Molthen Robert C, Karau Kelly L, Dawson Christopher A
Medical College of Wisconsin, USA.
J Appl Physiol (1985). 2004 Dec;97(6):2372-84; discussion 2354. doi: 10.1152/japplphysiol.00454.2004. Epub 2004 Aug 27.
Little is known about the constituent hemodynamic consequences of structural changes that occur in the pulmonary arteries during the onset and progression of pulmonary arterial remodeling. Many disease processes are known to be responsible for vascular remodeling that leads to pulmonary arterial hypertension, cor pulmonale, and death. Histology has been the primary tool for evaluating pulmonary remodeling, but it does not provide information on intact vascular structure or the vessel mechanical properties. This study is an extension of our previous work in which we developed an alternative imaging technique to evaluate pulmonary arterial structure. The lungs from Sprague-Dawley rats were removed, perfusion analysis was performed on the isolated lungs, and then an X-ray contrast agent was used to fill the arterial network for imaging. The lungs were scanned over a range of intravascular pressures by volumetric micro-computed tomography, and the arterial morphometry was mapped and measured in the reconstructed isotropic volumes. A quantitative assessment of hemodynamic, structural, and biomechanical differences between rats exposed for 21 days to hypoxia (10% O(2)) or normoxia (21.0% O(2)) was performed. One metric, the normalized distensibility of the arteries, is significantly (P < 0.001) larger [0.025 +/- 0.0011 (SE) mmHg(-1)] (n = 9) in normoxic rats compared with hypoxic [0.015 +/- 0.00077 (SE) mmHg(-1)] (n = 9). The results of the study show that these models can be applied to the Sprague-Dawley rat data and, specifically, can be used to differentiate between the hypoxic and the control groups.
关于肺动脉重塑发生和发展过程中肺动脉结构变化所产生的血流动力学后果,目前所知甚少。已知许多疾病过程会导致血管重塑,进而引发肺动脉高压、肺心病和死亡。组织学一直是评估肺重塑的主要工具,但它无法提供完整血管结构或血管力学特性的信息。本研究是我们之前工作的延伸,在之前的工作中我们开发了一种替代成像技术来评估肺动脉结构。取出Sprague-Dawley大鼠的肺,对离体肺进行灌注分析,然后使用X射线造影剂填充动脉网络以进行成像。通过容积微计算机断层扫描在一系列血管内压力范围内对肺进行扫描,并在重建的各向同性体积中绘制和测量动脉形态学。对暴露于低氧(10% O₂)或常氧(21.0% O₂)21天的大鼠之间的血流动力学、结构和生物力学差异进行了定量评估。一个指标,即动脉的归一化扩张性,在常氧大鼠中[0.025 +/- 0.0011(标准误)mmHg⁻¹](n = 9)显著(P < 0.001)大于低氧大鼠[0.015 +/- 0.00077(标准误)mmHg⁻¹](n = 9)。研究结果表明,这些模型可应用于Sprague-Dawley大鼠的数据,特别是可用于区分低氧组和对照组。