雌二醇对家兔窦房结自律细胞的电生理学效应

本文旨在探讨雌二醇（17β-estradiol）对家兔窦房结自律细胞的电生理学效应及其作用机制。应用经典的细胞内玻璃微电极技术观察不同浓度雌二醇（1,10,100μmol／L）对家兔窦房结自律细胞动作电位的影响。结果显示：（1）雌二醇浓度依赖性地延长窦房结自律细胞动作电位复极化50％时间（APD50）和动作电位复极化90％时间（APD50）,降低窦房结自律细胞动作电位0期最大除极速率（Vmax）、动作电位幅值（amplitude of action potential,APA）,降低窦房结自律细胞放电频率（rate of pacemaker firing,RPF）、舒张期（4相）自动去极化速率[velocity of diastolic（phase4）depolarization,VDD]：而雌二醇对窦房结自律细胞的最大舒张电位（maximal diastolic potential,MDP）无明显影响。（2）雌激素受体阻断剂他莫昔芬（10μmol／L）不能阻断雌二醇（10μmol／L）对窦房结自律细胞动作电位的抑制效应。（3）一氧化氮合酶抑制剂L—NAME（100μmol／L）可完全阻断雌二醇（10μmol／L）对窦房结自律细胞动作电位的抑制效应。结果提示,雌二醇对家兔窦房结自律细胞的电生理活动具有明显的抑制作用,此作用可能是通过非基因组机制发挥,与一氧化氮作用有关。     

内皮素和ATP敏感性钾通道介导缺氧所致家兔窦房结起搏细胞的电生理效应

用细胞内微电极技术研究了ＡＴＰ－敏感性钾（Ｋ_（ＡＴＰ））通道和内皮素（ｅｎｄｏｔｈｅｌｉｎ,ＥＴ）在缺氧所致窦房结起搏细胞负性频率中的作用,主要结果如下：（１）缺氧引起窦房结起搏细胞的ＲＰＦ降低和ＡＰＤ缩短,这一效应随时间延长而加重。（２）Ｋ_（ＡＴＰ）通道开放剂ｃｒｏｍａｋａｌｉｍ浓度依赖性地对窦房结起搏细胞有负性频率作用,且明显缩短ＡＰＤ_（５０）。该通道的阻断剂格列苯脲能部分阻断缺氧对起搏细胞的上述效应,表明缺氧效应中有Ｋ_（ＡＴＰ）通道的参与。（３）ＥＴ－１可显著加重缺氧所致的ＲＰＦ降低,使起搏细胞停跳时间前移;而以ＥＴ_Ａ受体阻断剂ＢＱ－１２３预处理窦房结标本后,则能有效地缓解缺氧对起搏细胞的效应,提示内源性ＥＴ－１的释放在缺氧效应中的作用。上述结果表明,缺氧所致起搏细胞的负性频率作用和ＡＰＤ缩短,与Ｋ_（ＡＴＰ）通道的激活和内源性ＥＴ－１的释放有关。     

豚鼠主动脉前庭组织的自律性研究和形态学观察

用细胞内微电极技术,对８２只豚鼠主动脉自发电活动进行观察和分析,表明,１６例（１９．５％）出现自律性电活动;６１例（７４．４％）在电刺激诱导下也可出现自律性电活动。进一步观察发现,在主动脉瓣右瓣与后瓣交界以下的局部区域,可记录到有明显４相自动增极化的慢反应自律细胞样的动作电位,并可被钙通道阻滞剂Ｍｎ＾２＋,硝苯吡啶阻断。这一部位之外的其它大部分区域均表现为快反应动作电位,经光镜和电镜观察（ｎ＝１３     

内皮素对家兔窦房结起搏细胞电活动的影响

本文用细胞内微电极技术观察了ＥＴ－１对家兔窦房结起搏细胞电生理活动的影响。所得结果如下：（１）在以ＥＴ－１作表面灌流时,起搏细胞的４相自动去极化的速度（ＶＤＤ）显著减慢,且呈浓度依赖性,结果导致起搏细胞的自发放电频率（ＲＰＦ）降低。（２）由ＥＴ－１引起的ＶＤＤ和ＲＰＦ下降,可由事先投用ＥＴ＿Ａ＾受体选择性阻断剂ＢＱ－１２３（２０,１００μｇ／Ｌ）所阻断。这一结果有力提示,ＥＴ－１对起搏细胞的电生理效应是由ＥＴ＿Ａ受体亚型介导的。（３）事先投用Ｋ＿（ＡＴＰ）通道阻断剂格列苯脲（１０μｍｏｌ／Ｌ）,可完全消除ＥＴ－１对起搏细胞的负性频率作用。根据上述结果,似可认为,ＥＴ－１与ＥＴ＿Ａ受体的结合可激活Ｋ＿（ＡＴＰ）通道,致使Ｋ￣＋电流增加和起搏细胞的ＶＤＤ减慢。     

速生杨与钻天杨生理生化特性比较研究

测定了速生杨与钻天杨的一系列生理生化特性,结果表明：速生杨的叶绿素、脯氨酸、脱落酸、抗坏血酸、可溶性糖含量、硝酸还原酶和过氧化物酶活性均高于钻天杨。但可溶性蛋白含量低,且在不同温度胁迫下细胞膜通透性较高。     

前庭电刺激联合前庭康复治疗周围性眩晕的疗效观察

目的：观察前庭电刺激联合前庭康复治疗周围性眩晕的疗效。方法：在常规药物治疗基础上将2008年5月．2012年5月我科眩晕门诊收治的226例诊断明确的单侧前庭周围性眩晕患者随机分成两组：前庭康复组和前庭康复＋前庭电刺激组。前庭康复组行常规前庭康复治疗,前庭康复＋前庭电刺激组在药物治疗及前庭康复基础上加用前庭电刺激,即在双侧乳突采取双极直流电刺激,每次15-20分钟,每天2次,共6周。治疗前及治疗后第2、4、6周行BBS评分及计时平衡试验时间测定以评判和比较两组的疗效。结果：两组患者治疗后第2、4、6周BBS评分及计时平衡试验时间较治疗前均明显增加（P〈0．05）,且B组各时点BBS评分及计时平衡试验时间均明显高于A组（P〈0．05）。结论：前庭电刺激联合前庭康复是较单纯前庭康复治疗前庭周围性眩晕更加有效的方法,其简单、无创、值得推广。     

硫化氢对家兔窦房结起搏细胞的电生理效应

本研究应用细胞内微电极技术,观察硫化氢(hydrogen sulfide,H2S)对家兔窦房结起搏细胞的电生理效应.结果表明:(1)NaHs(H2S供体)50、100、200 μmol/L浓度依赖地降低家兔窦房结起搏细胞4相去极化速率及起搏放电频率.(2)ATP敏感性钾(ATP-sensitive K ,KATP)通道阻断剂格列苯脲(glybenclamide,Gli,20 μmol/L)阻断NariS(100 μmol/L)的电生理效应.(3)预先应用起搏离子流(pacemaker currenL,If)通道阻断剂氯化铯(CsCl,2 mmol/L)对Naris(100μmol/L.)的电生理效应无影响.(4)胱硫醚-γ裂解酶(cystathionine γ-lyase,CSE)的不可逆抑制剂DL-propargylglycine (PPG,200 μmol/L)的家兔窦房结起搏细胞的动作电位参数无影响.以上结果提示,H2S对家兔窦房结起搏细胞有负性变时作用,这些效应可能与其开放KATP通道,增加K 外流有关,与If无关.本实验没有发现窦房结起搏细胞内有CSE催化产生的内源性H2S的合成.     

兔血管平滑肌延迟整流钾通道研究及其与克隆Kv1.5通道的电生理特性比较

本文用膜片箝全细胞技术比较了研究了单个兔肺动脉血管平滑肌细胞上延迟整流钾通道与克隆Ｋｖ１．５通道的电生理及药理学特性。将平滑肌细胞箝制在－４０ｍＶ,以１０ｍＶ的步跨阶跃去极化（０￣６０ｍＶ）可产生一系列快速上升的外向电流,几无衰减,其激活曲线的Ｖ１／２为２７．２ｍＶ。灌流液中加入１００ｍｍｏｌ／Ｌ和ＴＥＡ １ｍｍｏｌ／Ｌ ４ＡＰ,电流幅度均明显减小,细胞外Ｃａ＾２＋水平由１．５ｍｍｏｌ／Ｌ降至０．     

前庭壶腹嵴内电位的电生理特性

本研究利用高输入阻抗微电极放大器，观察正常豚鼠（ｎ＝３５）前庭壶腹嵴内电位（ＡＥＰ），以及缺氧、缺血、静脉注射速尿对其影响，探讨ＡＥＰ的电生理特性。结果表明正常豚鼠ＡＥＰ为４．５５±１．３５ｍＶ，停止呼吸机２ｍｉｎ，ＡＥＰ下降至２．３±０．８ｍＶ，恢复呼吸后均可观察到超射现象，阻断升主动脉后ＡＥＰ持续下降，达最大负值为－１９．４±１．７ｍＶ，所需时间为５２．５±９．６ｍｉｎ，约１５０ｍｉｎ后缓慢上升至０。静脉注射速尿后与注射前无显著差异。支持ＡＥＰ是不同于耳蜗内电位的正电位，有不同于耳蜗内电位的电生理特性。就其在前庭生理研究中的应用前景进行讨论     

低氧对兔主动脉和肺动脉损伤差异的探讨

将兔置于模拟海拔５ｋｍ（ＰＯ２＝１０．８ｋＰａ）低氧舱内２４ｈ,观察和比较低氧对主动脉和肺动脉形态学损伤的差异,结果显示５ｋｍ低氧２４ｈ,兔主动脉和肺动脉出现内膜下水肿,空泡增加,胞内线粒体和内质网不同程度损伤。但低氧对肺动脉的损伤明显重于主动脉,甚至已殃及平滑肌细胞。扫描电镜观察也显示模拟海拔５ｋｍ低氧２４ｈ,肺动脉内皮细胞出现损伤脱落,甚至出现断裂带,而在主动脉仅见内皮细胞轻微损伤。另又将离体     

Effect of potential fluctuations on the activity of sinoatrial node cells

The effect of fluctuations of the transmembrane potential on the generation of the action potential is studied by simulating the rabbit sinoatrial node (SAN) pacemaker. It is shown that the effect of fluctuations is enhanced with an increase in the concentration of acetylcholine and becomes most pronounced at the border of spontaneous activity loss and after it. When applying and washing off acetylcholine, the hysteretic effect is observed.     

降钙素基因相关肽对家兔离体窦房结电生理活动的影响

用常规微电极方法研究了降钙素基因相关肽（ＣＧＲＰ）对家兔窦房结起搏细胞的电生理作用,并进一步探讨这种作用与钙电流的关系。结果：⑴低浓度ＣＧＲＰ（１ｎｍｏｌ／Ｌ）对窦房结动作电位各参数无显著影响;中等浓度ＣＧＲＰ（１０ｎｍｏｌ／Ｌ）可增加最大舒张期电位、动作电位幅度、０期最大除极化速率和４期自动除极速率,缩短窦性周期、动作电位复极化５０％和９０％时间,这些作用经２０ｍｉｎ达到高峰;高浓度ＣＧＲＰ（２     

Rhythmogenesis in the heart sinoatrial node

The most significant experimental data on the formation of the common rhythm of the heart sinoatrial node are presented for both the intact heart sinoatrial node and cardiomyocytes in cell structures. The basic mathematical models for studying the synchronization processes in the sinoatrial node, including the Noble equation, Bonhoffer-van der Pol model, and modified axiomatic models, are described. The basic results obtained with the mathematical models are presented. The most important causes affecting the formation of the common rhythm—the pacemaker potential shape in the slow diastolic depolarization phase, its porosity, the coupling force between pacemakers, and the electrical power of pacemakers—are revealed. Rhythmogenesis is studied using the modified axiomatic model. The method allows the calculation of the common rhythm of the sinoatrial node, with allowance for the mutual effect of the pacemaker cells, including the coupling force, electric power of cells, and possibility of the cells clustering. It has been shown that the common rhythm of the sinoatrial node is generally formed at the intermediate level of the rhythms of all pacemaker cells.     

Telocytes in the human sinoatrial node

The sinoatrial node (SAN) is composed mostly of pacemaker, transitional and Purkinje‐like cells. Pacemaker cells, especially in the centre of the SAN, are surrounded by dense fibrous tissue and do not have any contact with transitional cells. We hypothesize that the SAN contains telocytes that have contacts with pacemaker cells and contractile myocardium. Immunohistochemistry using antibodies against HCN4 and antibody combinations against CD34 and HCN4 was carried out on 12 specimens. Confocal laser scanning microscopy (CLSM) with two mixtures of primary antibodies, namely CD34/S100 and vimentin/S100, was performed in three cases. In two cases, CLSM was carried out with CD117 antibody. Specimens for electron microscopy and immunocytochemistry with HCN4 immunogold labelling were taken from another three patients. In our study, we found cells with the immunophenotype of telocytes in the SAN. There were twice as many of these cells in the centre of the SAN as in the periphery (20.3 ± 4.8 versus 10.8 ± 4.4 per high‐power field). They had close contact with pacemaker cells and contractile cardiomyocytes and expressed HCN4. The ultrastructural characteristics of these cells are identical to those of telocytes observed earlier in other organs. Our study provides evidence that telocytes are present in the SAN.     

一种分离大鼠窦房结自律细胞的简单方法

介绍一种用胶原酶分离和初步鉴定大鼠窦房结起搏细胞的方法。操作简单方便,用酶量少。分离的起搏细胞与原位窦房结起搏细胞具有相类似的动作电位特点：有明显舒张期自动去极化,最大舒张电位平均－５５ｍＶ,动作电位幅度平均５８ｍＶ,ＡＰＤ５０平均１８ｍｓ,ＡＰＤ９０平均２９ｍｓ。为进一步的电生理学和组织化学研究提供适当标本。     

Investigation of the synchronization of the sinoatrial node upon stimulation from atria

The excitation of the sinoatrial node from frog heart atria has been experimentally investigated. Potentials were measured by means of microelectrodes introduced in pacemaker cells of the sinoatrial node. It has been found that atria can modulate the rhythm of the sinoatrial node due to electric and electromechanical actions, among which the electromechanical action is more important. Specific transient processes accompanying the establishment of the stationary rhythm have been studied. A mathematical model of the transient processes of achieving the rhythm of the sinoatrial node is proposed on the basis of Diophantine methods. The calculations performed using the mathematical model satisfactorily agree with the experimental results. The stabilizing role of atria in forming the rhythm of the sinoatrial node is revealed.     

Hedgehog signalling controls sinoatrial node development and atrioventricular cushion formation

Smoothened is a key receptor of the hedgehog pathway, but the roles of Smoothened in cardiac development remain incompletely understood. In this study, we found that the conditional knockout of Smoothened from the mesoderm impaired the development of the venous pole of the heart and resulted in hypoplasia of the atrium/inflow tract (IFT) and a low heart rate. The blockage of Smoothened led to reduced expression of genes critical for sinoatrial node (SAN) development in the IFT. In a cardiac cell culture model, we identified a Gli2–Tbx5–Hcn4 pathway that controls SAN development. In the mutant embryos, the endocardial-to-mesenchymal transition (EndMT) in the atrioventricular cushion failed, and Bmp signalling was downregulated. The addition of Bmp2 rescued the EndMT in mutant explant cultures. Furthermore, we analysed Gli2⁺ scRNAseq and Tbx5^−/− RNAseq data and explored the potential genes downstream of hedgehog signalling in posterior second heart field derivatives. In conclusion, our study reveals that Smoothened-mediated hedgehog signalling controls posterior cardiac progenitor commitment, which suggests that the mutation of Smoothened might be involved in the aetiology of congenital heart diseases related to the cardiac conduction system and heart valves.     

豚鼠主动脉前庭自发性慢反应电位去极离子流的初步分析

为研究主动脉前庭自发慢反应电位的去极离充性质,利用豚鼠的离体以及心脏,常规玻璃微电极细胞内记录方法和离子通道组断剂,观测最大舒张电位（ＭＤＰ）、０相除极幅度（ＡＰＡ）、０相最大除极速度（Ｖｍａｘ）、４个自动除极速度（ＶＤＤ）、复极５０％（ＡＰＤ５０）和９０％（ＡＰＤ９０）的时间以及自发放电频率（ＲＰＦ）。结果发现：⑴０．５μｍｏｌ／Ｌ尼索地平（Ｎｉｓ）可使该慢电位的ＡＰＡ、Ｖｍａｘ、ＶＤＤ明显减小