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首页> 外文期刊>Anesthesiology >Differential role of calcium/calmodulin-dependent protein kinase II in desflurane-induced preconditioning and cardioprotection by metoprolol: metoprolol blocks desflurane-induced preconditioning.
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Differential role of calcium/calmodulin-dependent protein kinase II in desflurane-induced preconditioning and cardioprotection by metoprolol: metoprolol blocks desflurane-induced preconditioning.

机译:钙/钙调蛋白依赖性蛋白激酶II在地氟醚诱导的预处理和美托洛尔的心脏保护中的不同作用:美托洛尔阻断地氟醚诱导的预处理。

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摘要

BACKGROUND: Anesthetic preconditioning is mediated by beta- adrenergic signaling. This study tested the hypotheses that desflurane-induced preconditioning is dose-dependently blocked by metoprolol and mediated by calcium/calmodulin-dependent protein kinase II (CaMK II). METHODS: Pentobarbital-anesthetized New Zealand White rabbits were instrumented for measurement of systemic hemodynamics and subjected to 30 min of coronary artery occlusion followed by 3 h of reperfusion. Rabbits were assigned to receive vehicle (control), 0.2, 1.0, 1.75, or 2.5 mg/kg metoprolol for 30 min, or the CaMK II inhibitor KN-93 in the absence or presence of 1.0 minimum alveolar concentration desflurane. Protein expression of CaMK II, phospholamban, and phospho-phospholamban was measured by Western blotting. Myocardial infarct size and area at risk were measured with triphenyltetrazolium staining and patent blue, respectively. RESULTS: Baseline hemodynamics were not different among groups. Infarct size was 60 +/- 3% in controland significantly (* P < 0.05) decreased to 33 +/- 2%* by desflurane. The CaMK II inhibitor KN-93 did not affect infarct size (55 +/- 4%) but blocked desflurane-induced preconditioning (57 +/- 3%). Metoprolol at 0.2 and 1.0 mg/kg had no effect on infarct size (55 +/- 3% and 53 +/-3%), whereas metoprolol at 1.75 and 2.5 mg/kg reduced infarct size to 48 +/- 4%* and 39 +/- 5%*, respectively. Desflurane-induced preconditioning was attenuated by metoprolol at 0.2 mg/kg, leading to an infarct size of 46 +/- 5%*, and was completely abolished by metoprolol at 1.0, 1.75, and 2.5 mg/kg, resulting in infarct sizes of 51 +/- 3%, 52 +/- 3%, and 55 +/- 3%, respectively. CONCLUSIONS: Desflurane-induced preconditioning is dose-dependently blocked by metoprolol and mediated by CaMK II.
机译:背景:麻醉药的预处理是由β-肾上腺素能信号传导介导的。这项研究检验了以下假说:地氟醚诱导的预处理被美托洛尔剂量依赖性地阻断,并被钙/钙调蛋白依赖性蛋白激酶II(CaMK II)介导。方法:将戊巴比妥麻醉的新西兰白兔用于全身血流动力学的测量,并进行30分钟的冠状动脉闭塞,然后再灌注3 h。在不存在或存在1.0最低肺泡浓度地氟醚的情况下,将兔子分配为接受媒介物(对照),0.2、1.0、1.75或2.5 mg / kg美托洛尔30分钟,或接受CaMK II抑制剂KN-93。 CaMK II,phospholamban和phospho-phospholamban的蛋白质表达通过蛋白质印迹法测量。分别用三苯基四唑鎓染色和漆蓝测量心肌梗塞的大小和危险区域。结果:各组之间的基线血流动力学无差异。对照的梗塞面积为60 +/- 3%,地氟醚显着(* P <0.05)降低至33 +/- 2%*。 CaMK II抑制剂KN-93不会影响梗塞面积(55 +/- 4%),但会阻止地氟醚诱导的预处理(57 +/- 3%)。 0.2和1.0 mg / kg的美托洛尔对梗塞面积没有影响(55 +/- 3%和53 +/- 3%),而1.75和2.5 mg / kg的美托洛尔将梗塞面积减少到48 +/- 4%*和39 +/- 5%*。地氟醚诱导的预处理被0.2 mg / kg的美托洛尔减弱,导致梗死面积为46 +/- 5%*,而被美托洛尔的1.0、1.75和2.5 mg / kg完全消除,导致梗死面积为51 +/- 3%,52 +/- 3%和55 +/- 3%。结论:地氟醚诱导的预处理被美托洛尔剂量依赖性地阻断并且由CaMK II介导。

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