Contribution of sodium channel and sodium/hydrogen exchanger to sodium accumulation in the ischemic myocardium

Kouichi Tanonaka, Ayako Takasaki, Hiroshi Kajiwara, Satoshi Takeo
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引用次数: 15

Abstract

Contribution of sodium channels and sodium/hydrogen exchangers (NHEs) to sodium accumulation during ischemia in the ischemic/reperfused heart was examined.

Ischemia increased the myocardial sodium. Reperfusion elicited a further increase in the myocardial sodium, which was associated with little recovery of the left ventricular developed pressure (LVDP) of the perfused heart.

Treatment with tetrodotoxin or dimethylamirolide (DMA) dose-dependently attenuated the ischemia- and reperfusion-induced increase in myocardial sodium and enhanced the post-ischemic recovery of the LVDP.

There was an inverse relationship between the increase in myocardial sodium during ischemia and the post-ischemic recovery of the LVDP.

The myocardial sodium accumulation during ischemia is mainly attributed to sodium influx through sodium channels and NHEs.

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钠通道和钠/氢交换器对缺血心肌钠积累的贡献
研究了缺血/再灌注心脏缺血时钠离子通道和钠/氢交换剂(NHEs)对钠离子积累的贡献。缺血使心肌钠含量增加。再灌注引起心肌钠的进一步增加,这与灌注心脏左心室发达压(LVDP)恢复甚微有关。用河豚毒素或二甲胺洛内酯(DMA)剂量依赖性地减轻缺血和再灌注引起的心肌钠升高,并增强LVDP缺血后的恢复。缺血时心肌钠的升高与LVDP缺血后的恢复呈负相关。缺血时心肌钠积累主要是由于钠通过钠通道和NHEs流入所致。
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