细胞外Ba2+对大鼠心肌细胞L型钙通道的影响

目的：观察细胞外Ba²⁺对记录大鼠心肌细胞L型钙通道的影响。方法：采用急性酶解分离法获得大鼠的单个心肌细胞,使用全细胞膜片钳技术记录L型钙通道电流。采用Ba²⁺替换台式液中的Ca²⁺和直接向台式液中加入Ba²⁺（0~8 mmol/L）,观察峰值电流15 min内的变化,数据采用5个以上细胞进行重复。结果：（1）台式液中的Ca²⁺被Ba²⁺替换后,L型钙通道电流的失活速率明显减慢（P<0.01）;在台式液中加入少量Ba²⁺（0.2,0.4 mmol/L）时L型钙通道电流的失活速率无明显改变（P>0.05）,加入0.8 mmol/L Ba²⁺时失活速率明显减慢（P<0.05）。（2）与正常台式液比较,在细胞外液中加入Ba²⁺（0.2,0.4 mmol/L）峰值电流衰减减弱,其中10 min和15 min两个时间点衰减差异明显（P<0.01）。（3）在细胞外液中加入Ba²⁺可下移电流电压曲线,改变翻转电位,减弱丹酚酸A对钙电流的抑制强度,使量效关系曲线右移。结论：在细胞外液中加入一定浓度的Ba²⁺,能够减弱全细胞膜片钳技术记录大鼠心室肌细胞L型钙通道时出现的峰值电流衰减,改变通道的电压依赖特性,影响药物量效关系。     

Increased gene expression of plasminogen activators and inhibitors in left ventricular hypertrophy

In the early stages of left ventricular hypertrophy (LVH) acute adaptive changes occur in the coronary vasculature as it remodels. Plasminogen activators (PAs) and inhibitors (PAIs) have the potential effects of proteolytic degradation that is relevant to tissue remodeling and angiogenesis. Our study focused on the possible roles of PAI-1, PAI-2, uPA and tPA in myocyte hypertrophy and angiogenesis in the early and late stages of pressure overload induced left ventricular hypertrophy (LVH). We divided seventeen adult swine, weighing 24.2 ± 6.5 kg, into four groups: control, sham-operated, early LVH and late heart failure LVH group. At surgery we placed a fixed constrictor on the ascending aorta immediately above the aortic valve. This increased LV systolic pressure from 133 ± 15 to 193 ± 24 mm Hg after the surgery. We subdivided the early group into groups of 3 animals each that we euthanized at 8, 24 and 72 h after operation and obtained heart samples for analysis. In the late heart failure group individual animals were euthanized at 55, 59, 62 and 72 days after the detection of congestive heart failure. We also obtained tissue samples from the control and sham-operated swine. Sections for histologic analysis were fixed in 10% buffered formalin. We isolated RNA, size fractionated it using 1% formaldehyde-agarose gel electrophoresis and then did Northern blots. The mRNAs from both PAI-1 and PAI-2 showed a remarkable increase at 8 and 24 h after acute aortic constriction and returned to control by 72 h. Regional differences showed that most of the increases were in the endocardium. Three animals in the late heart failure LVH group were determined to be in congestive heart failure at about 2 months after the onset of aortic constriction. In these animals PAI-1 and PAI-2 were increased in both the left and right ventricles but remained low in an animal of the same elevation in aortic pressure seen by the LV who did not have congestive failure. These data suggest that PA and PAI gene expressions change before morphologic changes occur in the early stages of developing LVH. Also at the time of onset of congestive heart failure this increased expression reappears. PAs and PA inhibitors mRNA levels vary in the different regions of the heart reflecting changing wall stresses. Thus, the PAs and PA inhibitors may play an important role in angiogenesis that occurs during the early stages of LVH. The increased expression in the late stage of LVH may reflect further changes in wall stresses since these animals also showed overt clinical signs of heart failure.     

Ischemic preconditioning in isolated perfused mouse heart: Reduction in infarct size without improvement of post-ischemic ventricular function

Genetically engineered mice provide an excellent tool to study the role of a particular gene in biological systems and will be increasingly used as models to understand the signal transduction mechanisms involved in ischemic preconditioning (IP). However, the phenomenon of IP has not been well characterized in this species. We therefore attempted to examine whether IP could protect isolated mouse heart against global ischemia/reperfusion (GI/R) injury. Thirty adult mice hearts were perfused at constant pressure of 55 mmHg in Langendorff mode. Following 20 min equilibration, the hearts were randomized into three groups (n = 10/each): (1) Control Group; (2) IP2.5 Group: IP with two cycles of 2.5 min GI + 2.5 min R; (3) IP5 Group: IP with 5 min GI + 5 min R. All hearts were then subjected to 20 min of GI and 30 min R (37°C). Ventricular developed force was measured by a force transducer attached to the apex. Leakage of CK and LDH was measured in coronary efflux. Infarct size was determined by tetrazolium staining. Following sustained GI/R, infarct size was significantly reduced in IP2.5 (13.8 ± 2.3%), but not in IP5 (20.1 ± 4.0%), when compared with non-preconditioned control (23.6 ± 3.8%) hearts. CK and LDH release was also reduced in both IP2.5 and IP5 groups. No significant improvement in post-ischemic ventricular contractile function was observed in either IP groups. We conclude that IP with repetitive cycles of brief GI/R is able to reduce myocardial infarct size and intracellular enzyme leakage caused by a sustained GI/R in the isolated perfused mouse heart. This anti-necrosis cardioprotection induced by IP was not associated with the amelioration of post-ischemic ventricular dysfunction.     

Stem cells in the embryonic cerebral cortex: Their role in histogenesis and patterning

The cytoarchitectural simplicity of the cerebral cortex makes it an attractive system to study central nervous system (CNS) histogenesis—the process whereby diverse cells are generated in the right numbers at the appropriate place and time. Recently, multipotent stem cells have been implicated in this process, as progenitor cells for diverse types of cortical neurons and glia. Continuous analysis of stem cell clone development reveals stereotyped division patterns within their lineage trees, highly reminiscent of neural lineage trees in arthropods and Caenorhabditis elegans. Given that these division patterns play a critical part in generating diverse neural types in invertebrates, we speculate that they play a similar role in the cortex. Because stereotyped lineage trees can be observed from cells growing at clonal density, cell-intrinsic factors are likely to have a key role in stem cell behavior. Cortical stem cells also respond to environmental signals to alter the types of cells they generate, providing the means for feedback regulation on the germinal zone. Evidence is accumulating that cortical stem cells, influenced by intrinsic programs and environmental signals, actually change with development—for example, by reducing the number and types of neurons they produce. Age-related changes in the stem cell population may have a critical role in orchestrating development; whether these cells truly self-renew is a point of discussion. In summary, we propose that cortical stem cells are the focus of regulatory mechanisms central to the development of the cortical cytoarchitecture. © 1998 John Wiley & Sons, Inc. J Neurobiol 36: 162–174, 1998     

Adult neurogenesis: From canaries to the clinic

Neuronal precursor cells persist in the adult vertebrate forebrain, residing primarily in the ventricular/subventricular zone (SZ). In vivo, SZ precursors yield progeny which may die or give rise to glia. Yet they may also generate neurons, which are recruited to restricted regions such as the avian telencephalon and mammalian olfactory bulb. The survival of neurons arising from adult progenitors is dictated by both the availability of a permissive pathway for migration and the environment into which migration occurs. In the songbird higher vocal center (HVC), both humoral and contact-mediated signals modulate the migration and survival of new neurons, through an orchestrated set of hormonally regulated paracrine interactions. New neurons of the songbird brain depart the SZ to enter the brain parenchyma by migrating upon radial guide fibers, which emanate from cell bodies in the ventricular epithelium. The radial guide cells coderive with new neurons from a common progenitor, which is widespread throughout the songbird SZ. Neural precursors are also widely distributed in the adult mammalian SZ, although it is unclear whether avian and mammalian progenitor cells are homologous: Whereas neuronal recruitment persists throughout much of the songbird forebrain, in mammals it is limited to the olfactory bulb. In humans, the adult SZ appears to largely cease neurogenesis in vivo, although it, too, can produce neurons in vitro. In both rats and humans, the differentiation and survival of neurons arising from the postnatal SZ may be regulated by access to postmitotic trophic factors. Indeed, serial application of fibroblast growth factor-2 (FGF-2) and brain-derived neurotrophic factor (BDNF) has allowed the generation and maintenance of neurons from the adult human SZ. This suggests the feasibility of inducing neurogenesis in the human brain, both in situ and through implanted progenitors. In this regard, using cell-specific neural promoters coupled to fluorescent reporters, defined progenitor phenotypes may now be isolated by fluorescence-activated cell sorting. Together, these findings give hope that structural brain repair through induced neurogenesis and neurogenic implants will soon be a clinical reality. © 1998 John Wiley & Sons, Inc. J Neurobiol 36: 267–286, 1998     

蛤蚧前背侧室嵴(ADVR)的分区及细胞形态学研究

采用解剖学方法和绀织学方法仔细观察,分析蛤蚧（Gekko gecko）前背侧室嵴（ADVR）的形态学分区,发现以ADVR表面的浅沟为标记,参照细胞着色深浅,细胞密度分布特征以及细胞形态大小,可将ADVR分为内侧区（ma）、嘴外侧区（rla）和尾外侧区（cla）等3个部分,为ADVR的结构功能的深入研究提供了形态学依据。     

脑室出血合并脑积水行脑室外引流高危因素的临床分析

目的:探讨脑室出血后未立即行脑室外引流术发生脑积水的指征和时机。方法:回顾性分析2009年1月到2015年9月我院收治的98例脑室内出血患者的临床资料。结果:98例患者中,28例(28.6%)患者需要行脑室外引流术。全脑室出血是最常见的类型(49例,50%),这些患者中24例(49%)需要行脑室外引流术。在脑室外引流术组和非脑室外引流术组平均m GS分别是17±5.1(12-28)和8±4.2(2-20)(P0.001)。与脑室外引流术相关的因素包括影像学表现为脑积水、中线移位5 mm、GCS评分8分、m GS13分、三脑室m GS=5及四脑室m GS=5分。多因素回归分析中,m GS13分、GCS评分8分和四脑室m GS=5分仍是重要的影响因素。大部分患者(24例,85.7%)在有脑积水症状时很快行脑室外引流术,有4例患者在48小时后行脑室外引流术。结论:昏迷、m GS13分和四脑室扩大使行脑室外引流术的风险增大。大部分患者在脑室出血后一天内行脑室外引流术,很少一部分患者在48小时后行脑室外引流术。     

缺血/再灌注时豚鼠左心室流出道自律组织电活动的改变及药物干预效应

目的：研究缺血/再灌注（I/R）时豚鼠离体左心室流出道自律组织电活动的改变及其药物干预效应。方法：采用标准玻璃微电极细胞内电位记录技术,记录豚鼠离体左心室流出道标本的自发慢反应电位,观测模拟I/R时该电位的改变,以及临床上常用的抗心律失常药物灌流标本时对I/R电生理效应的干预作用。观测指标：4相自动除极速度（VDD）、自发放电频率（RPF）、最大舒张电位（MDP）、0相最大除极速度（V_max）、动作电位幅度（APA）、复极50%和90%时间（APD₅₀和APD₉₀）。结果：①与对照组相比,I 10 min组VDD和RPF明显减慢（P<0.05）,V_max加快（P<0.01）,APA增大（P<0.01）。与I 10 min组和对照组相比,R 2 min组VDD和RPF明显加快（P<0.01）,且在R至5 min过程中可出现明显节律不齐,MDP绝对值明显增大（P<0.05）,V_max与对照组相比明显加快（P<0.05）,APA与I 10 min组相比明显下降（P<0.05）,但仍显著高于对照组（P<0.05）,APD₅₀和APD₉₀显著缩短（P<0.01）。R 15 min组自发慢反应电位各项指标逐渐恢复至对照组水平。②与I 10min/R 2 min组相比,1 μmol/L利多卡因、10 μmol/L普罗帕酮、1 μmol/L胺碘酮、1 μmol/L维拉帕米、50 μmol/L腺苷和10 μmol/L硝普钠均可明显改善R过程中VDD和RPF的改变以及由此引起的节律不齐。结论：I/R可触发左心室流出道自律组织电活动异常,这种效应在应用不同的抗心律失常药物灌流时可显著恢复。