腺苷A1受体拮抗剂对异氟烷心肌保护作用的影响

Effects of adenosine receptor antagonist on isoflurane-induced myocardial protection in isolated rat hearts

  • 摘要: 目的: 调查异氟烷改善缺血后心肌功能的作用是否与腺苷A1受体有关。方法: 5组(n=8)离体大鼠心脏Langendorff法灌注。全心缺血2 0min,再灌注12 0min。记录分析应用异氟烷和(或)腺苷A1受体拮抗剂(DPCPX)后再灌注期舒张末期压(EDP)、左室发展压(DP)、室内压最大上升速率(LV+dp/dtmax)和室内压最大下降速率(LV dp/dtmin)的变化。结果: 异氟烷明显降低再灌注期EDP;增强DP、LV+dp/dtmax和LV dp/dtmin的恢复(P<0.05)。缺血前或缺血后给予DPCPX不能减弱异氟烷的保护作用(P>0.05)。结论: 异氟烷增强离体大鼠心脏缺血后的功能恢复,腺苷A1受体不参与异氟烷引起的心肌保护过程。

     

    Abstract: Objective: To determine whether isoflurane induced myocardial protection is mediated by adenosine receptor subtype A 1.Methods: Five groups (n=8) of isolated rat hearts were studied in the Langendorff apparatus The hearts were subjected to 30min global ischemia and 120min reperfusion DP, EDP, LV+dp/dt max and LV dp/dt min were recorded and analyzed after administrating isoflurane and (or) adenosine receptor antagonist (DPCPX).Results: Isoflurane significantly decreased EDP and improved the recoveries of DP, LV+dp/dt max and LV dp/dt min during reperfusion compared with control groups(P<0 05) DPCPX administrated before or after the global ischemia couldn′t attenuate the protection of isoflurane (P >00 05).Conclusion: Isoflurane enhances the post ischemic functional recovery of isolated rat heart and A 1 receptors are not involved in isoflurane induced myocardial protection

     

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