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局部压力降低对脑小动脉扩张性及组成的影响。

Effects of local reduction in pressure on distensibility and composition of cerebral arterioles.

作者信息

Baumbach G L, Siems J E, Heistad D D

机构信息

University of Iowa College of Medicine, Department of Pathology, Iowa City 52242.

出版信息

Circ Res. 1991 Feb;68(2):338-51. doi: 10.1161/01.res.68.2.338.

Abstract

This study examined effects of local reductions in mean and pulse pressures on cerebral arterioles in normotensive Wistar-Kyoto rats (WKY) and stroke-prone spontaneously hypertensive rats (SHRSP). WKY and SHRSP underwent clipping of one carotid artery at 1 month of age. At 10-12 months of age, mechanics of pial arterioles were examined in vivo in anesthetized rats. Bilateral craniotomies were performed to expose pial arterioles in the sham and clipped cerebral hemispheres. Stress-strain relations were calculated from measurements of pial arteriolar pressure (servo null), diameter, and cross-sectional area of the arteriolar wall. Point counting stereology was used to quantitate individual components in the arteriolar wall. Before deactivation of smooth muscle with EDTA, mean (Pm) and pulse (Pp) pressures were significantly less (p less than 0.05) in clipped than in sham arterioles in WKY (Pm, 63 +/- 2 versus 73 +/- 2 mm Hg; Pp, 23 +/- 3 versus 30 +/- 3 mm Hg) and SHRSP (Pm, 94 +/- 4 versus 110 +/- 4 mm Hg; Pp, 27 +/- 2 versus 38 +/- 3 mm Hg). Cross-sectional area of the arteriolar wall was less (p less than 0.05) in clipped than in sham arterioles in both groups of rats (1,403 +/- 125 versus 1,683 +/- 125 microns2 in WKY; 1,436 +/- 72 versus 1,926 +/- 134 microns2 in SHRSP). There was a correlation between cross-sectional area of the vessel wall and pulse pressure (r2 = 0.66), but not mean pressure (r2 = 0.09). During maximal dilatation with EDTA, the stress-strain curve was shifted to the left in clipped arterioles of SHRSP, but not of WKY, which indicates that carotid clipping in SHRSP reduces passive distensibility of cerebral arterioles. The proportion of distensible components in the vessel wall (smooth muscle, elastin, and endothelium) was reduced in clipped arterioles in SHRSP, but not in WKY. These findings suggest that 1) vascular hypertrophy of cerebral arterioles is related more closely to pulse pressure than to mean pressure, and 2) reduction of pial arteriolar pressure completely prevents cerebral vascular hypertrophy and attenuates increases in passive distensibility of cerebral arterioles in SHRSP.

摘要

本研究检测了正常血压的Wistar-Kyoto大鼠(WKY)和易中风自发性高血压大鼠(SHRSP)局部平均动脉压和脉压降低对脑小动脉的影响。WKY和SHRSP在1月龄时进行单侧颈动脉夹闭。在10 - 12月龄时,在麻醉大鼠体内检测软脑膜小动脉的力学特性。进行双侧开颅手术以暴露假手术侧和夹闭侧脑半球的软脑膜小动脉。根据软脑膜小动脉压力(伺服零位)、直径和动脉壁横截面积的测量结果计算应力-应变关系。采用点计数立体学方法对动脉壁中的各个成分进行定量分析。在用乙二胺四乙酸(EDTA)使平滑肌失活之前,WKY(平均动脉压,63±2对73±2 mmHg;脉压,23±3对30±3 mmHg)和SHRSP(平均动脉压,94±4对110±4 mmHg;脉压,27±2对38±3 mmHg)夹闭侧小动脉的平均动脉压(Pm)和脉压(Pp)显著低于假手术侧(p<0.05)。两组大鼠夹闭侧小动脉的动脉壁横截面积均小于假手术侧(p<0.05)(WKY:1403±125对1683±125μm²;SHRSP:1436±72对1926±134μm²)。血管壁横截面积与脉压之间存在相关性(r² = 0.66),但与平均动脉压无关(r² = 0.09)。在用EDTA进行最大扩张时,SHRSP夹闭侧小动脉的应力-应变曲线向左移动,而WKY则未出现这种情况,这表明SHRSP的颈动脉夹闭降低了脑小动脉的被动扩张性。SHRSP夹闭侧小动脉壁中可扩张成分(平滑肌、弹性蛋白和内皮)的比例降低,而WKY则未降低。这些发现表明:1)脑小动脉的血管肥大与脉压的关系比与平均动脉压的关系更为密切;2)软脑膜小动脉压力的降低可完全防止脑血管肥大,并减弱SHRSP脑小动脉被动扩张性的增加。

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