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1 School of Nursing2 Department of Molecular and Integrative Physiology3 School of Allied Health, Nurse Anaesthesia4Department of Preventive Medicine and Public Health5 Department of Molecular and Integrative Physiology, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS 66160-7504, USA
The purpose of this study was to determine whether dopamine (DA) decreases diaphragm apoptosis and attenuates the decline in diaphragmatic contractile performance associated with repetitive isometric contraction using an in vitro diaphragm preparation. Strenuous diaphragm contractions produce free radicals and muscle apoptosis. Dopamine is a free radical scavenger and, at higher concentrations, increases muscle contractility by simulating ß2-adrenoreceptors. A total of 47 male SpragueDawley rats weighing 330450 g were used in a prospective, randomized, controlled in vitro study. Following animal anaesthetization, diaphragms were excised, and muscle strips prepared and placed in a temperature-controlled isolated tissue bath containing KrebsRinger solution (KR) or KR plus 100 µM DA. The solutions were equilibrated with oxygen (O2) at 10, 21 or 95% and 5% carbon dioxide, with the balance being nitrogen. Diaphragm isometric twitch and subtetanic contractions were measured intermittently over 65 min. The diaphragms were then removed and, using a nuclear differential dye uptake method, the percentages of normal, apoptotic and necrotic nuclei were determined using fluorescent microscopy. There were significantly fewer apoptotic nuclei in the DA group diaphragms than in the KR-only group diaphragms in 10 and 21% O2 following either twitch or subtetanic contractions. Dopamine at 100 µM produced only modest increases in muscle performance in both 10 and 21% O2. The attenuation of apoptosis by DA was markedly greater than the effect of DA on muscle performance. Dopamine decreased diaphragmatic apoptosis, perhaps by preventing the activation of intricate apoptotic pathways, stimulating antiapoptotic mechanisms and/or scavenging free radicals.
(Received 25 January 2006;
accepted after revision 25 March 2006; first published online 27 April 2006)
Corresponding author J. D. Pierce: University of Kansas Medical Center, School of Nursing, 3901 Rainbow Blvd, Mail stop no. 4043, Kansas City, KS 66160, USA. Email: jpierce{at}kumc.edu
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C. A. Goodyear-Bruch, J. Jegathesan, R. L. Clancy, and J. D. Pierce Apoptotic-Related Protein Expression in the Diaphragm and the Effect of Dopamine During Inspiratory Resistance Loading Biol Res Nurs, April 1, 2008; 9(4): 293 - 300. [Abstract] [PDF] |
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