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Down-regulation of sodium current in chronic heart failure: effect of long-term therapy with carvedilol 总被引:3,自引:0,他引:3
Maltsev VA Sabbab HN Undrovinas AI 《Cellular and molecular life sciences : CMLS》2002,59(9):1561-1568
Evidence has accumulated recently about the importance of alterations in Na+ channel function and slow myocardial conduction for arrhythmias in the infarcted and failing heart. The present study tested
a hypothesis that Na+ current (INa/C) density decreases in chronic heart failure (HF) and that Na+ channel (NaCh) functional density can be restored by long-term therapy with carvedilol, a mixed α- and β-adrenergic blocker.
Studies were performed using a canine model of chronic HF produced in dogs by sequential intracoronary embolizations with
microspheres. HF developed approximately 3 months after the last embolization (left ventricle, LV, ejection fraction = 28
± 1 %). Ventricular cardiomyocytes (VCs) were isolated enzymatically from LV mid-myocardium, and INa was measured by whole-cell patch-clamp. The maximum INA/C was decreased in failing (n = 19) compared to normal (n = 12) hearts (33.1 ± 1.6 vs 48.5 ± 5.1 pA/pF, mean ± SE, p < 0.001).
The steady-state inactivation and activation of INa remained unchanged in failing compared to normal hearts. Long-term treatment with carvedilol (1 mg/kg, twice daily for 3
months) normalized INa/C in dogs with HF. INa/C in HF dogs (n = 6) treated with carvedilol was higher compared to that of non-treated HF dogs (n = 6) (49.4 ± 0.9 vs 29
± 4.8 pA/pF, p < 0.007). In vitro culture of VCs of failing hearts for 24 h did not restore INa/C. However, INa/C was partially restored when VCs were incubated for 24 h with BAPTA-AM, an intracellular Ca2+ buffer. Thus, we conclude that experimental chronic HF in dogs results in down-regulation of the functional density of NaCh
that can be restored by long-term therapy with carvedilol. The mechanism of NaCh down-regulation in HF may be linked to poor
Ca2+ handling in this stage of disease.
Received 4 June 2002; received after revision 1 July 2002; accepted 17 July 2002
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ID="*"Corresponding author. 相似文献
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为提高卡维地洛溶解度和溶出速率,采用固体分散技术,通过溶剂法,以PVP K30为载体,以药辅质量比(CAR∶PVP K30)、溶剂用量、溶剂蒸发的温度为考察因素,采用正交试验法,得出卡维地洛固体分散体制备的最佳工艺:药物与载体材料质量比1∶9,加入10 m L无水乙醇,蒸发溶剂的温度50℃。与卡维地洛原料药相比,按最佳工艺制备的卡维地洛固体分散体,60min溶出百分率从16.25%提高到98.04%。 相似文献
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