目的研究6h低强度自主神经节(GP)刺激对犬乙酰胆碱依赖性钾电流(IKACh)和L型钙电流(ICaL)的影响。方法22只成年杂种犬随机分为2组:实验组16只,对左上GP及右前GP予以6h低强度高频刺激;对照组6只,在心房远离GP处同样予以6h低强度刺激。刺激结束后分别用膜片钳、实时定量反转录-聚合酶链反应(RT—PCR)和蛋白免疫印迹(Western Blot)技术检测右心房(RA)、左心房(LA)及左上肺静脉(LSPV)处组织,IKACh和ICaL密度,以及相应通道亚单位Kir3.4和CaV1.2的mRNA水平和蛋白含量水平。结果与对照组相比,6h低强度高频刺激可以导致:①LSPV处,Ⅲ。电流密度((9.8±0.6)pA/pF对(7.9±0.3)pA/pF,P〈0.01]和相应的通道亚单位Kir3.4蛋白水平(3.3±0.5对1.6±0.1,P〈0.001)显著增加;②RA、LA及LSPV处,㈨电流密度[RA:(2.O±O.2)pA/pF对(2.8±O.2)pA/pF,P〈0.01;LA:(2.3±0.3)pA/pF对(5.0±0.3)pA/pF,P〈0.001;LSPV:(2.5±0.2)pA/pF舜r(4.3±0.4)pA/pF,P〈0.01]和相应的通道亚单位CaV1.2蛋白水平(RA:0.8±0.1对1.1±0.1,P〈O.01;LA:1.1±0.1对1.7±0.2,P〈0.01;LSPV:0.5±0.1对0.8±0.1,P〈0.001)显著下降;(3)Kir3.4(RA:0.9±0.1对0.8±0.1,P〉0.05;LA:1.0±0.1对0.9±0.1,P〉0.05;LSPV:1.1±0.1对1.1±0.0,P〉0.05)和CaV1.2(RA:0.9±0.1对1.0±0.1,P〉0.05;LA:0.8±0.1对0.9±0.1,P〉0.05;LSPV:1.1±0.1对1.1±0.1,P〉0.05)的mRNA水平差异无统计学意义。结论6h低强度GP刺激可以通过转录后调节引起IKACh电流密度增加和ICaL电流密度的下降。
Objective To investigate the effects of 6 hours low level ganglionated plexi(GP) stimulation (LL-GPS) on canine atrial acetylcholine- regulated potassium current ( IKACa) and L-type calcium current ( IcaL ). Methods In twenty-two anesthetized open-chest dogs,electrodes on the anterior right GP(ARGP) and superior left GP(SLGP) allowed 6 hours low level GP stimulation(0. 1-1.0V) in 16 dogs and the similar low-level stimula- tion( without myocardial capture)was delivered to the myoeardium remote from GP for 6 hours in another 6 dogs for control. After 6 hours stimulation,the canine hearts were excised and the tissues dissected from the right atrial (RA) ,left atrial (LA) and left superior puhnonaly vein (LSPV) was used for the patch-clamp technique, real-time PCR and western blot to discover the alterations in current densities of ICal and lcaL ,and the changes on mRNA and protein levels of the channels subunit ( Kir 3.4 and Car 1.2). Results Comparing to control group, six-hour LL-GPS @significantly increased the density of I~*ch { (9. 8±0. 6) pA/pF vs(7.9±0. 3)pA/pF,P〈0. O13 and the potein level of the channel subunit (Kir 3.4) (3.3 ±0. 5 vs 1.6±0. 1, P〈0. 001 )at LSPV (P〈0. 01 ) ;@markedly decreased the density of lc,L [RA : ( 2. 0± 0. 2) pA/pF vs ( 2. 8 ±0. 2 ) pA/pF, P〈O. 01 ; LA : ( 2. 3 ±0. 3 ) pA/pF vs ( 5.0±0. 3 ) pA/pF, P〈O. 1301 ; ISPV : (2.5 ±0.2 ) pA/pF vs ( 4. 3 ±0.4 ) pA/pF, P 〈0.01 and the protein level of the channel subunit ( CaV 1.2) ( RA :0. 8±0. 1 vs 1.1 ±0. 1, P〈0. 01 ; LA : 1.1 ±0. 1 vs 1.7 ±0. 2, P〈0. 01, LSPV : O. 5±0. lvs 0. 8±0. 1 ,P〈0. 001 )at LSPV and both atria;@indueed no significant changes in mRNA level of Kir 3.4 (RA:0. 9±0. 1 vs 0. 8±0. 1 ,P〉0. 05;LA:1.0±0. 1 vs 0.9±0. 1 ,P〉0.05;LSPV:l. 1±0. 1 vs 1. 1±0.0,P〉 0.05)and CaV 1.2(RA:0. 9±0. l vs 1.0±0. 1,P〉0. 05;LA:0. 8±0. 1 vs 0.9±0. 1,P〉0. 05;LSPV:I.