Linde R, Schmalbruch I K, Paulson O B, Madsen P L
Neurobiology Research Unit 9201, The Neuroscience Centre, Copenhagen University Hospital, Rigshospitalet, Denmark.
Acta Physiol Scand. 1999 Apr;165(4):395-401. doi: 10.1046/j.1365-201x.1999.00522.x.
Cerebral activation will increase cerebral blood flow (CBF) and cerebral glucose uptake (CMRglc) more than it increases cerebral uptake of oxygen (CMR(O2)). To study this phenomenon, we present an application of the Kety-Schmidt technique that enables repetitive simultaneous determination of CBF, CMR(O2), CMRglc and CMRlac on awake, non-stressed animals. After constant intravenous infusion with 133Xenon, tracer infusion is terminated, and systemic arterial blood and cerebral venous blood are continuously withdrawn for 9 min. In this paper, we evaluate if the assumptions applied with the Kety-Schmidt technique are fulfilled with our application of the method. When measured twice in the same animal, the intra-individual variation for CBF, CMR(O2), and CMRglc were 10% (SD: 25%), 8% (SD: 25%), and 9% (SD: 28%), respectively. In the awake rat the values obtained for CBF, CMR(O2) and CMRglc were 106 mL 100 g min(-1), 374 micromole 100 g min(-1) and 66 micromole 100 g min(-1), respectively. The glucose taken up by the brain during wakefulness was fully accounted for by oxidation and cerebral lactate efflux. Anaesthesia with pentobarbital induced a uniform reduction of cerebral blood flow and metabolism by approximately 40%. During halothane anaesthesia CBF and CMRglc increased by approximately 50%, while CMR(O2) was unchanged.
脑激活增加脑血流量(CBF)和脑葡萄糖摄取量(CMRglc)的程度,要超过其增加脑氧摄取量(CMR(O2))的程度。为研究这一现象,我们展示了一种Kety-Schmidt技术的应用,该技术能够在清醒、无应激的动物身上重复同时测定CBF、CMR(O2)、CMRglc和CMRlac。在持续静脉输注133氙后,终止示踪剂输注,并持续抽取全身动脉血和脑静脉血9分钟。在本文中,我们评估了应用于Kety-Schmidt技术的假设在我们对该方法的应用中是否成立。在同一动物身上进行两次测量时,CBF、CMR(O2)和CMRglc的个体内变异分别为10%(标准差:25%)、8%(标准差:25%)和9%(标准差:28%)。在清醒大鼠中,CBF、CMR(O2)和CMRglc的值分别为106 mL 100 g min(-1)、374微摩尔 100 g min(-1)和66微摩尔 100 g min(-1)。清醒时大脑摄取的葡萄糖完全由氧化和脑乳酸外流来解释。戊巴比妥麻醉使脑血流量和代谢均匀减少约40%。在氟烷麻醉期间,CBF和CMRglc增加约50%,而CMR(O2)保持不变。