度缺氧时,大鼠右室功能显著加强,而左室功能加强不显著;左右主室肌原纤维Ｃａ＾２＋,ｍｇ＾２＋－ＡＴＰ酶活性下降,肌球蛋白同功酶Ｖ２和Ｖ３百分含量增加,Ｖ１百分含量减少。８０００ｍ重度缺氧时,右室功能减弱,但无统计学意义,左室功能减弱有显著性;ＡＴＰ酶活性和同功酶的变化超过５０００ｍ组。此外,右室ＡＴＰ酶活性与ＰＡＰ呈反比且有显著性,左室ＡＴＰ酶活性与ＣＡＳＰ虽也呈反比但无显著性;右室同功酶Ｖ     

缺氧心肌收缩蛋白Ca~（2＋），Mg~（2＋）－ATP酶活性研究

将大鼠置于模拟海拔８ｋｍ高度的低压舱内缺氧１周及缺氧后空气中常氧恢复１周和２周,观察了左右心室功能、心肌肥厚、心肌收缩蛋白含量及其Ｃａ￣（２＋）,Ｍｇ￣（２＋）－ＡＴＰ酶活性的动态变化。结果表明,８ｋｍ缺氧１周后肺动脉压及右心室收缩压明显升高,左右心室±ｄｐ／ｄｔｍａｘ及收缩指数明显降低。左右心室肌明显肥厚,心肌收缩蛋白Ｃａ￣（２＋）,Ｍｇ￣（２＋）－ＡＴＰ酶活性明显减低。缺氧后常氧恢复１和２周后,左右心室功能逐渐恢复达到或接近正常水平,心肌肥厚逐渐减轻或恢复正常,心肌收缩蛋白Ｃａ￣（２＋）,Ｍｇ￣（２＋）－ＡＴＰ酶活性也逐渐升高。因此说明：心肌收缩蛋白Ｃａ￣（２＋）,Ｍｇ￣（２＋）－ＡＴＰ酶活性的改变是心功能变化的重要生化基础之一,它的减低是缺氧心肌对环境的代偿适应。     

稀土对肌质网Ca~（2＋）－ATP酶活性的影响

研究了镧、轧、镱及四种配合物对Ｃａ~（２＋）－ＡＴＰ酶活性的影响．结果表明,低浓度的Ｌａ~（３＋）,Ｇｄ~（３＋）和Ｙｂ~（３＋）对肌质网Ｃａ~（２＋）－ＡＴＰ酶有激活作用;随着其浓度的增加,它们对酶活性的抑制程度增大;而Ｌａ~（３＋）,Ｇｄ~（３＋）和Ｙｂ~（３＋）对纯化的Ｃａ２~（＋）－ＡＴＰ酶则只有抑制作用;Ｇｄ─Ｎ─乙酰─缬氨酸和Ｙｂ─丙氨酰代丙氨酸配合物对肌质网膜和纯化的Ｃａ~（２＋）－ＡＴＰ酶活性的影响与Ｇｄ~（３＋）及Ｙｂ~（３＋）类似,但其激活程度和抑制程度比Ｇｄ~（３＋）及Ｙｂ~（３＋）小;Ｇｄ─ＤＴＰＡ和Ｙｂ－ＤＴＰＡ对Ｃａ２~（＋）－ＡＴＰ酶活性基本无影响。     

低氧适应对缺氧性心功能损伤的保护作用及其机制探讨

缺氧对心脏功能的影响与缺氧的严重程度、发生速度及时程有关。本实检比较了急性缺氧与阶梯适应性缺氧对Ｗｉｓｔａｒ大鼠心脏功能及心肌收缩蛋白Ｃａ２＋,Ｍｇ２＋－ＡＴＰ酶的不同影响,结果表明,低氧适应组与急性缺氧组比较,左右心室的±ｄｐ／ｄｔｍａｘ、收缩指数等心功能指标均有显著的改善,心肌收缩蛋白Ｃａ２＋,Ｍｇ２＋－ＡＴＰ酶活性也显著高于急性缺氧组。从而说明,动物经低氧适应后,心脏的代偿功能得到充分发挥,从面减轻缺氧对心脏的损伤。心肌收缩蛋白Ｃａ２＋,Ｍｇ２＋－ＡＴＰ酶的改善可能是心脏代偿机制的生物化学基础之一。     

高血压大鼠红细胞膜Ca~（2＋），Mg~（2＋）─ATP酶对Ca~（2＋）反应的变化及Mg~（2＋）的作用

本实验观察了正常及高血压大鼠红细胞膜Ｃａ２＋,Ｍｇ２＋－ＡＴＰ酶对不同浓度Ｃａ２＋及Ｍｇ２＋的反应。结果表明：（１）在自发性高血压大鼠（ＳＨＲ）,此酶最适反应的Ｃａ２＋浓度为１０－６ｍｏｌ／Ｌ;ＷＫＹ大鼠为１０－４ｍｏｌ／Ｌ;两肾一环型肾性高血压大鼠（ＲＨＲ）为１０－７ｍｏｌ／Ｌ,Ｗｉｓｔａｒ大鼠为１０－４ｍｏｌ／Ｌ,Ｃａ２＋高于以上各相应浓度时该酶活性受到抑制;（２）作为该酶激动剂的Ｍｇ２＋有其最适激活浓度,在ＷＫＹ大鼠、ＲＨＲ及Ｗｉｓｔａｒ大鼠均为４．５ｍｏｌ／Ｌ;（３）高浓度Ｍｇ２＋（３６．０ｍｏｌ／Ｌ）可以逆转高浓度Ｃａ２＋对该酶的抑制作用。以上结果表明,底物Ｃａ２＋浓度的变化对Ｃａ２＋,Ｍｇ２＋－ＡＴＰ酶的催化活性影响极大,该酶活性的促发及维持必须有适宜浓度的Ｍｇ２＋。高血压时此酶对Ｃａ２＋的敏感性增高,且Ｍｇ２＋对酶保护作用更为明显。本结果提示,胞内高浓度Ｃａ２＋不仅是高血压发生的原因之一,并可能与其发展及恶化有关。     

神经节苷脂GM_3对肌质网Ca~（2＋）－ATP酶活力的调节

研究了神经节苷脂ＧＭ_３参入肌质网膜后Ｃａ~（２＋）－ＡＴＰ酶活力的变化,结果表明：ＧＭ_３参入肌质网膜后,对肌质网Ｃａ~（２＋）ＡＴＰ酶活性（ＡＴＰ水解活力与转运活力）有明显的激活作用．当参入的ＧＭ_３浓度为８μｍｏｌ／Ｌ、参入时间为１２０ｍｉｎ、温度为３０℃时,对Ｃａ~（２＋）－ＡＴＰ酶的激活作用最大．     

氧化脂质及对大鼠心肌肌质网Ca~（2＋）－ATPase磷酸化微区运动状态的影响

用ＴＢＡ法测定了三尖杉酯碱的膜脂氧化效应;用纳秒荧光偏振技术研究了氧化膜脂对ＤＰＨ标记大鼠心肌肌质网膜脂、ＡＮＭ标记心肌肌质网Ｃａ２＋－ＡＴＰａ功能及磷酸化微区运动状态的影响。随膜脂中氧化磷脂的增加,肌质网膜脂双层的微粘度增加,磷脂分子摆动角减小：ＤＰＨ的荧光强度减弱,荧光寿命缩短。Ｃａ２＋－ＡＴＰａｓｅ的ＡＴＰ水解活性降低。ＡＮＭ标记Ｃａ２＋－ＡＴＰａｓｅ磷酸化微区的ｒ（ｔ）曲线半衰期减至６８±４ｎｓｅｃ。结果提示,膜脂中氧化磷脂的含量影响膜脂双层的流动性及Ｃａ２＋－ＡＴＰａｓｅ的ＡＴＰ水解活性和磷酸化微区的微细结构。     

抗寒剂CR—4对冬小麦幼苗质膜钙泵（Ca^2＋—ATPase）的稳定作用

通过磷酸铈沉淀的细胞化学观察揭示,常温下生长的冬小麦幼苗的Ｃａ２＋ＡＴＰ酶活性主要定位在质膜上,同时,水浸种和抗寒剂浸种的小麦质膜Ｃａ２＋ＡＴＰ酶活性没有差异。然而,小麦幼苗经－７℃冰冻处理１２小时和２４小时后,则表现明显的区别：水浸种的小麦幼苗质膜Ｃａ２＋ＡＴＰ酶活性明显下降,直至完全失活,细胞的精细结构也同时被破坏;而经抗寒剂浸种的小麦幼苗质膜Ｃａ２＋ＡＴＰ酶仍维持较高的活性,细胞结构也保持完整,显示抗寒剂对质膜Ｃａ２＋ＡＴＰａｓｅ酶起着明显的稳定作用。     

神经节苷脂（Gangliosides）对人红细胞膜Ca~（2＋）－Mg~（2＋）ATPase的影响

神经节苷脂（Ｇａｎｇｌｉｏｓｉｄｅｓ）是红细胞膜Ｃａ~（２＋）－Ｍｇ~（２＋）ＡＴＰａｓｅ的一种激活剂,这种激活作用也是依赖于Ｃａ~（２＋）存在。在２００μｍｏｌ／ＬＣａ~（２＋）存在的反应体系中,１００μｇ／ｍＬＧａｎｇｌｉｏｓｉｄｅｓ对Ｃａ~（２＋）－Ｍｇ~（２＋）ＡＴＰａｓｅ的激活作用最大,为基本酶活性的１５０％以上。实验还发现ＣａＭ拮抗剂三氟拉嗪（ＴＦＰ）、粉防已碱（Ｔｅｔ）等也同样抑制Ｇａｎｇｌｉｏｓｉｄｅｓ的这种激活作用。其抑制的ＩＣ_（５０）值为２５μｍｏｌ／Ｌ和３０μｍｏ１／Ｌ;而此浓度下抑制剂存在的反应体系中,对Ｃａ~（２＋）－Ｍｇ~（２＋）ＡＴＰａｓｅ的基本活性影响不大。     

苹果果肉质膜微囊主动动输Ca^2＋的Ca^2＋—ATP酶特性

应用＾４５Ｃａ＾２＋示踪法研究了苹果果肉质膜微囊依赖于Ｃａ＾２＋的ＡＴＰ酶（Ｃａ＾２＋－ＡＴＰ酶）活性与Ｃａ＾２运输之间的关系及激素对该酶活性的影响。结果表明：Ｃａ＾２＋－ＡＴＰ酶存在于质膜上并受载体Ａ２３８７刺激而活性增加,该酶活性与依赖于ＡＴＰ的Ｃａ＾２＋运输依抑制剂ＥＢ,游离Ｃａ＾２＋和ＡＴＰ浓度的变化并呈极为相似的饱和动力学特征,而其ＥＢ半抑制浓度,Ｃａ＾２＋和ＡＴＰ半饱和浓度分别为０．１     

慢性缺氧对大鼠心室功能和ATP酶活性的影响

将大鼠置于不同模拟海拔高度低压舱内4d,观察其左、右心室功能代偿与失代偿的某些生物化学基础。结果表明,5000m中度缺氧4d使左、右心室功能、重量、心肌蛋白含量及Ca~(2 )-ATP酶活性均有不同程度的增高。提示机体在整体、心脏器官及心肌细胞分子各个水平的代偿机制均有加强。8000m重度缺氧4d后,左室重量增加,dp/dt_(max)与蛋白含量均下降,肌原纤维ATP酶活性则保持中度缺氧的代偿水平,提示左心功能似已受到损害。与此同时,右室蛋白含量虽也明显减少,但其ATP酶活性则继续增高,dp/dt_(max)未出现下降,表明右心功能仍具有相当的代偿能力。从而支持我们关于在短期内因供氧严重不足而造成的左室心肌的直接损伤作用大于右室心肌的推论。     

Reduced cardiac myofibrillar Mg-ATPase activity without changes in myosin isozymes in patients with end-stage heart failure

In this study we tested the hypothesis that reduced myofibrillar ATPase activities in end-stage heart failure are associated with a redistribution of myosin isozymes. Cardiac myofibrils were isolated from left ventricular free wall from normal human hearts and hearts at end-stage heart failure caused by coronary artery diseases, cardiomyopathy or immunological rejection. The hearts had been excised in preparation for a heart transplant. Myofibrillar Ca^2–-dependent Mg-ATPase and myosin Ca^–- and K^–EDTA-ATPase activities were compared. Possible changes in myosin isozyme distribution in the diseased heart were investigated using polyacrylamide gel electrophoresis of native myosin in the presence of pyrophosphate. Significant reduction in myofibrillar Ca²⁺-dependent Mg-ATPase with no changes in the sensitivity of the myofibrils to Ca⁺ was observed in heart with coronary artery diseases (25.2 to 27.1% at pCa 5.83 to pCa 5.05), cardiomyopathy (21.1 to 25.5% at pCa 5.41 to pCa 5.05), and in the immunologically rejected heart (18.4 to 22.8% at pCa 5.41 to pCa 5.05). Significantly lower myosin Ca²⁺-ATPase was observed with coronary artery diseases only and myosin K-EDTA activities did not differ in diseased and normal hearts. Polyacrylamide gel electrophoresis of native myosin from the normal and three models of end-stage heart failure revealed two distinct bands in the human left ventricle and one diffuse band in the human right atria. No apparent differences in myosin isoenzyme pattern were observed between the normal and diseased hearts. Further evaluation is needed to clarify the ATPase nature of the two bands.     

Intermedin/adrenomedullin 2及其受体在慢性低氧性肺动脉高压大鼠右心室的表达变化

本研究探讨了新发现的小分子生物活性肽intermedin／adrenomedullin 2（IMD／ADM2）及其受体在慢性低氧性肺动脉高压大鼠右心室中的变化和可能作用。用放射免疫分析法测定正常对照组和常压低氧4周组Sprague-Dawley大鼠血浆、右心室匀浆IMD／ADM2和肾上腺髓质素（adrenomednllin,ADM）蛋白水平;逆转录-多聚酶链反应法测定右心室IMD／ADM2、ADM及受体：降钙素受体样受体（calcitonin receptor-like receptor,CRLR）、受体活性修饰蛋白1,2,3（receptor activity modifying protein 1,2,3,RAMP1,RAMP2,RAMP3）mRNA表达。结果显示：低氧组平均肺动脉压、右心室与左心室加室间隔重量比[RV／（LV＋S）]显著高于对照组（均P〈0．01）;低氧组血浆和右心室组织匀浆ADM水平比对照组分别高1．26倍和1．68倍（P〈0．01）,IMD／ADM2水平则较对照组分别高0．90倍和1．19倍（P〈0．01）;与对照组相比,低氧组右心室IMD／ADM2、ADM mRNA表达均上调（P〈0．01）,RAMP2 mRNA表达增强（P〈0．05）,而两组间CRLR、RAMP1、RAMP3 mRNA的表达水平无显著性差异。结果表明,慢性低氧性肺动脉高压大鼠IMD／ADM2表达水平升高。     

p53 Gene deficiency promotes hypoxia-induced pulmonary hypertension and vascular remodeling in mice

Chronic hypoxia induces pulmonary arterial remodeling, resulting in pulmonary hypertension and right ventricular hypertrophy. Hypoxia has been implicated as a physiological stimulus for p53 induction and hypoxia-inducible factor-1α (HIF-1α). However, the subcellular interactions between hypoxic exposure and expression of p53 and HIF-1α remain unclear. To examine the role of p53 and HIF-1α expression on hypoxia-induced pulmonary arterial remodeling, wild-type (WT) and p53 knockout (p53KO) mice were exposed to either normoxia or hypoxia for 8 wk. Following chronic hypoxia, both genotypes demonstrated elevated right ventricular pressures, right ventricular hypertrophy as measured by the ratio of the right ventricle to the left ventricle plus septum weights, and vascular remodeling. However, the right ventricular systolic pressures, the ratio of the right ventricle to the left ventricle plus septum weights, and the medial wall thickness of small vessels were significantly greater in the p53KO mice than in the WT mice. The p53KO mice had lower levels of p21 and miR34a expression, and higher levels of HIF-1α, VEGF, and PDGF expression than WT mice following chronic hypoxic exposure. This was associated with a higher proliferating cell nuclear antigen expression of pulmonary artery in p53KO mice. We conclude that p53 plays a critical role in the mitigation of hypoxia-induced small pulmonary arterial remodeling. By interacting with p21 and HIF-1α, p53 may suppress hypoxic pulmonary arterial remodeling and pulmonary arterial smooth muscle cell proliferation under hypoxia.     

Acute and chronic cardiovascular effects of intermittent hypoxia in C57BL/6J mice.

We investigated the effects of 1) acute hypoxia and 2) 5 wk of chronic intermittent hypoxia (IH) on the systemic and pulmonary circulations of C57BL/6J mice. Mice were chronically instrumented with either femoral artery or right ventricular catheters. In response to acute hypoxia (4 min of 10% O2; n = 6), systemic arterial blood pressure fell (P < 0.005) from 107.7 +/- 2.5 to 84.7 +/- 6.5 mmHg, whereas right ventricular pressure increased (P < 0.005) from 11.7 +/- 0.8 to 14.9 +/- 1.3 mmHg. Another cohort of mice was then exposed to IH for 5 wk (O2 nadir = 5%, 60-s cycles, 12 h/day) and then implanted with catheters. In response to 5 wk of chronic IH, mice (n = 8) increased systemic blood pressure by 7.5 mmHg, left ventricle + septum weight by 32.2 +/- 7.5 x 10(-2) g/100 g body wt (P < 0.015), and right ventricle weight by 19.3 +/- 3.2 x 10(-2) g/100 g body wt (P < 0.001), resulting in a 14% increase in the right ventricle/left ventricle + septum weight (P < 0.005). We conclude that in C57BL/6J mice 1) acute hypoxia causes opposite effects on the pulmonary and systemic circulations, leading to preferential loading of the right heart; and 2) chronic IH in mice results in mild to moderate systemic and pulmonary hypertension, with resultant left- and right-sided ventricular hypertrophy.     

Effect of swimming training on cardiac function and myosin ATPase activity in SHR

Male spontaneously hypertensive rats (SHR) and Wistar-Kyoto normotensive rats (WKY) were subjected to swimming training 6 times/wk, commencing at 4 wk of age, to determine whether this type of endurance exercise might alter contractile proteins and cardiac function in young adult SHR. The total duration of exercise was 190 h. Myofibrillar adenosinetriphosphatase (ATPase) activity was assayed at various free [Ca2+] ranging from 10(-7) to 10(-5) M. Ca2+-stimulated ATPase activity of actomyosin and purified myosin was determined at various Ca2+ concentrations both in the low and high ionic strength buffers. Actin-activated myosin ATPase activity of purified myosin was assayed at several concentrations of actin purified from rabbit skeletal muscle. Under all these conditions the contractile protein ATPase activity was comparable between trained and untrained WKY and SHR. Analysis of myosin isoenzymes on pyrophosphate gels showed a single band corresponding to V1 isoenzyme, and there were no differences between swimming-trained and nontrained WKY and SHR. Ventricular performance was assessed by measuring cardiac output and stroke volume after rapid intravenous volume overloading. Both cardiac index and stroke index were comparable in nontrained WKY and SHR but were significantly increased in the trained groups compared with their respective nontrained controls. These results suggest that myosin ATPase activity and distribution of myosin isoenzymes are not altered in the moderately hypertrophied left ventricle whether the hypertrophy is due to genetic hypertension (SHR) or to exercise training (trained WKY). Moreover, the data indicate that SHR, despite the persistence of a pressure overload, undergo similar increases in left ventricular mass and peak cardiac index after training, as do normotensive WKY.     

应用同种带瓣管道重建右室流出道的危险因素分析

目的：评价采用同种带瓣管道行右室流出道重建术的临床效果,探讨影响手术效果及临床预后的因素。方法：回顾2002年11月至2010年11月期间应用同种带瓣管道行右室流出道重建患者的临床资料,分析患者手术前后的一般信息、血流动力学表现与临床预后的关系。结果：行右室流出道重建术后49例痊愈出院,5例死亡,存活率90．7％,死亡率9-3％。手术前后比较右室流出道内径较术前明显增加,右室一左室收缩压比值、右室-肺动脉压差较术前明显降低,三尖瓣反流、肺动脉瓣反流较术前加重,肺动脉瓣狭窄较术前减轻。统计分析表明患者死亡的危险因素有术后右室平均压、术后肺动脉-主动脉收缩压比值、术后二尖瓣反流。术后心胸比、术后肺动脉收缩压、术后肺动脉一主动脉收缩压比值、术后三尖瓣反流可能和术后患者ICU时间延长有关。McGoon指数、术后心胸比、术后肺动脉收缩压、术后右室平均压、术后肺动脉一主动脉收缩压比值、合并动脉导管未闭、术后三尖瓣反流可能和术后患者呼吸机时间延长有关。结论：复杂先天性心脏病患者采用同种带瓣管道重建右室流出道可以取得较满意的临床效果,术后流出道梗阻矫正满意,可以防止肺动脉返流导致的心脏损害。     

Myosin types and fiber types in cardiac muscle. I. Ventricular myocardium

Antisera against bovine atrial myosin were raised in rabbits, purified by affinity chromatography, and absorbed with insolubilized ventricular myosin. Specific anti-bovine atrial myosin (anti-bAm) antibodies reacted selectively with atrial myosin heavy chains, as determined by enzyme immunoassay combined with SDS-gel electrophoresis. In direct and indirect immunofluorescence assay, anti-bAm was found to stain all atrial muscle fibers and a minor proportion of ventricular muscle fibers in the right ventricle of the bovine heart. In contrast, almost all muscle fibers in the left ventricle were unreactive. Purkinje fibers showed variable reactivity. In the rabbit heart, all atrial muscle fibers were stained by anti-bAm, whereas ventricular fibers showed a variable response in both the right and left ventricle, with a tendency for reactive fibers to be more numerous in the right ventricle and in subepicardial regions. Diversification of fiber types with respect to anti-bAm reactivity was found to occur during late stages of postnatal development in the rabbit heart and to be influenced by thyroid hormone. All ventricular muscle fibers became strongly reactive after thyroxine treatment, whereas they became unreactive or poorly reactive after propylthiouracil treatment. These findings are consistent with the existence of different ventricular isomyosins whose relative proportions can vary according to the thyroid state. Variations in ventricular isomyosin composition can account for the changes in myosin Ca2+-activated ATPase activity previously observed in cardiac muscle from hyper- and hypothyroid animals and may be responsible for the changes in the velocity of contraction of ventricular myocardium that occur under these conditions. The differential distribution of ventricular isomyosins in the normal heart suggests that fiber types with different contractile properties may coexist in the ventricular myocardium.