克山病与心肌线粒体病

克山病是我国一种严重的地方性心肌病. 1984 年政府曾组织对克山病高发地区之一—云南省楚雄地区进行综合性科学考察. 考察队由流行病学、生态环境、临床防治、病理学、生物化学等方面的专家组成, 历时3年(1984~1986年). 通过考察, 病理学、生物化学、生物物理、临床治疗等方面的研究结果均显示克山病患者心肌线粒体的病变是一个重要特征. 该病的具体表现为心肌线粒体代偿增生、数目增多、嵴膜破坏、氧化磷酸化酶系(包括琥珀酸脱氢酶、细胞色素c氧化酶、琥珀酸氧化酶、H^＋-ATP酶等)活性明显下降, Ca²⁺含量增高、心磷脂和辅酶Q含量偏低, 从而提出: “克山病是一种心肌线粒体病”的观点. 在此之前, 对“心肌线粒体病”仅有极少的个例研究报道. 通过楚雄考察, 对众多克山病病例进行大量、多方面的测试与分析, 获得十分珍贵的研究资料. “克山病是一种心肌线粒体病”的提出, 是楚雄考察的重要成果之一, 它不仅是对克山病的发病机理的深入认识, 而且对“心肌线粒体病”的研究都是很有意义的. 与其它“心肌线粒体病”不同, 克山病不属于遗传性疾病, 而与营养不足(特别是缺乏微量元素硒)密切相关. 克山病都发生在缺硒地带, 而补硒对克山病有明显的预防作用. 随着我国人民生活水平的提高, 克山病发病率逐年下降, 目前已降至极低的水平. 近年来国际上对非克山病的心肌线粒体病的研究日益增多. 本文结合这方面的研究进展对“克山病是一种心肌线粒体病”作一简短评述.     

克山病病区粮喂养大鼠后心肌细胞自由钙浓度变化与硒的作用

为了解克山病的发病机理,本文研究了低硒对心肌细胞钙转运的影响。用克山病病区粮喂养的大白鼠与用非病区粮喂养的大白鼠相比,心肌细胞胞浆自由钙的浓度高,心肌细胞膜流动性及Na~+,K~+-ATP酶活性也高,在病区粮中添加适量的硒,上述指标与用非病区粮喂养的大白鼠的差距缩小,说明低硒是引起心肌细胞钙转运失常从而使细胞浆自由钙浓度升高的重要因素但不是唯一的因素,文中讨论了细胞浆自由钙浓度与细胞膜流动性、Na~+,K~+-ATP酶活性及心肌线粒体功能的关系,以及低硒对它们的影响。     

克山病病区粮低Se对大白鼠心肌线粒体Ca转运影响的研究

以低Ｓｅ克山病病区粮喂养大白鼠为动物模型,在细胞及亚细胞水平上进行了低Ｓｅ与Ｃａ转运关系的研究,同时测定了线粒体的能量转换功能。结果显示,低Ｓｅ病区粮组动物心肌线粒体Ｃａ转运呈现明显异常,但线粒体能量转换功能尚未发生明显改变。提示线粒体Ｃａ转运功能损伤先于线粒体能量转换功能损伤之前发生。心肌线粒体Ｃａ转运功能可作为更灵敏的指标用于克山病发病机理的研究。上述结果进一步表明克山病是一种“心肌线粒体病”。     

慢型克山病心功能代偿期超氧化物歧化酶活性的初步探讨

超氧化物歧化酶(SOD)是体内超氧化物阴离子自由基(·O_2~-)的清除剂。近年来,国内外研究发现,它在炎症、肿瘤、老年病等疾病的发生发展中都起着重要作用。亚急型克山病和慢型克山病(慢克)急性发作住院的患者红细胞SOD活性降低已有报告,现将慢克心功能代偿期患者的SOD活性报告如下     

克山病心肌线粒体氧化损伤的实验研究

用克山病区粮喂养豚鼠证明其红细胞、肝等组织及其线粒体、上清中的硒及谷胱甘肽过氧化物酶活性明显降低,心肌线粒体脂质氢过氧化物、荧光色脂等增加、同时膜脂组成异常,内膜界面脂的心磷脂(CL)减少,细胞色素C氧化酶(CCO)活性降低;园二色性(CD)异常,近208nm及222nm区的峰值降低,病区粮加喂青菜的动物,随其线粒体硒及CL水平的增加。CCO活性和CD谱均明显恢复;通过外源性磷脂与纯化CCO的重组复性实验,只有CL可使病区粮组酶活性完全达到正常对照水平。表明心肌线粒体膜结合酶CCO活性的降低是CL含量降低引起酶的二级结构(构象)改变的结果。     

心肌细胞发育过程中胞浆内钙稳态的调控

Ca^2＋信号是细胞和各器官生长发育、行使其生理功能的基础,维持心肌细胞的钙稳态是保持正常心脏功能的先决条件。作为在胚胎发育过程中最早出现并行使功能的器官,胚胎期心脏的形态结构发生了明显的变化,泵血功能不断增强,以适应不断增强的机体的生理需求。从胚胎到成年,心肌细胞的功能有非常大的改变,各钙离子通道的表达也发生明显变化。因此,发育早期心肌细胞的钙稳态调控与成熟心肌细胞有明显的不同,在发育过程中引起细胞收缩的Ca^2＋来源也有明显的变化。随着分子和细胞生物学研究的发展,以及胚胎干细胞体外分化模型的应用,人们对心肌细胞发育过程中钙稳态的调控有了进一步的认识。本文综述了早期心肌细胞发育过程中胞浆内钙稳态的变化,总结了早期心肌细胞钙稳态调控机制的最新研究进展。     

Ca2+ homeostasis and cytotoxicity in isolated hepatocytes: Studies with extracellular adenosine 5′-triphosphate

The incubation of isolated rat hepatocytes with extracellular adenosine 5′-trihosphate (ATP) resulted in an inhibition of Ca²⁺ efflux. The ATP-induced Ca²⁺ accumulation as determined by the increase in phosphorylase a activity and the Ca²⁺ -sensitive fluorescent indicator (2-[(2-bis-[carboxymethyl]-amino-5-methylphenoxy)-methyl]-6-methoxy-8-bis-[carboxymethyl] aminoquinoline-tetrakis-[acetoxymethyl]ester) (Quin 2-AM) was associated with both the hydrolysis of ATP and the phosphorylation of a 110 kDa protein. No significant alteration in the intracellular ATP level was observed. The appearance of surface blebs and cytotoxicity followed the rise in cytosolic Ca²⁺, suggesting that the increased free Ca²⁺ may be responsible for the loss of viability. When a calmodulin inhibitor, 1-[bis(4-chlorophenyl)methyl]-3-[2-(2,4-dichlorophenyl)-2-[(2,4-dichlorophenyl)methoxy] ethyl]-1H-imidazolium chloride (calmidazolium), was included in the medium prior to ATP addition, bleb formation was reduced and the loss of viability was completely prevented, indicating that a Ca²⁺ -calmodulin process may be involved in the initiation of cytotoxicity.     

The importance of being subtle: small changes in calcium homeostasis control cognitive decline in normal aging

Aging is a complex, multifactorial process. One of the features of normal aging of the brain is a decline in cognitive functions and much experimental attention has been devoted to understanding this process. Evidence accumulated in the last decade indicates that such functional changes are not due to gross morphological alterations, but to subtle functional modification of synaptic connectivity and intracellular signalling and metabolism. Such synaptic modifications are compatible with a normal level of activity and allow the maintenance of a certain degree of functional reserve. This is in contrast to the changes in various neurodegenerative diseases, characterized by significant neuronal loss and dramatic and irreversible functional deficit. This whole special issue has been initiated with the intention of focusing on the processes of normal brain aging. In this review, we present data that shows how subtle changes in Ca(2+) homeostasis or in the state of various Ca(2+)-dependent processes or molecules, which occur in aging can have significant functional consequences.     

Imbalance and dysfunction of transient receptor potential channels contribute to the pathogenesis of hypertension

Intracellular Ca²⁺ homeostasis is essential for vascular function and blood pressure regulation. Because of their unique roles in regulating intracellular Ca²⁺ concentration and vascular function, a novel class of non-selective cation channels, called transient receptor potential (TRP) channels, have emerged at the frontier of hypertension research. Based on their role in vasculature function regulation, TRP channels can be divided into two functional subtypes: one that participates in vasoconstriction and one that participates in vasodilatation. A functional imbalance of these two subtypes of TRP channels may disturb intracellular calcium ([Ca²⁺]i) homeostasis, and the consequent vascular dysfunction may contribute to the development of hypertension. The potential of these TRP channels as novel pharmacological targets for the treatment of human hypertension is of great interest.     

VE对草鱼成鱼肌肉品质和抗氧化性能的影响

在VE含量为24.1 mg/kg的实用基础饲料中分别添加VE 0(对照组)、25、50、100、200 mg/kg,饲喂平均体重为(614.9±60.5)g的草鱼60d.考察VE对草鱼成鱼生长性能、肌肉品质和抗氧化性能的影响.结果表明,各组草鱼增重率分别为51.6%、53.5%、53.4%、53.5%、54.8%,饲料系数分别为2.28、2.17、2.20、2.19、2.15,饲料中添加25-200 mg/kg VE对草鱼成伍增重率、饲料系数无显著影响(P>0.05);在肌肉品质方面,饲料中添加VE对肌肉水分、粗蛋白、粗脂肪含量无显著影响(P>0.05).肌肉保鲜肉滴水损失和冷冻肉渗出损失随VE添加量的增加而降低;随饲料中VE添加量的增加,肌肉、肝脏中VE含量增加,丙二醛含量则显著降低(P<0.05),其中VE添加量为200 mr,/kg组的肌肉、肝脏VE含量较对照组增加431.0%、353.7%,丙二醛含量则下降67.2%、61.3%(P<0.01);在血清抗氧化能力方面,当VE添加量≥50 mg/kg后,草鱼血清SOD活性显著提高(P<0.05),而血清总抗氧化能力在VE添加量0-100 mg/kg各组间尤显著差异,200 mg/kgVE组的血清总抗氧化能力较对照组显著增高(P<0.05).上述研究表明,饲料中添加VE能促进草鱼生长,改善肌肉品质,增强机体抗氧化能力.以生长性能为标准,草鱼成鱼饲料(基础饲料含VE 24.1 mg/kg)中的VE添加量25 mg/kg;以肌肉品质、抗氧化能力指标为标准,草鱼成鱼饲料中的VE添加量为200 mg/kg.