Hull A D, Long D M, Longo L D, Pearce W J
Department of Physiology, Loma Linda University School of Medicine, California 92350.
Am J Physiol. 1992 Jan;262(1 Pt 2):R137-43. doi: 10.1152/ajpregu.1992.262.1.R137.
We examined the effects of pregnancy on the ovine cerebral vasculature by comparing several characteristics of isolated endothelium-intact segments of three intracranial arteries including the middle cerebral (MCA), posterior communicating (PC), and basilar (BAS) arteries taken from pregnant sheep (138-143 days gestation, term approximately 145 days) and nonpregnant controls. For comparison, segments of the extracranial common carotid (COM) artery were also studied. With pregnancy, vessel water content increased (5.4-5.8%) in all arteries except the PC. Additionally, cellular protein content increased in all arteries (4.4-50.0%). Arterial stiffness, as determined by passive stress-strain determinations, was significantly decreased during pregnancy in the MCA but not in the larger arteries. Maximum contractile responses, when normalized to vessel wall cross-sectional area, were consistently greater in arteries from pregnant than in those from nonpregnant animals (10.1-49.7%). Relaxation to the endothelium-independent guanylate cyclase stimulator S-nitroso-N-acetyl penicillamine (SNAP) increased with pregnancy only in the distal MCA (approximately 17%). Endothelium-dependent relaxation to the calcium ionophore A23187 decreased only in the larger and more proximal COM (-39%). Thus pregnancy was associated with an increase in production of contractile force, a decrease in peripheral vascular stiffness, a decrease in the relaxant response to A23187 in the COM, and an increase in the relaxant response to SNAP in the MCA. Together, these findings indicate that pregnancy has widespread and important vessel specific cerebrovascular consequences that affect not only arterial composition, but also contractility and endothelial reactivity.
我们通过比较从妊娠绵羊(妊娠138 - 143天,足月约145天)和非妊娠对照羊分离得到的包括大脑中动脉(MCA)、后交通动脉(PC)和基底动脉(BAS)在内的三条颅内动脉完整内皮段的几个特征,研究了妊娠对绵羊脑血管系统的影响。为作比较,还研究了颅外颈总动脉(COM)段。妊娠时,除PC外,所有动脉的血管含水量均增加(5.4 - 5.8%)。此外,所有动脉的细胞蛋白含量均增加(4.4 - 50.0%)。通过被动应力应变测定确定的动脉僵硬度在妊娠期间MCA显著降低,但较大动脉未降低。当以血管壁横截面积进行标准化时,妊娠动物动脉的最大收缩反应始终大于非妊娠动物(10.1 - 49.7%)。仅在远端MCA,对内皮非依赖性鸟苷酸环化酶刺激剂S - 亚硝基 - N - 乙酰青霉胺(SNAP)的舒张反应随妊娠增加(约17%)。对钙离子载体A23187的内皮依赖性舒张仅在较大且更靠近近端的COM中降低(-39%)。因此,妊娠与收缩力产生增加、外周血管僵硬度降低、COM对A23187的舒张反应降低以及MCA对SNAP的舒张反应增加有关。这些发现共同表明,妊娠具有广泛且重要的血管特异性脑血管后果,不仅影响动脉组成,还影响收缩性和内皮反应性。