Ward M E, Yan L, Kelly S, Angle M R
Department of Neuroanaesthesia, Montreal Neurological Institute, McGill University, Quebec, Canada.
Anesthesiology. 2000 Dec;93(6):1456-64. doi: 10.1097/00000542-200012000-00018.
Cerebral arteriolar tone is modulated in response to changes in transmural pressure and luminal flow. The effect of flow on the relation between pressure and diameter has not been fully evaluated in these vessels. This study was conducted to investigate this interaction and to determine the role of the endothelium in mediating it.
Rat pial arterioles from the territory of the posterior cerebral artery were mounted in a perfusion myograph. In some arterioles, the endothelium was removed by air perfusion. Diameters were recorded at pressures from 20 to 200 mmHg in the presence and absence of flow (10 microl/min). The response to flow (0-30 microl/min) was recorded at 60 and 120 mmHg.
In the absence of flow, endothelium-intact arterioles demonstrated tone at distending pressures between 40 and 140 mmHg. In the presence of flow, tone did not develop until pressure exceeded 100 mmHg, and the vessels remained active at pressures up to 200 mmHg. Endothelium-denuded arterioles developed tone at the same pressure when perfused as when unperfused, but perfused vessels were able to maintain active tone at higher pressures. At 60 mmHg, flow caused dilation if the endothelium was intact and constriction if it had been removed. At 120 mmHg, flow caused constriction. Endothelium-dependent flow-relaxation was inhibited by N(G)-nitro-L-arginine methyl ester (10(-5) M) and abolished by indomethacin (10(-5) M).
Flow inhibits the development of pial arteriolar tone at low intraluminal pressures through endothelium-dependent mechanisms. Conversely, perfusion extends the upper limit of the myogenically regulated pressure range through endothelium-independent activation of arteriolar smooth muscle contraction.
脑小动脉张力会根据跨壁压力和管腔流量的变化进行调节。流量对压力与直径之间关系的影响在这些血管中尚未得到充分评估。本研究旨在探讨这种相互作用,并确定内皮在介导该作用中的角色。
将来自大脑后动脉区域的大鼠软脑膜小动脉安装在灌注肌动描记器中。在一些小动脉中,通过空气灌注去除内皮。在有和没有流量(10微升/分钟)的情况下,记录20至200毫米汞柱压力下的直径。在60和120毫米汞柱下记录对流量(0 - 30微升/分钟)的反应。
在没有流量的情况下,内皮完整的小动脉在40至140毫米汞柱的扩张压力下表现出张力。在有流量的情况下,直到压力超过100毫米汞柱时才出现张力,并且血管在高达200毫米汞柱的压力下仍保持活性。内皮剥脱的小动脉在灌注时和未灌注时在相同压力下产生张力,但灌注的血管能够在更高压力下维持活性张力。在60毫米汞柱时,如果内皮完整,流量会导致扩张,如果内皮已被去除,则会导致收缩。在120毫米汞柱时,流量会导致收缩。N(G)-硝基-L-精氨酸甲酯(10(-5) M)抑制内皮依赖性流量舒张,吲哚美辛(10(-5) M)使其消失。
流量通过内皮依赖性机制在低管腔内压力下抑制软脑膜小动脉张力的发展。相反,灌注通过小动脉平滑肌收缩的内皮非依赖性激活扩展了肌源性调节压力范围的上限。