Painter Page R
Office of Environmental Health Hazard Assessment, California Environmental Protection Agency, Sacramento, California 95812, USA.
Theor Biol Med Model. 2005 Aug 11;2:31. doi: 10.1186/1742-4682-2-31.
The maximum metabolic rate (MMR) of mammals is approximately proportional to M(0.9), where M is the mammal's body weight. Therefore, MMR increases with body weight faster than does the basal metabolic rate (BMR), which is approximately proportional to M(0.7). MMR is strongly associated with the capacity of the cardiovascular system to deliver blood to capillaries in the systemic circulation, but properties of this vascular system have not produced an explanation for the scaling of MMR.
Here we focus on the pulmonary circulation where resistance to blood flow (impedance) places a limit on the rate that blood can be pumped through the lungs before pulmonary edema occurs. The maximum pressure gradient that does not produce edema determines the maximum rate that blood can flow through the pulmonary veins without compromising the diffusing capacity of oxygen. We show that modeling the pulmonary venous tree as a fractal-like vascular network leads to a scaling equation for maximum cardiac output that predicts MMR as a function of M as well as the conventional power function aM(b) does and that least-squares regression estimates of the equation's slope-determining parameter correspond closely to the value of the parameter calculated directly from Murray's law.
The assumption that cardiac output at the MMR is limited by pulmonary capillary pressures that produce edema leads to a model that is in agreement with experimental measurements of MMR scaling, and the rate of blood flow in pulmonary veins may be rate-limiting for the pathway of oxygen.
哺乳动物的最大代谢率(MMR)大约与M的0.9次方成正比,其中M是哺乳动物的体重。因此,MMR随体重增加的速度比基础代谢率(BMR)快,基础代谢率大约与M的0.7次方成正比。MMR与心血管系统向体循环中的毛细血管输送血液的能力密切相关,但该血管系统的特性尚未对MMR的缩放比例作出解释。
在这里,我们关注肺循环,其中血流阻力(阻抗)对在肺水肿发生前血液能够被泵入肺部的速率施加了限制。不产生水肿的最大压力梯度决定了在不损害氧气扩散能力的情况下血液能够流经肺静脉的最大速率。我们表明,将肺静脉树建模为类似分形的血管网络会得出一个关于最大心输出量的缩放方程,该方程预测MMR是M的函数,与传统幂函数aM(b)的预测方式相同,并且该方程斜率决定参数的最小二乘回归估计值与直接根据默里定律计算出的参数值密切对应。
MMR时的心输出量受产生水肿的肺毛细血管压力限制这一假设导致了一个与MMR缩放比例的实验测量结果相符的模型,并且肺静脉中的血流速率可能是氧气传输途径的限速因素。