兔心肌梗死1周及2月后心室肌细胞瞬间外向钾电流的变化

目的:研究心肌梗死后心室肌细胞瞬间外向钾电流(I_to)的变化。方法:采用结扎兔冠状动脉左前降支的方法复制心肌梗死动物模型,酶解法分离单个心室肌细胞,应用膜片钳全细胞记录方法,观察心肌梗死后1周及2月心外膜梗死区及非梗死区心室肌细胞I_to的变化。结果:①非梗死区2月组心肌细胞膜电容明显大于对照组,P＜0.05。②梗死区I_to电流密度(+60mV时)的对比显示:对照组为(17.4±5.2)pA/pF(n=16),梗死区1周组为(7.5±2.4)pA/pF(n=12),明显低于对照组(P＜0.01)。梗死区2月组为(10.6±4.1)pA/pF(n=18),明显低于对照组(P＜0.01),但高于梗死区1周组(P＜0.05)。③非梗死区2月组I_to电流密度为(13.2±4.1)pA/pF(n=23),明显低于对照组(P＜0.05),但高于梗死区2月组(P＜0.05)。结论:心肌梗死可引起心室肌细胞I_to电流密度下降,而且不同区域之间(梗死区及远离梗死区)也存在电生理的异质性,可能是导致心肌梗死后出现折返性室性心律失常的原因。心肌梗死后2月梗死区I_to的下降有恢复倾向。

Alteration of transient outward potassium current in ventricular myocytes from 1-week and 2-month infarcted rabbit hearts

AIM: To study the current density of transient outward potassium current (I_to) in cells from the epicardial zone of the 1-week and 2-month infarcted rabbit heart. METHODS: Rabbits were infarcted by ligation of the left anterior descending coronary artery, 1 week as well as 2 months later, the single ventricular myocytes were isolated enzymatically from the infracted area of 1-week infracted rabbit heart (PMI-1 week) and 2-month infracted heart (PMI-2 months), region remote from the infracted zone of 2-month infracted heart (REM-2 months) and free wall of left ventricule from noninfarcted heart (CON). I_to was recorded using whole cell patch-clamp techniques. RESULTS: Membrane capacitance of myocytes in REM-2 months group was signifitantly larger than that in CON. I_tocurrent density (at +60 mV) was significantly reduced in PMI-1 week and PMI-2 months compared with CON , P＜0.01. Nevertheless, there was an significant increase in PMI-2M compared with PMI-1W, P＜0.05. I_to current density was also significantly decreased in REM-2 months compared with CON (P＜0.05), while there was an significant increase in REM-2 months compared with PMI-2 months, P＜0.05. CONCLUSION: The results indicated that the reduction and change of I_to in infarcted rabbit heart were heterogenous. These changes may underlie the abnormally long transmembrane action potentials of these arrhymogenic surviving ventricular fibers of the infarcted heart, thus contributing to reentrant arrhythmias in the infarcted heart. By 2 months after myocardial infarction, the depressed I_to of infracted area had returned to nearly normal, suggesting the presence of reverse remodeling.