庚醇预处理对兔缺血再灌注心肌线粒体结构、功能及线粒体Cx43的影响

目的:观察庚醇预处理对心肌缺血再灌注时线粒体的结构、功能和缝隙连接蛋白43(Cx43)影响,以探讨庚醇预处理心肌保护的可能机制。方法:兔64只,建心肌缺血再灌注模型,随机分4组(每组16只):假手术组(sham组)、缺血再灌注组(IR组)、缺血预处理组(IP组)、庚醇预处理(HT组)。测定心肌梗死面积,电镜观测线粒体超微结构改变,检测线粒体膜电位、Ca2+浓度、丙二醛(MDA)和超氧化物歧化酶(SOD)的改变。Westernblotting检测线粒体Cx43蛋白变化。结果:IP组和HT组心肌梗死面积分别为(18.97±2.80)%、(19.97±3.80)%,均明显低于IR组(35.67±5.80)%,P0.01。电镜检测发现,与sham组比较,其它组线粒体损伤明显(P0.01);与IR组比较,HT组和IP组线粒体损伤明显减轻(P0.05)、线粒体跨膜电位明显升高、线粒体Ca2+浓度明显下降(P0.01);与IR组比较,IP组SOD活性明显升高、MDA含量显著下降(P0.01)。与sham组比较,IR组线粒体Cx43蛋白显著下降(P0.05);与IR组比较,HT组和IP组心肌线粒体Cx43明显升高(P0.05)。结论:庚醇预处理可保护缺血再灌注心肌,其机制可能与提高线粒体跨膜电位、减轻线粒体钙超载和提高线粒体Cx43表达有关。

Effects of heptanol preconditioning on structure,function and Cx43 content of mitochondria in rabbit model of myocardial ischemia/reperfusion injury

AIM: To investigate the effects of heptanol preconditioning on the changes of structure, function and connexin 43 (Cx43) content in mitochondria in a rabbit model of myocardial isehemia-reperfusion (IR) injury. METHODS: In anesthetized open-chest rabbits, the left anterior descending artery (LAD) was occluded for 30 min and reperfused for 4 h. Sixty-four rabbits were randomly divided into 4 groups (n=16 in each group): sham operation group (sham group), ischemia-reperfusion group (IR group), ischemic preconditioning group (IP group) and heptanol preconditioning group (HT group). All rabbits in the 4 groups were killed 4 h after reperfusion. Myocardial infarct size was determined at the end of the experiment. Mitochondria was isolated by centrifugations. The ultrastructural changes of the mitochondria were observed under electronic microscope. The mitochondrial membrane potential, Ca2+ concentration, MDA content and SOD activity of myocardial mitochondria were also examined. The content of mitochondria Cx43 was detected by Western blotting. RESULTS: Compared to IR group, the myocardial infarct size was significantly reduced in IP (18.97%±2.80%) and HT (19.97%±3.80%) groups, the damage of mitoehondrial ultrastructure was milder (P<0.05), mitochondrial membrane potential was significantly higher and Ca2+ concentration was much lower (P<0.01) in IP group and HT group. No significant difference of MDA content and SOD activity in myocardial mitochondria between IR group and HT group was found. However, MDA content were much lower and SOD activity was significantly higher in IP group as compared to IR group (P<0.01). Compared to sham group, the mitochondria Cx43 expression was distinctly decreased compared to IR group (P<0.05) and no significant difference was found between IP group and HT group (P>0.05). CONCLUSION: Heptanol preconditioning protects myocardium from ischemia-reperfusion injury. The mechanism may be related to increasing in mitochondrial membrane potential, alleviating Ca2+ overload in myocardial mitochondria and attenuating the decrease in mitochondria Cx43 expression induced by isehemia-reperfusion.