黄芩甙对大鼠心室肌细胞触发性心律失常的影响及其机制

目的研究黄芩甙对触发性心律失常的影响,探讨黄芩甙抗心律失常的机制。方法酶解法分离大鼠心室肌细胞,全细胞膜片钳技术记录黄芩甙作用前后的L型钙电流(ICa-L)的变化,外科手术得到心室乳头肌,标准玻璃微电极技术记录黄芩甙作用前后跨膜动作电位(TAP)的变化以及哇巴因诱发的延迟后除极(DAD)和触发活动(TA)的影响。结果①在电压钳制下,黄芩甙对ICa-L均有明显抑制作用,随浓度的增加,对ICa-L的抑制作用逐渐增强。10,20和40μmol/L的黄芩甙对ICa-L的最大电流密度抑制作用分别由15.8±1.2pA/pF减小到11.3±0.9,8.2±0.8,4.9±0.6pA/pF(P均<0.05)。黄芩甙对ICa-L的抑制作用具有非常好的量效性,半效抑制浓度为27.7±1.9μmol/L。显著上抬I-V曲线。②20μmol/L黄芩甙明显缩短动作电位时程,抑制哇巴因诱导的DAD和TA。结论黄芩甙能抑制触发性心律失常,这可能与黄芩甙抑制心肌细胞ICa-L内流,减少细胞内Ca2+超载有一定关系。     

Cellular engineering of ventricular adult rat cardiomyocytes

OBJECTIVE: Preparation of viable cultured adult cardiomyocytes (vARCs) is a prerequisite for cell-based transplantation and tissue engineering. Ectopic gene expression is important in this context. Here, we present an in vitro cell replating strategy using Accutase for cultured vARCs, allowing ectopic gene expression. METHODS: Cultured vARCs from 6- to 8-week-old rats were used. Transfections with EGFP (enhanced green fluorescent protein) constructs, Mlc-3f-EGFP or alpha-actinin-EGFP were performed using adenovirus-enhanced transferrin-mediated infection (AVET). Accutase (PAA Laboratories, Linz, Austria) was used for the detachment of cultured cells. Immunohistochemical analysis, together with confocal laser microscopy was used for structural analysis of the cells. RESULTS: Cultured vARCs could be detached with a high yield (40 to 60%) from primary cultures using Accutase. The cultivation period plays an important role in the yield of viable cells. Resultant replated vARCs (rep-vARCs) rapidly (1-2 h) acquired a rounded up shape without degradation of their contractile apparatus, which is in contrast to the rod-shaped freshly isolated vARCs (fi-vARCs). The detached cells survived passage through a narrow syringe needle. After seeding, detached cells rapidly attached to various substrates, increased their content of the contractile apparatus, and formed cell-cell contacts within 3 days after reseeding. The detached cells survived passage through a narrow syringe needle. The high recovery of cells after replating enabled the use of the AVET system for gene delivery. AVET is free of infectious particles and does not lead to expression of viral proteins. Transfection of vARCs prior to detachment had a small effect on cell recovery and ectopically synthesized proteins were properly localized after replating. CONCLUSIONS: Detachment of cultured vARCs using Accutase is well compatible with ectopic gene expression and yields a viable transgenic population of vARCs that eventually may be suitable as transgenic cardiomyocyte grafts.     

Effect of allitridi on calcium current in rat ventricular myocytes

Background Allitridi is an active compound that is extracted from the garlic. It has effects of anti-atherosclerosis, anti-arrhythmias and lowering blood pressure. But the controversy about the effect on cardiac contractility still exists. Methods Whole-cell patch clamp recording technique was used to record ICa,Lin single cell isolated rat ventricular myocytes. The nifedipine- sensitive L-type calcium current was recorded in the rat ventricular myocytes. Results Allitridi decreased the calcium channel current in a dose-dependent and voltage-dependent manner in ventricular myocytes of rats. The current-voltage curve was shifted upwards, on which active potential,peak potential and reverse potential showed no significant changes. The inactivation curve was shifted to more negative potential, but the activation curve and recovery curve were not altered. Allitridi had no effect on frequent-dependency of calcium current. Conclusion These results show that allitridi could concentration-dependently decrease calcium channel current in ventricular myocytes of rats.     

自发高血压大鼠肥厚心肌L型钙通道电流变化及与左室肥厚的关系

目的探讨自发高血压大鼠肥厚心肌L型钙通道电流的动态演变规律及与左室肥厚的关系。方法采用全细胞膜片钳技术记录10,24和34周龄组(n均为10)自发高血压大鼠左室心肌L型钙通道电流(ICa-L)及膜电容(MC),同时测定大鼠动脉收缩压(SBP)和左室质量指数(LVMI),以10周龄Wistar大鼠为对照组(n=10)。结果①自发高血压大鼠的LVMI及MC明显大于对照组(P<0.01)。在自发高血压大鼠中,各周龄组的MC和LVMI具有明显差别(P<0.01)。②10周龄组ICa-L电流密度明显大于对照组(-7.2±0.9pA/pFvs-5.7±0.6pA/pF,P<0.05),34周龄组ICa-L电流密度明显小于对照组(-4.2±0.3pA/pFvs-5.7±0.6pA/pF,P<0.05)。③ICa-L电流密度与LVMI呈负相关关系(r=-0.95,P<0.01),同时LVMI和大鼠周龄是影响ICa-L电流密度的主要因素(P<0.01)。结论左室肥厚越明显,ICa-L电流密度越降低。     

Reverse dedifferentiation of atrial cardiomyocytes after restoration of sinus rhythm from atrial fibrillation in goats

Objective Chronic atrial fibrillation （AF） results in dedifferentiation of atrial cardiomyocytes that plays an important role in the perpetuation of AF. In this study, we aimed to investigate the changes oftitin and a-smooth muscle actin （α-SMA） after long time of AF reversal. Methods Twenty-four goats were randomized into four groups： （1） sinus rhythm （SR）, （2） 3 months AF （3-too AF）, （3） 3 months SR after 3 months AF （3-mo post AF）, （4） 6 months SR after 3-mo AF （6-mo post AF）, with 6 in each group. By pacing on the anterior bottom of left atria appendage （LAA）, we established a goat model of chronic AF. Atria effective refractory period （AERP） was measured with electrophysiological methods. Ultra-structure was studied with echocardiography, light and electron microscopy. Titin and α-SMA protein expressions were determined by Western blot. Results The animals underwent high rate pacing on LAA for a mean of 42.23± 21.70 days before presenting AF. Electrophysiological analysis revealed that AERP completely resumed in 3-mo post AF goats. Echocardiography displayed that the size of left atrium resumed almost in 6-too post AF goats （P〈 0.01）. Pathological and electron microscopic examination revealed the disorder of myofibrils, augmentation of intercellular space, myolysis, accumulation of glycogen, and numerous bigger mitochondria among atrial cardiomyocytes in 3-mo AF goats. They recovered mostly in 6-mo post AF goats. Western blot showed that the band density oftitin significantly reduced in 3-mo AF goats compared to SR ones [1826 ± 319 vs 5012±854, P 〈 0.01]. In 3- and 6-mo post AF goats, titin increased gradually and it reversed completely in 6-mo post AF goats （3841 ± 601 and 4523 ±833 respectively, P 〈 0.01）. Conversely, the band density ofa-SMAwas significantly higher in 3-mo AF goats （5324 ± 948） than in SR ones （1619 ±271, P 〈 0.01）. In 3- and 6-mo post-AF goats, α-SMA decreased gradually, and it recovered mostly in 6- mo post AF goats （4437 ± 792 and 2205 ± 540 respectively, P〈 0.01,）. Conclusions These data indicate that the reversal of dedifferentiation of atrial cardiomyocyts is a very slow process, and it is definitely essential for normal cardiac function .     

Activation of the Ca(2+)-activated nonselective cation channel by diacylglycerol analogues in rat cardiomyocytes

INTRODUCTION: Cardiac hypertrophy is associated with changes in electrophysiologic properties due to ionic channel modifications and increases in protein kinase C (PKC) activity and diacylglycerol (DAG) content. These changes may contribute to an increased propensity for arrhythmia. Similar electrophysiologic modifications have been reported in adult rat cardiomyocytes undergoing dedifferentiation in primary culture. METHODS AND RESULTS: Single-channel measurements on such cells identified the appearance of a Ca(2+)-activated nonselective cation channel (NSC(Ca)) during the dedifferentiation process. The current study investigated the sensitivity of this channel to PKC and DAG analogues. In the cell-attached configuration, channel conductance was 20.2 pS under physiologic conditions. Perfusion with the DAG analogue 1-oleoyl-2-acetyl-sn-glycerol (OAG, 0.1 mM) or the PKC activator phorbol 12-myristate 13-acetate (PMA, 0.5 microM) increased the channel normalized open probability (nPo), whereas in the presence of the PKC inhibitor calphostin C (1 microM), only OAG retained this effect. In the inside-out configuration, perfusion of both DAG analogues OAG (0.1 mM) and 1-stearoyl-2-arachidonoyl-sn-glycerol (SAG, 10 microM) on the inside of the membrane increased nPo. These results indicate that DAG regulates the NSC(Ca) channel via both the PKC pathway and by a direct interaction. CONCLUSION: DAG content, PKC activity, and channel expression increased during hypertrophy. This indicates that the NSC(Ca) channel exhibits high activity in this condition and, therefore, is a candidate for the genesis of arrhythmias in ventricular cardiomyocytes. In addition, regulation of the channel by DAG and PKC contributes to current understanding of the physiologic role of this channel, which shares properties with the cloned TRPM4b channel.     

大豆异黄酮对培养心肌细胞钙电流和动作电位的影响

目的 观察大豆异黄酮（SI）对大鼠心肌细胞动作电位的影响和培养心室肌细胞钙电流的作用。方法 采用悬浮玻璃微电极法和全细胞膜片钳方法。结果 SI能剂量依赖性地降低动作电位幅值（APA）、超射（OS）、最大除极速率（Vmax）、缩短复极50％及90％水平的动作电位时程（APD50、APD90）；SI 0.1pg/ml对L-型钙电流可见不同程度的抑制作用。结论 SI可使心肌细胞动作电位除极参数降低，动作电位时程缩短，对钙电流的抑制作用可减轻心肌细胞钙超载，进而保护心肌。     

慢性低氧后钙转运的变化(英文)

目的 :本文研究大鼠慢性低氧后心肌钙转运的变化。方法 :将大鼠放置于 10 %氧环境下 4周 ,分离正常及慢性缺氧大鼠的右心室肌细胞 ,用光谱荧光法测定电刺激和咖啡因引起的细胞内 [Ca2 + ]i瞬变 ,并测定肌浆网膜上的Ca2 + ATP酶 （SERCA）和ryanodine受体 （RyR）蛋白的水平。结果 :低氧后电刺激和咖啡因引起的细胞内 [Ca2 + ]i瞬变的幅度降低且时程延长 ,RyR水平无明显改变但SERCA已显著减少。结论 :Ca2 + ATP酶活性和蛋白水平的降低是低氧钙转运异常的主要原因。     

外源性磷酸肌酸对缺血豚鼠心室肌细胞L型钙通道电流的影响

目的:观察不同浓度外源性磷酸肌酸(exogenous phosphocreatine,PCr)对豚鼠缺血心室肌细胞L型钙通道(ICa.L)电流的影响,探讨其治疗缺血性心力衰竭的电生理学机制。方法:单个心室肌细胞经酶解从豚鼠左心室获得,采用膜片钳全细胞模式记录ICa.L电流,通过灌注模拟缺血液并充以95%N2+5%CO2的混合气体建立缺血模型,将PCr加入模拟缺血液中分别配成5,10,20,30 mmol/L浓度。将细胞分成6组,分别予模拟缺血液,含有5,10,20,30mmol/L浓度PCr的模拟缺血液,台氏液灌流,后者充以95%O2+5%CO2的混合气体。10 min后记录各组的峰电流及电流密度。结果:与台氏液组相比,模拟缺血液组ICa.L峰电流密度降低(80.6±5.2)%(P0.05),含有5,10,20,30 mmol/L浓度PCr的模拟缺血液组ICa.L峰电流密度分别降低(53.8±6.7)%(P0.05);(41.8±8.2)%(P0.05);(38.1±7.4)%(P0.05);(36.6±9.7)%(P0.05)。10,20,30 mmol/L 3种浓度对ICa.L峰电流密度的影响无统计学差别。结论:PCr能明显增加缺血时受抑制的ICa.L峰电流及电流密度,这可能是其治疗缺血性心力衰竭的电生理学机制。PCr在低浓度(0～10 mmol/L)对ICa.L电流及电流密度的影响呈现明显的量效关系,浓度大于10mmol/L量效关系不明显。     

T-type calcium channel as a portal of iron uptake into cardiomyocytes of beta-thalassemic mice

Objectives: Iron‐overload condition can be found in β‐thalassemic patients with regular blood transfusion, leading to iron deposition in various organs including the heart. Elevated cardiac iron causes iron‐overload cardiomyopathy, a condition that provokes mortality because of heart failure in patients with thalassemia. Previous studies demonstrated that myocardial iron uptake may occur via L‐type calcium channels (LTCCs). However, direct evidence regarding the claimed pathway in thalassemic cardiomyocytes has never been investigated. Methods: Hearts from genetic‐altered β‐thalassemic mice and adult wild‐type mice were used for cultured ventricular cardiomyocytes. Blockers for LTCC, T‐type calcium channel (TTCC), transferrin receptor1 (TfR1), and divalent metal transporter1 (DMT1) were used, and quantification of cellular iron uptake under various iron loading conditions was performed by Calcein‐AM fluorescence assay. Microarray analysis was performed to investigate gene expressions in the hearts of these mice. Results: This study demonstrated that iron uptake under iron‐overload conditions in the cultured ventricular myocytes of thalassemic mice was greater than that of wild‐type cells (P < 0.01). TTCC blocker, efonidipine, and an iron chelator, deferoxamine, could prevent iron uptake into cultured cardiomyocytes, whereas blockers of TfR1, DMT1, and LTCC could not. Microarray analysis from thalassemic hearts demonstrated highly up‐regulated genes of TTCC, zinc transporter, and transferrin receptor2. Conclusions: Our findings indicated that iron uptake mechanisms in cultured thalassemic cardiomyocytes are mainly mediated by TTCC, suggesting that TTCC is the important pathway for iron uptake in this cultured thalassemic cardiomyocyte model.     

Electrical stimulation of adult rat cardiomyocytes in culture improves contractile properties and is associated with altered calcium handling

A major limitation in long-term studies of quiescent adult cadiomyocytes in culture has been the decline in contractile properties of the cells over time. Regular contracting cardiomyocyte cultures may represent a more physiological model. The aim of the present study was to investigate the mechanical properties and calcium handling of myocytes after 24 hours of electrical stimulation at 1 Hz. In a random and blind design, stimulated (S) and unstimulated (U) myocytes were examined using an inverted microscope which allows continuous length recordings and measurements of intracellular Ca²⁺. Fractional shortening examined at 0.25 Hz was 14.67±0.51 % in S cells and was not significantly different from U cells. However, at higher frequencies we found a significant difference in mechanical properties between the two groups. At 2 Hz fractional shortening was 12.03±0.67 % in S cells, but only 8.07±0.94 % U cells (P<0.05). We were able to abolish the difference between the two groups by stimulating with the -adrenergic agonist isoproterenol. Measurements of Ca²⁺ transients were made at 1 Hz after loading with fura 2-AM. Peak fura 2 ratio was 25.4% greater in S cell compared to U cells. Resting fura ratios were not significantly different. Caffeine-induced transients were greater in S than in U cells. [³H]-ryanodine-binding and Ca²⁺-ATPase contents were not significantly different. In conclusion, we have found that regular electrical stimulation of adult ventricular myocytes in culture, so that they contract rhythmically, enhances both mechanical properties and calcium transients when compared to quiescent myocytes. These results suggest that regular electrical stimulation is important when studying the function of adult ventricular myocytes in culture.     

T-type calcium current in electrical activity of cardiomyocytes isolated from rabbit pulmonary vein

INTRODUCTION: Pulmonary veins (PVs) are known to initiate paroxysmal atrial fibrillation. T-type calcium current (I(Ca-T)) has a role in normal and abnormal automaticity of cardiomyocytes. The aim of this study was to evaluate whether I(Ca-T) contributes to PV electrical activity. METHODS AND RESULTS: By whole-cell clamp techniques in rabbit myocytes, I(Ca-T) was identified in 12 (39%) of 31 PV cardiomyocytes with pacemaker activity, 2 (9%) of 23 PV cardiomyocytes without pacemaker activity, and 2 (15%) of 13 atrial myocytes (P < 0.05). Maximum I(Ca-L) and I(Ca-T) densities from PV cardiomyocytes with pacemaker activity were 6.87 +/- 2.17 pA/pF and 1.38 +/- 0.69 pA/pF, respectively. Nickel (40 microM) decreased the spontaneous activity in 5 (36%) of 14 PV cardiomyocytes (3.1 +/- 0.6 Hz vs 2.2 +/- 0.5 Hz, P < 0.05), reduced the amplitudes of delayed after depolarization from 13 +/- 1 mV to 7 +/- 1 mV (n = 4, P < 0.05) and inhibited transient inward currents from 1.2 +/- 0.2 pA/pF to 0.7 +/- 0.1 pA/pF (n = 11, P < 0.01). CONCLUSIONS: We conclude that I(Ca-T) contributes to PV pacemaker activity and triggered activity, which are of functional importance in PV arrhythmogenesis.     

Rheb activates protein synthesis and growth in adult rat ventricular cardiomyocytes

The mammalian target of rapamycin complex 1 (mTORC1), a key regulator of protein synthesis, growth and proliferation in mammalian cells, is implicated in the development of cardiac hypertrophy. Ras homolog enriched in brain (Rheb) positively regulates mTORC1. We have studied whether Rheb is sufficient to activate mTOR signaling and promote protein synthesis and cardiac hypertrophy in adult rat ventricular cardiomyocytes (ARVC). Rheb was overexpressed via an adenoviral vector in isolated ARVC. Overexpression of Rheb in ARVC activated mTORC1 signaling, several components of the translational machinery and stimulated protein synthesis. Our direct visualization approach to determine ARVC size revealed that overexpression of Rheb also induced cell growth and indeed did so to similar extent to the hypertrophic agent, phenylephrine (PE). Despite potent activation of mTORC1 signaling, overexpression of Rheb did not induce expression of the cardiac hypertrophic marker mRNAs for brain natriuretic peptide and atrial natriuretic factor, while PE treatment did markedly increase their expression. All the effects of Rheb were blocked by rapamycin, confirming their dependence on mTORC1 signaling. Our findings reveal that Rheb itself can activate both protein synthesis and cell growth in ARVC and demonstrate the key role played by mTORC1 in the growth of cardiomyocytes.     

Comparison of the effects of a transient outward potassium channel activator on currents recorded from atrial and ventricular cardiomyocytes

Effect of NS5806 on Atrial Currents. Introduction: NS5806 activates the transient outward potassium current (I_to) in canine ventricular cells. We compared the effects of NS5806 on canine atrial versus ventricular tissues and myocytes. Methods and Results: NS5806 (10 μM) was evaluated in arterially perfused canine right atrial and right ventricular wedge preparations. In ventricular wedges NS5806 (10 μM) accentuated phase 1 in epicardium (Epi), with little effect in endocardium (Endo), resulting in augmented J‐waves on the ECG. In contrast, application of NS5806 (10 μM) to atrial preparations had no effect on phase 1 repolarization but significantly decreased upstroke velocity (dV/dt) and depressed excitability, consistent with sodium channel block. Current and voltage‐clamp recordings were made in the absence and presence of NS5806 in (10 μM) enzymatically dissociated atrial and ventricular myocytes. In ventricular myocytes, NS5806 increased I_to magnitude by 80% and 16% in Epi and Endo, respectively (at +40 mV). In atrial myocytes, NS5806 increased peak I_to by 25% and had no effect on the sustained current, I_Kur. Under control conditions, I_Na density in atrial myocytes was nearly double that in ventricular myocytes. NS5806 caused a shift in steady‐state mid‐inactivation (V_1/2) from –73.9 ± 0.27 to –77.3 ± 0.21 mV in ventricular and from –82.6 ± 0.12 to –85.1 ± 0.11 mV in atrial cells, resulting in reduction of I_Na in both cell types. Expression of mRNA encoding putative I_Na and I_to channel subunits was evaluated by qPCR. Conclusion: NS5806 produces a prominent augmentation of I_to with little effect on I_Na in the ventricles, but a potent inhibition of I_Na with little augmentation of I_to in atria. (J Cardiovasc Electrophysiol, Vol. 22, pp. 1057‐1066, September 2011)     

Wistar大鼠乳鼠与成年鼠心室肌细胞的分离与性质鉴定

目的 探索和优化稳定的适于电生理实验研究的乳鼠及成年大鼠心室肌细胞分离方法。方法 切碎乳鼠心室肌,胰蛋白酶消化,差速贴壁2 h纯化心室肌细胞,台盼蓝染色判定心肌细胞活力,体外培养48 h后分别行倒置显微镜观察细胞形态,免疫组化鉴定,微电极阵列记录细胞搏动频率和场电位。采用Langendorff灌流成年大鼠心脏,主动脉逆行插管,胶原酶域反复灌流消化约30 min,无钙台氏液冲洗心脏5 min,剪下心室肌组织,台氏液中室温下剪碎,吹打,孵育5 min后,用200目筛网过滤,将细胞悬液用逐步复钙法复钙后,室温静置1 h,用于膜片钳记录。结果 经4 -6次消化后,乳鼠心室组织消化完全,细胞存活率大于80%。倒置显微镜下观察,细胞呈梭形、多角形。 12 h有少部分细胞搏动,48 h细胞交织成网,搏动呈同步性,搏动频率30 - 80次/分。 琢鄄辅肌动蛋白（琢鄄actin）经免疫组化检测,纯度达96%。 Langendorff灌流酶解法可获得形态呈杆状、横纹清晰、膜周边光滑完整、立体感强的单个成年鼠心肌细胞,存活率85%,复钙后存活率50%,可用于膜片钳记录。结论 采用本方法可以获得高产量与高质量的用于电生理检测的心室肌细胞。     

尼氟灭酸对大鼠心室肌细胞钠通道及动作电位的影响

目的:观察尼氟灭酸（niflumicacid,NFA）对大鼠心室肌细胞钠电流及动作电位的影响。方法:分别用全细胞膜片钳及电流钳技术记录单个心室肌细胞电压门控钠电流（INa）和动作电位（AP）。结果:尼氟灭酸（100μmol/L）能可逆性地抑制INa和AP,与对照组比较,抑制的程度分别为:60.1%±12.1%（-30mV,n=6,P<0.01）及78.2%±10.3%（n=5,P<0.01）。天冬氨酸根离子（Asp-）替代细胞外液的氯离子可引起类似尼氟灭酸的作用。结论:尼氟灭酸对钠通道有抑制作用并影响动作电位。     

Effects of calcium channel agonism by Bay-K-8644 on ventricular fibrillation threshold of isolated heart

Summary The hypothesis tested was that enhanced entry of calcium into cardiac cells would increase the susceptibility to ventricular fibrillation as measured by the ventricular fibrillation threshold (VFT) of the isolated perfused rat heart. Bay-K-8644 was used as a calcium-channel agonist. There was a biphasic effect with a maximal increase in left ventricular systolic pressure and oxygen uptake at a concentration of 10^-7M. The same concentration caused a major reduction in the VFT. The bell-shaped pattern of fall of the VFT was inversely related to the effect on LV developed pressure. The changes in VFT could be dissociated from those on myocardial metabolites. Although Bay-K-8644 increased the heart rate, reduction of the VFT could also be obtained in paced hearts. The addition of ryanodine, an agent known to interrupt intracellular recycling of calcium through the sarcoplasmic reticulum, was able to abolish approximately half the effect of Bay-K-8644 on the VFT. Therefore, increased entry of calcium via the calcium channel is able to reduce VFT, acting in part through enhanced recycling of calcium through the sarcoplasmic reticulum.     

心肌梗死后残存心室肌细胞L型钙通道的改变

目的　探讨L型钙通道在急性心肌梗死 (AMI)后室性心律失常发生中的作用及其机制。方法　开胸冠脉结扎制备兔AMI模型 ,于 1周和 2个月处死动物分离心室肌细胞 ,以膜片钳技术记录梗死及周边区心外膜细胞L -型钙通道电流 (ICa -L)的变化。结果　AMI兔梗死周边区心外膜细胞L型钙电流受到抑制 ,电流密度 -电压关系 (I -V)曲线上移 ,其峰值电流密度在正常对照组、AMI后 1周和 2个月分别为 - ( 5 5 8± 1 5 3) pA /pF(n =10 )、- ( 3 5 2± 0 93) pA/ pF (n =6 ,与对照组比较P <0 0 5 )和 - ( 4 84± 1 4 8)pA/ pF(n =11,与对照组比较P <0 0 5 ) ,但I -V曲线的形态轨迹不变。其失活曲线左移 ,失活速度加快 ,半数最大失活电位 3组分别为 -( 13 1± 4 2 )mV、- ( 2 5 9± 7 0 )mV和 - ( 2 1 3± 5 6 )mV ,P <0 0 5。结论　AMI后梗死周边带心外膜细胞L型钙通道受抑制 ,可能为AMI后室性心律失常发生的机制之一 ;AMI后 2个月钙通道的异常程度减轻 ,有恢复正常的趋势     

米诺环素对大鼠心室肌细胞L型钙电流的影响

目的 研究米诺环素对大鼠心室肌细胞L型钙电流（Ica-L）动力学特性的影响.方法 以酶解法分离获得单个心室肌细胞,采用全细胞膜片钳技术,研究米诺环素对Ica-L的影响.结果 10、50、250 μmol/L米诺环素对峰电位的抑制率分别为11%±5.86%,54.79%±6.32%,71.73%±5.29%,使Ica-LI-U曲线上移,激活曲线右移,并延长失活后恢复时间.结论 米诺环素通过延长钙通道的激活及失活后恢复时间,抑制心肌细胞Ica-L,预防钙超载.     

伊贝沙坦对兔心室肌细胞L-型钙通道电流的影响

目的 研究伊贝沙坦(irbesartan)对正常家兔心室肌细胞L-型钙电流(ICa-L)、内向整流性钾电流(IK1)、快钠流(INa)以及跨膜动作电位的影响。方法 应用膜片钳全细胞记录方法记录各项离子流和跨膜动作电位。结果 (1)伊贝沙坦呈浓度依赖性阻断ICa-L；(2)伊贝沙坦可使ICa-L I—V曲线上移，但不改变其激活电位、峰值电位和反转电位；(3)伊贝沙坦呈使用依赖性阻滞ICa-L；(4)伊贝沙坦对ICa-L激活曲线无明显影响，但ICa-L失活后再激活的恢复时间常数(τ)明显延长；(6)伊贝沙坦对IKl和INa无明显影响；(7)伊贝沙坦(100nM)可使单个心室肌细胞动作电位时限缩短，对静息电位(RP)、动作电位幅度(APA)无影响。结论 伊贝沙坦作用于L-型钙通道的失活态从而阻断ICa-L。