Schwenke Daryl O, Pearson James T, Kangawa Kenji, Umetani Keiji, Shirai Mikiyasu
Department of Biochemistry, National Cardiovascular Center Research Institute, Suita, Osaka, Japan.
J Appl Physiol (1985). 2008 Jan;104(1):88-96. doi: 10.1152/japplphysiol.00610.2007. Epub 2007 Oct 25.
Structural and functional changes of the pulmonary circulation, particularly during the pathogenesis of pulmonary arterial hypertension (PAH), remain to be fully elucidated. In this study, we utilized monochromatic synchrotron radiation (SR) microangiography to assess changes in pulmonary arteriole blood flow in the intact-chest rat after 4 wk of chronic hypoxia. Sprague-Dawley rats were exposed to normoxia (N-rats) or chronic hypoxia (10% O(2); CH-rats) for 28 days. Rats were anesthetized, and microangiography was performed on the left lung to assess 1) the branching distribution of pulmonary arteriole blood flow (internal diameter >80 microm) and 2) dynamic changes in vessel lumen diameter during acute hypoxic (8% O(2) for 4 min) pulmonary vasoconstriction (HPV) before and after beta-adrenoceptor blockade (2 mg/kg i.v. propranolol). Using SR angiography, we observed that the number of opaque third- and fourth-generation vessels (100-300 microm) for CH-rats was significantly fewer than the number for N-rats. The magnitude of HPV was not different between CH-rats and N-rats. Beta-adrenoceptor blockade accentuated the HPV in 200- to 300-microm vessels for CH-rats, but even more so in N-rats. However, in CH-rats, beta-adrenoceptor blockade also accentuated the HPV in 100- to 200-microm vessels. In summary, we utilized SR to assess gross blood flow changes and functional changes (i.e., HPV) of the pulmonary circulation in PAH. These results highlight the benefits of SR for assessing pulmonary circulatory pathology. Of particular importance, future use of SR will provide an effective method for assessing potential therapeutic treatments for PAH.
肺循环的结构和功能变化,尤其是在肺动脉高压(PAH)发病机制中的变化,仍有待充分阐明。在本研究中,我们利用单色同步辐射(SR)微血管造影术评估了慢性缺氧4周后完整胸部大鼠肺小动脉血流的变化。将Sprague-Dawley大鼠暴露于常氧(N组大鼠)或慢性缺氧(10% O₂;CH组大鼠)环境中28天。对大鼠进行麻醉,然后对左肺进行微血管造影,以评估:1)肺小动脉血流(内径>80微米)的分支分布;2)在β肾上腺素能受体阻断(静脉注射2 mg/kg普萘洛尔)前后,急性低氧(8% O₂,持续4分钟)性肺血管收缩(HPV)期间血管腔直径的动态变化。通过SR血管造影,我们观察到CH组大鼠中不透明的第三代和第四代血管(100 - 300微米)数量明显少于N组大鼠。CH组大鼠和N组大鼠的HPV幅度没有差异。β肾上腺素能受体阻断使CH组大鼠200 - 300微米血管中的HPV增强,但在N组大鼠中增强得更明显。然而,在CH组大鼠中,β肾上腺素能受体阻断也使100 - 200微米血管中的HPV增强。总之,我们利用SR评估了PAH中肺循环的总体血流变化和功能变化(即HPV)。这些结果突出了SR在评估肺循环病理学方面的优势。特别重要的是,未来SR的应用将为评估PAH的潜在治疗方法提供一种有效的手段。
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