基础医学与临床 ›› 2008, Vol. 28 ›› Issue (10): 1048-1051.

• 研究论文 • 上一篇    下一篇

慢性房颤患者心房肌细胞钠通道的变化

陈丽 李忠稳 杨艳 刘智飞 李其勇 曾晓荣   

  1. 四川大学华西基础医学与法医学院生理学教研室 安徽医科大学生理教研室 四川省泸州医学院心肌电生理学研究室 四川省泸州医学院心肌电生理学研究室 四川省人民医院心内科 泸州医学院心肌电生理研究室
  • 收稿日期:2007-07-02 修回日期:2007-10-12 出版日期:2008-10-25 发布日期:2008-10-25
  • 通讯作者: 曾晓荣

Change of Na+ channel in chronic human atrial fibrillation

Li CHEN, Zhong-wen LI, Yan YANG, Zhi-fei LIU, Qi-yong LI, Xiao-rong ZENG   

  • Received:2007-07-02 Revised:2007-10-12 Online:2008-10-25 Published:2008-10-25
  • Contact: Xiao-rong ZENG

摘要: 目的:研究慢性房颤病人心房肌细胞钠通道电流特征及其基因表达。方法:膜片钳全细胞技术记录风湿性心脏病慢性房颤者和窦性心律者心房肌细胞钠通道电流;半定量反转录聚合酶链式反应测量心房肌细胞钠通道α亚单位基因(SCN5A)mRNA的表达。结果:(1)与窦性心律相比,慢性房颤病人钠通道电流密度和恢复动力学无改变,钠通道电压依赖性失活曲线向更正的方向偏移;(2)慢性房颤病人基因表达无改变。结论:慢性房颤病人心房传导速度的减慢不是由于钠通道电流的减小所致。

Abstract: AIM: Investigate the changes of Na+ current characteristics and SCN5A expression in the human chronic atrial fibrillation (AF). METHODS: Na+ currents were recorded with the whole-cell patch clamp technique in single atrial myocyte of AF group and normal sinus rhythm group (SR group).The sodium channel α-subunit gene (SCN5A) mRNA was measured by reverse transcription-polymerase chain reaction (RT-PCR). RESULTS: (1) neither current density nor time-dependent recovery of INa was altered by AF in human, but voltage-dependent inactivation of INa was shifted to more positive voltages in AF cells. (2) AF didn't affect mRNA concentration of SCN5A. CONCLUSION: INa is not the reason for the decrease of atrial conduction velocity in AF.