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首页> 外文期刊>Journal of cardiac surgery. >Role of kappa opioid receptor in cardioprotection of preconditioning: implications in cardiac surgery.
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Role of kappa opioid receptor in cardioprotection of preconditioning: implications in cardiac surgery.

机译:κ阿片受体在心脏预处理中的作用:在心脏手术中的意义。

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摘要

Kappa-opioid receptor mediates both immediate and delayed cardioprotection of ischemic/metabolic inhibition preconditioning. Both PKC and mitochondria ATP-sensitive K+ channel, mediate the protective action of kappa-opioid receptor stimulation. In delayed cardioprotection, PKC-epsilon may produce its effect via mitochondria ATP-sensitive K+ channel, and a stress inducible heat stress protein 70 may also be involved. Metabolic inhibition causes cell death which is accompanied by Ca2+ overload and mobilization of Ca2+ from sarcoplasmic reticulum to cytoplasm. The altered Ca2+ homeostasis is restored partially by kappa-opioid receptor or metabolic inhibition preconditioning. The finding indicates that opioids such as morphine may be used in the treatment of ischemic heart diseases and in open heart surgery.
机译:κ阿片受体介导缺血/代谢抑制预处理的即时和延迟心脏保护作用。 PKC和线粒体ATP敏感的K +通道均介导κ阿片受体刺激的保护作用。在延迟的心脏保护中,PKC-ε可能通过线粒体ATP敏感的K +通道产生作用,并且还可能涉及应激诱导的热应激蛋白70。代谢抑制导致细胞死亡,并伴有Ca2 +超载和Ca2 +从肌浆网转移到细胞质。 Ca2 +阿片受体或代谢抑制预处理可部分恢复改变的Ca2 +稳态。该发现表明,吗啡等阿片类药物可用于缺血性心脏病的治疗和开放性心脏手术。

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