缺血预处理限制心肌梗塞范围的作用与腺苷受体的关系
陈健,张钧华,林静,邱原刚,汪丽蕙
摘要(Abstract):
本实验采用家兔在体缺血预处理模型(5分钟冠脉阻塞,10分钟再灌注后,30分钟冠脉阻塞,120分钟再灌注),观察了其对心肌梗塞范围的影响以及腺苷受体在缺血预处理机制中的作用.结果表明,缺血预处理可显著降低心肌梗塞范围(14.1%与对照组36.6%比较,P<0.01),而这一效应可被非特异性腺苷受体拮抗剂8-苯基茶碱所阻断(梗塞范围32.1%,P<0.01).提示缺血预处理的心肌保护作用与腺苷受体密切相关.
关键词(KeyWords): 心肌梗塞;腺苷受体
基金项目(Foundation):
作者(Author): 陈健,张钧华,林静,邱原刚,汪丽蕙
参考文献(References):
- [1]Murry CE,Jennings RB,Reimer KA.Preconditioning with ischemia:a delay of lethal cell injury in ischemic myocardium.Circulation,1986,74:1124.
- [2]Liu GS,Thornton JD,Van Winkle DM,et al.Protection against infarction afforded by preconditioning is mediated by A_1 adenosine receptors in rabbit heart.Circulation,1991,84:350.
- [3]Thornton JD,Liu Gs,Olsson RA,et al.Intravenous pretreatment with A_1-selective adenosine analogues protects the heart against infarction.Circulation,1992,85:659.
- [4]Tsuchida A,Miura T,Miki T,et al.Role of adenocine receptor activation in myocardial infarct size limitation by ischemic preconditioning.Cardiovasc Res,1992,26:456.
- [5]Li Y,Kloner RA.The cardioprotective effects of ischemic‘preconditioning’are not mediated by adenosine in the rat.Circulation,1993,87:1642.
- [6]Liu Y,Downey JM.Ischemic preconditioning protects against infarction in the rat heart.Am J Physiol 1992;263:H1107.
- [7]Albuquerque CP,Gerstenblith G,Weiss RG.Importance of metabolic inhibition and cellular pH in mediating preconditioning contractile and metabolic effects in rat hearts.Circ Res,1994,74:139.
- [8]Forman MB,Velasco CE,Jackson EK.Adenosine attenuates reperfusion injury following regional myocardial ischemia.Cardiovasc Res,1993,27:9.
- [9]Amstrong S,Downey JM,Ganote CE.Preconditioning of isolated rabbit cardiomyocytes;induction by metabolic stress and blockade by the adenosine antagonist SPT and calphostin C,a protein kinase cinhibitor.Cardiovasc Res,1994,28:72.