心肌细胞团搏动整数倍节律的非线性动力学机制

利用心肌细胞耦合模型研究心肌整数倍节律的动力学机理。确定性模型仿真揭示了心肌细胞团同步搏动加周期分岔的节律变化规律;随机模型仿真发现在加周期分岔序列中分岔点附近会出现整数倍节律,其中,0-1整数倍节律产生于从静息到周期1的Hopf分岔点附近,1-2整数倍节律产生于周期1和周期2极限环间的加周期分岔点附近;对系统相空间轨道的分析进一步揭示出整数倍节律是由系统运动在相邻的两个轨道之间随机跃迁形成的。上述分析结果不仅阐明了心肌整数倍节律的机理,并且揭示了各种整数倍节律与加周期分岔序列中相邻节律的内在联系,为重新认识心律变化的规律开辟了新的途径。     

大鼠运动性肥大心脏心肌血管内皮生长因子及其基因表达的研究

目的和方法：血管内皮生长因子（ｖａｓｃｕｌａｒｅｎｄｏｔｈｅｌｉａｌｇｒｏｗｔｈｆａｃｔｏｒ,ＶＥＧＦ）是新近确定的一种特异作用于血管内皮细胞的活性肽。最近发现正常心肌细胞可表达ＶＥＧＦ,高血压肥大心脏心肌ＶＥＧＦ及基因表达增强,但对运动性心肌肥大时的变化尚不清楚。本实验采用免疫组化和分子杂交方法,对游泳运动１０周大鼠稳定期肥大心脏心肌ＶＥＧＦ及其基因表达进行研究。结果：ＷｉｓｔａｒＫｙｏｔｏ（ＷＫＹ）大鼠、自发性高血压大鼠（ｓｐｏｎｔａｎｅｏｕｓｌｙｈｙｐｅｒｔｅｎｓｉｖｅｒａｔｓ,ＳＨＲ）和运动大鼠心肌细胞浆内均有特异性ＶＥＧＦ染色颗粒,但运动大鼠心肌细胞胞浆内染色颗粒增加最明显。Ｎｏｒｔｈｅｒｎ分子杂交结果表明三组大鼠心肌均有ＶＥＧＦｍＲＮＡ表达,其中ＳＨＲ表达最强,运动大鼠比ＷＫＹ大鼠增强,但低于ＳＨＲ。结论：目前对这一结果的生理意义还不清楚,推测可能与心肌肥大时细胞间质血管增生有关。     

八肽胆囊收缩素对大鼠心功能的影响及受体机制

为探讨八肽胆囊收缩素 (CCK 8)对麻醉大鼠心功能的影响及受体机制 ,实验监测了左心室收缩压(LVP)、左心室收缩与舒张期内压变化的最大速率 (±LVdp/dtmax)、心率 (HR)和平均动脉压 (MAP)。结果如下 :小剂量CCK 8(0 4 μg/kg)可引起心动过速 ,MAP、LVP和±LVdp/dtmax轻度上升 ;中剂量CCK 8(4 μg/kg)和大剂量CCK 8(4 0 μg/kg)可引起心动过缓 ,MAP、LVP和±LVdp/dtmax显著增加 ;应用CCK 受体 (CCK R)拮抗剂丙谷胺 (1 0mg/kg)抑制以上变化 ;由逆转录 聚合酶链反应 (RT PCR)检测到心肌组织有CCK A受体 (CCK AR)和CCK B受体 (CCK BR)mRNA表达。以上结果提示 :CCK 8可激活心肌组织的CCK R ,引起剂量依赖性的心功能增加和心率改变。     

Single chloride-permeable channels of large conductance in cultured cardiac cells of new-born rats

Large conductance channels were observed in the membrane of cultured cardiac cells of newborn rats studied with the patch-clamp technique in cell-attached and inside-out configurations. These channels were observed in 4% of the patches. In the cell-attached configuration they exhibited outward rectification and partial inactivation. In the inside-out configuration no rectification occurred but inactivation was present, mainly during hyperpolarizations. Two channels with large single unit conductances (400–450 pS) and one with a smaller conductance (200–250 pS) were frequently observed in the same patch. The two large channels generally had different kinetics. Under steady-state conditions the opening probability of the faster channel appeared to be voltage-independent. The slower channel was activated by depolarization. In asymmetrical solutions the permeability ratios P _Na/P _Cl were 0.03 and 0.24 for the larger and smaller channels, respectively; corresponding values for P _Ba/P _Cl were 0.04 and 0.09. It is proposed that in cardiac membranes the chloride permeability system is composed of widely dispersed microclusters forming grouped channels of different types and sizes.     

The utility of inflammation and platelet biomarkers in patients with acute coronary syndromes

Introduction

Thrombotic and inflammatory mechanisms are involved in the pathophysiology of acute coronary syndrome (ACS). The aim of the study was the evaluation of inflammation (white blood cells count/WBC, C-reactive protein/CRP, interleukin-6/IL-6) and platelet (platelet count/PLT, mean platelet volume/MPV, large platelet/LPLT, beta-thromboglobulin/β-TG) biomarkers in the groups of ACS patients depending on the severity of signs and symptoms and compared to controls without coronary artery disease.

沉默Dnmt1基因表达诱导大白鼠骨髓间充质干细胞向心肌样细胞分化

骨髓间充质干细胞(MSCs)具有向心肌样细胞分化的潜能.本室前期研究发现,MSCs在体外经DNA甲基转移酶(Dnmt)抑制剂5-氮胞苷诱导可分化为心肌样细胞.本研究证明,沉默DNA甲基化转移酶1（Dnmt1）基因表达,可诱导大鼠MSCs向心肌样细胞分化.本文采用表达Dnmt1 siRNA 慢病毒感染MSCs,沉默Dnmt1表达.DNA甲基化分析显示,随着沉默Dnmt1时间延长（7-28 d）,Gata-4基因上游DNA调控序列的CpG甲基化水平明显降低,而Gata-4 mRNA的转录水平明显上调,说明敲减Dnmt1表达导致Gata-4基因激活.蛋白质印迹和/或免疫细胞化学揭示,与对照组比较,心肌相关基因MHC 和cTnT表达上调, 而骨髓干细胞标志物CD90和CD29随转染时间延长表达下调.同时,实时定量PCR显示,心肌早期发育调控基因Nkx2.5 mRNA水平与Gata-4 mRNA相同,随表达Dnmt1 siRNA的慢病毒感染而上调.上述结果提示,敲减Dnmt1可降低心肌发育调控基因Gata-4启动子CpG岛的甲基化水平,上调Gata-4基因的表达,诱导骨髓间充质干细胞向心肌样分化.     

平原就读的藏族与汉族腹型肥胖大学生心肺功能比较研究

目的:探讨腹型肥胖对平原就读藏汉族大学生心肺功能影响的差异研究。方法:选取在校男性大学生96人,依照BMI和WC分类标准,分为藏族腹型肥胖组(TA)、藏族对照组(TC)、汉族腹型肥胖组(HA)、汉族对照组(HC)各24名。使用心脏彩色多普勒超声检查仪检测超声心动图,检测心脏结构和AV、PV、MVE、MVA、TVE、TVA等心功能指标。检测VC、FVC、FEV1、PEF、MMF、MVV等肺功能指标。检测身体形态学,血液和脂肪肝状况等基础指标。结果:腹型肥胖对血压的影响：与TC组相比,TA组SBP显著增加(P<0.01);与HC组相比,HA组SBP和DBP均显著增加(P<0.01,P<0.05)。腹型肥胖对心功能的负性影响：与TC组相比,TA组AV和PV显著减慢(P均<0.01);与HC组相比,HA组IVSA显著增大(P<0.05)。腹型肥胖对肺功能的负性影响：与TC组相比,TA组MMF和肺活量/体重水平显著降低(P<0.05);与HC组相比,HA组FEV1、FEV1%、PEF、MMF、MVV、MVV%和肺活量/体重水平均显著降低(P均<0.05)...     

The role of SIRT2 in vascular-related and heart-related diseases: A review

At present, cardiovascular disease is one of the important factors of human death, and there are many kinds of proteins involved. Sirtuins family proteins are involved in various physiological and pathological activities of the human body. Among them, there are more and more studies on the relationship between sirtuin2 (SIRT2) protein and cardiovascular diseases. SIRT2 can effectively inhibit pathological cardiac hypertrophy. The effect of SIRT2 on ischaemia-reperfusion injury has different effects under different conditions. SIRT2 can reduce the level of reactive oxygen species (ROS), which may help to reduce the severity of diabetic cardiomyopathy. SIRT2 can affect a variety of cardiovascular diseases, energy metabolism and the ageing of cardiomyocytes, thereby affecting heart failure. SIRT2 also plays an important role in vascular disease. For endothelial cell damage used by oxidative stress, the role of SIRT2 is bidirectional, which is related to the degree of oxidative stress stimulation. When the degree of stimulation is small, SIRT2 plays a protective role, and when the degree of stimulation increases to a certain level, SIRT2 plays a negative role. In addition, SIRT2 is also involved in the remodelling of blood vessels and the repair of skin damage.     

早期心电图QRS 波宽度对急性ST 段抬高型心肌梗死患者心脏不良事件的影响

目的:探讨早期心电图QRS波宽度(QRSw)对急性ST段抬高型心肌梗死(STEMI)患者近期主要心脏不良事件(MACE)的影响。方法:选取我院收治的135例STEMI患者为研究对象,按照入院时的心电图QRSw将患者分为A组(QRSw为60 ms≤QRSw≤80 ms)、B组(QRSw为80 msQRSw100 ms)、C组(QRSw为QRSw≥100 ms),将是否发生MACE分为MACE组和非MACE组,比较各组相关指标的差异,分析QRSw与MACE发生的关系。结果:A、B及C组三组患者在梗死面积、肌酸激酶同工酶(CK-MB)、肌钙蛋白I(c Tn I)、B型脑钠肽(BNP)、高敏C反应蛋白(hs-CRP)、左室射血分数(LVEF)方面存在显著的统计学差异(P0.05),与A组及B组比较,C组血清hs-CRP、BNP、c Tn I、CK-MB较高,梗死面积大、LVEF偏低。三组患者在MACE发生率方面亦存在显著的统计学差异(P0.05),C组高于A组及B组。MACE组患者QRSw高于非MACE组(P0.05),其含有QRSw≥100 ms患者的比例亦高于非MACE组(P0.05);QRSw(OR=1.214,CI:1.104~1.441,P0.05)是STEMI患者近期MACE发生的独立危险因素。结论:STEMI患者随着QRSw增大,MACE的发生风险亦增加,QRSw可能是STEMI患者近期MACE发生的独立危险因素,应当引起临床重视。