ENERGY METABOLISM OF THE RIGHT VENTRICLE

为了维持正常的心功能，心肌细胞的ATP合成(通过 氧化磷酸化)必须与ATP的速率精确匹配 水解性，进而随着心脏的变化而迅速而广泛地变化 工作。耦合这些过程的控制机制是不确定的 左心室(LV)，右室未见研究 脑室(RV)。越来越多的体外和体内数据 这个实验室的观察表明，人类的能量代谢 RV和LV可能有很大的不同；因此，在LV中进行的观察 可能不适用于房车。例如，当RV相等增长时 氧气消耗是由肺动脉收缩或 异丙肾上腺素输注对磷酸肌酸/三磷酸腺苷比率的相反变化 可以观察到：随着PA的收缩而减少，随着PA的收缩而增加 异丙肾上腺素。此外，这两种干预措施与 RV底物摄取有显著差异。 这一应用提出了利用体内核磁共振技术 光谱学和心肌血流量、氧的区域测量 和底物利用率，以及NADH荧光来解决以下问题 猪心脏的原位问题：磷酸盐代谢产物的变化 和线粒体氧化还原电位都有助于调节 RV中的氧化磷酸化？各自在什么时候发挥主导作用 控制？底物利用率的变化是否会影响RV水平 磷酸盐代谢产物和氧化还原电位？在相同的动物模型中， 在对增加的工作量的精力充沛的反应上存在差异 房车VS LV？ 希望这些问题的答案将有助于 控制一个关键的生理过程，并阐明相似性和 两个脑室能量代谢的差异。

In order to maintain normal cardiac function, myocardial ATP synthesis (by oxidative phosphorylation) must be matched precisely to the rate of ATP hydrolysis, which in turn varies rapidly and widely with changing cardiac work. The control mechanisms which couple these processes are uncertain in the left ventricle (LV), and have not been investigated in the right ventricle (RV). A growing body of in vitro data, as well as in vivo observations from this laboratory, indicate that energy metabolism of the RV and LV may differ substantially; therefore, observations made in the LV may not be applicable to the RV. For example, when equal increases in RV oxygen consumption are produced by pulmonary artery constriction or isoproterenol infusion, opposite changes in the phosphocreatine/ATP ratio are observed: a decrease with PA constriction and an increase with isoproterenol. In addition, these two interventions are associated with marked differences in RV substrate uptake. This application proposes to utilize techniques of in vivo NMR spectroscopy, and regional measurements of myocardial blood flow, oxygen and substrate utilization, and NADH fluorescence to address the following questions in the pig heart in situ: Do changes in phosphate metabolites and mitochondrial redox potential both contribute to the regulation of oxidative phosphorylation in the RV? When does each exert predominant control? Do changes in substrate utilization affect the levels of RV phosphate metabolites and redox potential? In the same animal model, are there differences in the energetic responses to increased workload of the RV versus the LV? It is hoped that the answers to these questions will shed light on the control of a critical physiologic process, and elucidate similarities and differences in the energy metabolism of the two ventricles.