严重烧伤早期心肌[Ca2+]m变化及其机制研究

目的:探讨严重烧伤早期心肌线粒体Ca²⁺浓度(Ca²⁺]_m)的动态变化规律及其发生机制。方法:复制30%Ⅲ°烫伤大鼠模型,测定伤后1、3、6、12、24h大鼠心肌Ca²⁺]_m,同时检测影响Ca²⁺]_m的相关指标—胞浆Ca^2＋浓度(_c)及线粒体Ca^2＋转运速率。结果:烧伤后1、3、6hCa²⁺]_m依次升高,12、24h较6h虽有所下降,但仍高于正常对照组;_c除伤后1h无明显变化外,其余各时相点变化趋势与Ca²⁺]_m相同,且伤后Ca²⁺]_m与_c呈显著正相关,相关系数为0.9177(P＜0.01)。伤后1h心肌线粒体Ca^2＋摄取速率明显升高,而Ca^2＋释放速率无明显改变,但3、6、12、24h心肌线粒体Ca^2＋摄取速率与Ca^2＋释放速率均显著降低,且烧伤后3、6、12、24hCa²⁺]_m分别与线粒体Ca^2＋释放速率呈明显负相关。结论:烧伤后心肌线粒体存在明显的Ca^2＋超载和转运紊乱。

Changes in myocardial mitochondrial Ca

AIM:To investigate the change in myocardial mitochondrial Ca^2＋ concentration ( Ca²⁺]_m) and its mechanism in the early stage of severe burn. METHODS:An experimental model of 30%TBSA full-thickness skin scalding was reproduced in rats. Ca²⁺]_m, cytosolic Ca^2＋ concentration ( _c) and mitochondrial Ca^2＋ transport velocity were determined. RESULTS: ① Ca²⁺]_m increased evidently at 1st hour postburn, and continuously at 3rd hour, reached the peak at 6th hour postburn, then, it decreased at 12th and 24th hour, but remained in higher level than that of the control. ② There was no significant difference in _c between 1st hour postburn and the control, but _c increased evidently at 3rd, 6th, 12th, 24th hour postburn. ③ mitochondrial Ca^2＋ uptake velocity at 1st hour postburn was higher than that of control, and Ca^2＋ release velocity didn't change obviously, but both of them were decreased at 3rd, 6th, 12th, 24th hour postburn. ④ Ca²⁺]_m was positive correlated with _c after burn, and negative correlated with mitochondrial Ca^2＋ release velocity at 3rd, 6th, 12th, 24th hour postburn, respectively. CONCLUSION: There was obvious Ca^2＋ overload in myocardial mitochondria after severe burn, the mechanism of which might include ascent of _c and disorder of Ca^2＋ transport in mitochondria.