[The role of cholinergic regulation and stabilization of myocardial structures in the adaptive protection of the heart].

F Z Meerson, V I Kuznetsov, V A Saltykova
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Abstract

It was found that rat immobilization in small-size cages leb to physiological changes. On day 1 it was a stress-reaction that resulted in decreases of the fibrillation threshold and arrhythmia resistance. On day 5 it was an increase in the vagal tone that caused noticeable atropine-relieved bradycardia. The fibrillation level returned to the baseline. Heart resistance to ischemic and reperfusion arrhythmias increased drastically as compared to the control level. On day 15 the vagal effect declined to reach the baseline; in spite of this heart tolerance to reperfusion arrhythmias further increased. This was followed by enhanced resistance of isolated hearts of the adapted animals to the reperfusion paradox and tonic concentrations of epinephrine and Ca2+, which indicated the formation of the phenomenon of adaptation stabilization of cardiac structures. After termination of the 5-day stressogenic exposure the cholinergic stress-limiting protection of the heart disappeared rapidly, i. e. within 12 hours. The protective effect of the adaptation stabilization phenomenon, which developed during 15 days of the stressogenic exposure, proved to be more stable and persisted during 15 days after its cessation. It is concluded that, based on the coordination of short-term central and long-term cellular mechanisms, the animal body develops optimal adaptation that emerges rapidly and persists for an adequately long period of time. The step-by-step replacement of central mechanisms with cellular ones provides high reliability and efficiency of the protection of the heart and the entire body from extended environmental effects.

[胆碱能调节和心肌结构稳定在心脏适应性保护中的作用]。
结果发现,小笼固定大鼠易引起生理变化。在第1天,这是一种应激反应,导致纤颤阈值和心律失常抵抗降低。在第5天,迷走神经张力的增加引起明显的阿托品缓解的心动过缓。纤颤水平恢复到基线水平。与对照组相比,心脏对缺血和再灌注心律失常的抵抗急剧增加。第15天,迷走神经效应下降到基线水平;尽管如此,心脏对再灌注心律失常的耐受性进一步增加。随后,适应动物离体心脏对再灌注悖论的抵抗力增强,肾上腺素和Ca2+浓度升高,这表明心脏结构形成了适应性稳定现象。在5天应激暴露结束后,心脏胆碱能限制应激保护作用迅速消失,即在12小时内消失。适应稳定现象的保护作用在应激源暴露的15天内形成,在应激源暴露结束后的15天内更加稳定和持续。由此得出结论,基于短期中枢机制和长期细胞机制的协调,动物体发展出快速出现并持续足够长时间的最佳适应。用细胞机制逐步取代中枢机制,为保护心脏和整个身体免受长期环境影响提供了高可靠性和高效率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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