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心肌M2受体的表达在瑞芬太尼对心室跨室壁复极不均一性影响中的作用

刘艳秋 张凯强 李惠 高鸿 熊永红

中国临床药理学杂志2017,Vol.33Issue(15):1440-1442,3.
中国临床药理学杂志2017,Vol.33Issue(15):1440-1442,3.DOI:10.13699/j.cnki.1001-6821.2017.15.018

心肌M2受体的表达在瑞芬太尼对心室跨室壁复极不均一性影响中的作用

Role of ventricular M2 receptors expression on the effects of remifentanil in ventricular transmural repolarization heterogeneity

刘艳秋 1张凯强 2李惠 2高鸿 1熊永红2

作者信息

  • 1. 贵州医科大学附属医院麻醉科,贵阳550004
  • 2. 贵州医科大学麻醉学院,贵阳550004
  • 折叠

摘要

Abstract

Objective To investigate the role of ventricular M2 receptors expression in the effects of remifentanil on ventricular transmural repolarization heterogeneity.Methods Twenty-four adult rabbits were randomly divided into four groups after successful preparation of Langendroff isolated heart perfusion model (n =6):control group was perfused with K-H solution for 60 min,low,middle and high test groups were respectively perfused with 12,25,50 ng · mL-1 remifentanil K-H solution for 60 min.Transmural dispersion of repolarization (TDR) was recorded at the time of reperfusion 60 min.The expression of M2 receptors protein in the ventricular myocardium was determined by Western blotting.Results The TDR of the control group was 8.42 ± 5.33,and the TDR of low,medium and high concentration test groups were 41.24 ± 15.59,29.64 ± 12.40,31.13 ±20.88,with significant difference (P < 0.05).The expression of M2 receptor in control group,low concentration and middle concentration test groups were 0.32 ±0.02,0.40 ±-0.01,0.45 ±0.03,and the expression of M2 receptor in high concentration test group was 0.63 ± 0.04,with significant difference (P < 0.05).Conclusion Remifentanil dose-dependently up-regulates the expression of ventricular M2 receptor,which may be the mechanism of ventricular transmural repolarization heterogeneity.

关键词

瑞芬太尼/跨室壁复极不均一性/M2受体

Key words

remifentanil/transmural repolarization heterogeneity/M2 receptor

分类

医药卫生

引用本文复制引用

刘艳秋,张凯强,李惠,高鸿,熊永红..心肌M2受体的表达在瑞芬太尼对心室跨室壁复极不均一性影响中的作用[J].中国临床药理学杂志,2017,33(15):1440-1442,3.

基金项目

贵州省科技厅联合基金资助项目(黔科合LH字[2015]7424号) (黔科合LH字[2015]7424号)

贵州省大学生创新创业训练计划基金资助项目(201510660022) (201510660022)

中国临床药理学杂志

OA北大核心CSCDCSTPCD

1001-6821

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