Schwartz L B, O'Donohoe M K, Mikat E M, McCann R L, Hagen P O
Atherosclerosis Research Laboratory, Duke University Medical Center, Durham, NC 27701.
Surgery. 1991 Aug;110(2):146-53.
The relative effects of distention, intraluminal pressure, and wall tension on venous smooth muscle and endothelial cell function were examined in 40 external jugular veins from New Zealand white rabbits. Vein grafts (n = 5) were interposed in the common carotid artery and explanted after 10 minutes. Distended veins were inflated in vitro with modified Krebs' solution at 37 degrees C for 10 minutes at pressures of either 20 mm Hg (D-20; n = 5) or 80 mm Hg (D-80; n = 5). Externally supported veins (ES-80; n = 5) were inflated at 80 mm Hg pressure, but distention was prevented by covering with a 3 mm internal diameter polytetrafluoroethylene sleeve. Bradykinin-induced in vitro maximal tension was attenuated significantly in vein grafts (0.13 +/- 0.04 g) and D-80 rings (0.27 +/- 0.07 g) compared with D-20 rings (1.20 +/- 0.14 g), ES-80 rings (0.99 +/- 0.13 g), or nondistended control rings (n = 40; 1.19 +/- 0.10 g; p less than 0.001). The attenuation in contraction in the vein graft and D-80 groups was nonspecific (i.e., similar results were obtained with respect to other smooth muscle agonists). Contractile function was inversely associated with wall tension, the product of pressure and radius (r2 = 0.7438; p = 0.06). In contrast, there were no differences in endothelium-dependent or endothelium-independent relaxation among the five groups. It is concluded that, in this experimental system, (1) venous smooth muscle function is significantly attenuated after short-term in vitro distention or grafting although endothelial function is largely preserved, and (2) the decrement in contraction is due to elevated wall tension.
在来自新西兰白兔的40条颈外静脉中,研究了扩张、腔内压力和壁张力对静脉平滑肌和内皮细胞功能的相对影响。将静脉移植物(n = 5)置于颈总动脉中,10分钟后取出。扩张的静脉在体外于37℃用改良的克雷布斯溶液在20 mmHg(D - 20;n = 5)或80 mmHg(D - 80;n = 5)压力下充气10分钟。外部支撑的静脉(ES - 80;n = 5)在80 mmHg压力下充气,但通过用内径3 mm的聚四氟乙烯套管覆盖来防止扩张。与D - 20环(1.20 +/- 0.14 g)、ES - 80环(0.99 +/- 0.13 g)或未扩张的对照环(n = 40;1.19 +/- 0.10 g;p < 0.001)相比,缓激肽诱导的体外最大张力在静脉移植物(0.13 +/- 0.04 g)和D - 80环(0.27 +/- 0.07 g)中显著减弱。静脉移植物和D - 80组收缩的减弱是非特异性的(即,对于其他平滑肌激动剂获得了类似结果)。收缩功能与壁张力呈负相关,壁张力是压力和半径的乘积(r2 = 0.7438;p = 0.06)。相反,五组之间在内皮依赖性或非内皮依赖性舒张方面没有差异。得出结论,在这个实验系统中,(1)尽管内皮功能在很大程度上得以保留,但短期体外扩张或移植后静脉平滑肌功能显著减弱,并且(2)收缩的减少是由于壁张力升高。