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Molecular mechanism of anesthetic-induced depression of myocardial contraction

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单位: [1]Department of Anesthesiology, Qilu Hospital of Shandong University, Jinan, Shandong, China [2]Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA [3]Department of Anesthesiology, China–Japan Friendship Hospital, Beijing, China [4]Department of Cardiac Surgery, Tongji University Medical Center, Wuhan, China [5]Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
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关键词: anesthetic agents calcium myofilament proteins photolabeling

摘要:
Isoflurane and propofol are known to depress cardiac contraction, but the molecular mechanisms involved are not known. In this study, we determined whether decreasing myofilament Ca2+ responsiveness underlies anesthesia-induced depression of contraction and uncovered the molecular targets of isoflurane and propofol. Force and intracellular Ca2+ ([Ca2+](i)) were measured in rat trabeculae superfused with Krebs-Henseleit solution, with or without propofol or isoflurane. Photoaffinity labeling of myofilament proteins with meta-Azi-propofol (AziPm) and Azi-isoflurane (Azi-iso) and molecular docking were also used. Both propofol and isoflurane dose dependently depressed force from low doses (propofol, 27 +/- 6 mu M; isoflurane, 1.0 +/- 0.1%) to moderate doses (propofol, 87 6 4 mu M; isoflurane, 3.0 +/- 0.25%), without significant alteration [Ca2+](i). During steady-state activations in both intact and skinned preparations, propofol and isoflurane depressed maximum Ca2+-activated force and increased the [Ca2+](i) required for 50% of activation. Myofibrils photolabeled with AziPm and Azi-iso identified myosin, actin, and myosin light chain as targets of the anesthetics. Several adducted residues in those proteins were located in conformationally sensitive regions that underlie contractile function. Thus, propofol and isoflurane decrease force development by directly depressing myofilament Ca2+ responsiveness and have binding sites in key regions for contraction in both actin and myosin.

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出版当年[2015]版:
大类 | 2 区 生物
小类 | 2 区 生化与分子生物学 2 区 生物学 3 区 细胞生物学
最新[2025]版:
大类 | 2 区 生物学
小类 | 2 区 生化与分子生物学 2 区 生物学 3 区 细胞生物学
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出版当年[2014]版:
Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Q1 BIOLOGY Q2 CELL BIOLOGY
最新[2023]版:
Q1 BIOLOGY Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Q2 CELL BIOLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2014版] 出版当年五年平均[2010-2014] 出版前一年[2013版] 出版后一年[2015版]

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第一作者单位: [1]Department of Anesthesiology, Qilu Hospital of Shandong University, Jinan, Shandong, China
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通讯机构: [2]Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA [5]Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA [*1]Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, 311A John Morgan Building, 3620 Hamilton Walk, Philadelphia, PA 19104-6112, USA. [*2]Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, Zayed 6208, 1800 Orleans St., Baltimore, MD 21287, USA
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