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缺血再灌注后脑实质小动脉的反应性。

Reactivity of brain parenchymal arterioles after ischemia and reperfusion.

作者信息

Cipolla Marilyn J, Bullinger Lisa V

机构信息

Department of Neurology, Ob/Gyn and Pharmacology, University of Vermont College of Medicine, Burlington, Vermont 05405, USA.

出版信息

Microcirculation. 2008 Aug;15(6):495-501. doi: 10.1080/10739680801986742.

Abstract

OBJECTIVE

We investigated the effect of ischemia and reperfusion on the vasoactive function of penetrating brain parenchymal arterioles under pressurized conditions.

METHODS

Parenchymal arterioles (< 50 microm in diameter) from within the middle cerebral artery territory were dissected from male Wistar rats that were either nonischemic control (n = 16) or ischemic for one hour and reperfused for 24 hours (n = 16) by temporary filament occlusion of the middle cerebral artery. Arterioles were mounted on glass cannulas within an arteriograph chamber that allowed for the measurement of lumen diameter and control over intravascular pressure.

RESULTS

After one hour of equilibration at 10 mmHg, spontaneous myogenic tone developed in both groups of animals, constricting control arterioles from 69 +/- 9 to 49 +/- 11 microm (29.5 +/- 10.2%) and ischemic arterioles from 66 +/- 9 to 45 +/- 11 microm (33.1 +/- 14.1%); p > 0.05. Contraction to the nitric oxide synthase inhibitor nitro-L-arginine (10(-4)M) was significantly diminished in ischemic arterioles, constricting only 3.2 +/- 3.3 vs. 15.6 +/- 12.5% in control arterioles (p = 0.017). Both groups dilated to nifedipine; however, the response was significantly diminished after ischemia. The EC50 for nifedipine in control arterioles was 3.54 +/- 0.11 vs. 9.90 +/- 0.71 nM for ischemic arterioles (p = 0.024).

CONCLUSIONS

These findings demonstrate that functional changes occur in brain parenchymal arterioles after ischemia and reperfusion, a result that may significantly influence stroke outcome by altering blood flow to an ischemic region.

摘要

目的

我们研究了缺血再灌注对加压条件下穿透性脑实质小动脉血管活性功能的影响。

方法

从雄性Wistar大鼠大脑中动脉区域内分离出实质小动脉(直径<50微米),这些大鼠分为非缺血对照组(n = 16)或通过大脑中动脉临时丝线阻塞进行1小时缺血并再灌注24小时的组(n = 16)。将小动脉安装在血管造影室的玻璃插管上,该室可测量管腔直径并控制血管内压力。

结果

在10 mmHg平衡1小时后,两组动物均出现自发性肌源性张力,使对照小动脉从69±9微米收缩至49±11微米(29.5±10.2%),缺血小动脉从66±9微米收缩至45±11微米(33.1±14.1%);p>0.05。缺血小动脉对一氧化氮合酶抑制剂硝基-L-精氨酸(10⁻⁴M)的收缩反应明显减弱,仅收缩3.2±3.3%,而对照小动脉为15.6±12.5%(p = 0.017)。两组均对硝苯地平舒张;然而,缺血后反应明显减弱。对照小动脉中硝苯地平的半数有效浓度(EC50)为3.54±0.11 nM,缺血小动脉为9.90±0.71 nM(p = 0.024)。

结论

这些发现表明,缺血再灌注后脑实质小动脉会发生功能变化,这一结果可能通过改变缺血区域的血流而显著影响中风结局。

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本文引用的文献

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Penetrating arterioles are a bottleneck in the perfusion of neocortex.穿透小动脉是新皮质灌注的一个瓶颈。
Proc Natl Acad Sci U S A. 2007 Jan 2;104(1):365-70. doi: 10.1073/pnas.0609551104. Epub 2006 Dec 26.
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