一氧化氮合酶激活参与烧伤后Ca2+介导的心肌线粒体损伤

目的:探讨线粒体一氧化氮合酶(mtNOS)在严重烧伤早期心肌线粒体损害中的作用。方法:复制30%TBSAⅢ°烧伤大鼠模型,取正常及伤后1、3、6、12、24h大鼠心肌分离线粒体,测其呼吸功能、Ca²⁺浓度(_m)及细胞色素c氧化酶、mtNOS活性。结果:①伤后1h心肌线粒体呼吸控制率(RCR)显著高于正常组,但3、6、12、24h明显低于正常组,Ⅲ态呼吸速率(ST₃)变化与RCR平行,ST₄仅于伤后3h明显升高;②伤后各时点_m均明显高于正常组,尤以3、6h为甚,而mtNOS活性于伤后3、6、12、24h显著高于对照组,细胞色素c氧化酶活性于伤后3、6、12、24h显著低于正常组;③伤后mtNOS活性与_m呈明显正相关,相关系数为0.8945(P＜0.05),RCR与mtNOS活性呈显著负相关,相关系数为-0.9347(P＜0.05)。结论:伤后_m升高激活mtNOS,可能参与严重烧伤早期心肌线粒体损害。

Involvement of mtNOS in the Ca2+-induced damages of myocardial mitochondria during the early stage after severe burns

AIM:To study the role of mitochondrial nitric oxide synthase (mtNOS) in the damages of myocardial mitochondria during the early stage after severe burns.METHODS:An experimental model of 30% TBSA full-thickness skin scalding was reproduced in rats. Myocardial mitochondria were isolated from control and burned rats at 1, 3, 6, 12 and 24 h postburn. The mitochondrial respiratory function, content of mitochondrial calcium( Ca²⁺]_m) and activities of mtNOS and cytochrome c oxidase were determined. RESULTS: (1) Myocardial mitochondrial respiratory control rate(RCR) at 1 h was evidently higher than that of control, but at 3, 6, 12 and 24 h postburn, it was significantly lower than that of the control. The changes in ST₃ is parallel to those of RCR, and ST₄ was evidently increased only at 3 h postburn. (2) Ca²⁺]_m was higher at all time points postburn and the activity of mtNOS was higher significantly only at 3, 6, 12 and 24 h than that of the control. The activity of cytochrome c oxidase at the 3, 6, 12 and 24 h was low comparing to the control. (3) After severe burns, RCR was negatively correlated with mtNOS activity(r=0.9347, P＜0.05) and mtNOS activity was positive correlated with Ca²⁺]_m (r=0.8945, P＜0.05). CONCLUSION:The elevation of Ca²⁺]_m significantly activates mtNOS, which might play an important role in the damages of myocardial mitochondria during the early stage after burn injury.