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
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.
基金:
American Heart AssociationAmerican Heart Association [13GRNT16920028]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81270174]; U.S. National Institutes of Health, Institute of General Medical SciencesUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of General Medical Sciences (NIGMS) [GM055876, GM008076]; Institute of Neurological Disorders and Stroke Grant [NS080519]; NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCESUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of General Medical Sciences (NIGMS) [P01GM055876, T32GM008076] Funding Source: NIH RePORTER; NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKEUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of Neurological Disorders & Stroke (NINDS) [F31NS080519] Funding Source: NIH RePORTER
第一作者单位:[1]Department of Anesthesiology, Qilu Hospital of Shandong University, Jinan, Shandong, China
共同第一作者:
通讯作者:
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
推荐引用方式(GB/T 7714):
Meng Tao,Bu Weiming,Ren Xianfeng,et al.Molecular mechanism of anesthetic-induced depression of myocardial contraction[J].FASEB JOURNAL.2016,30(8):2915-2925.doi:10.1096/fj.201600290RR.
APA:
Meng, Tao,Bu, Weiming,Ren, Xianfeng,Chen, Xinzhong,Yu, Jingui...&Gao, Wei Dong.(2016).Molecular mechanism of anesthetic-induced depression of myocardial contraction.FASEB JOURNAL,30,(8)
MLA:
Meng, Tao,et al."Molecular mechanism of anesthetic-induced depression of myocardial contraction".FASEB JOURNAL 30..8(2016):2915-2925