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健康和肺动脉高压大鼠和小牛的近端肺动脉的连接开口角度以及组织学和力学方面。

Linked opening angle and histological and mechanical aspects of the proximal pulmonary arteries of healthy and pulmonary hypertensive rats and calves.

机构信息

Department of Mechanical Engineering, University of Colorado, Boulder, Colorado, USA.

出版信息

Am J Physiol Heart Circ Physiol. 2011 Nov;301(5):H1810-8. doi: 10.1152/ajpheart.00025.2011. Epub 2011 Aug 19.

DOI:10.1152/ajpheart.00025.2011
PMID:21856906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3213979/
Abstract

Understanding how arterial remodeling changes the mechanical behavior of pulmonary arteries (PAs) is important to the evaluation of pulmonary vascular function. Early and current efforts have focused on the arteries' histological changes, their mechanical properties under in vitro mechanical testing, and their zero-stress and no-load states. However, the linkage between the histology and mechanical behavior is still not well understood. To explore this linkage, we investigated the geometry, residual stretch, and histology of proximal PAs in both adult rat and neonatal calf hypoxic models of pulmonary hypertension (PH), compared their changes due to chronic hypoxia across species, and proposed a two-layer mechanical model of artery to relate the opening angle to the stiffness ratio of the PA outer to inner layer. We found that the proximal PA remodeling in calves was quite different from that in rats. In rats, the arterial wall thickness, inner diameter, and outer layer thickness fraction all increased dramatically in PH and the opening angle decreased significantly, whereas in calves, only the arterial wall thickness increased in PH. The proposed model predicted that the stiffness ratio of the calf proximal PAs changed very little from control to hypertensive group, while the decrease of opening angle in rat proximal PAs in response to chronic hypoxia was approximately linear to the increase of the stiffness ratio. We conclude that the arterial remodeling in rat and calf proximal PAs is different and the change of opening angle can be linked to the change of the arterial histological structure and mechanics.

摘要

了解动脉重塑如何改变肺动脉(PA)的力学行为对于评估肺血管功能非常重要。早期和当前的研究重点主要集中在动脉的组织学变化、体外力学测试下的力学特性以及零应力和空载状态。然而,组织学和力学行为之间的联系仍未得到很好的理解。为了探索这种联系,我们研究了成人大鼠和新生小牛缺氧性肺动脉高压(PH)模型中近端 PA 的几何形状、残余拉伸和组织学,并比较了它们在不同物种慢性缺氧下的变化,并提出了一种两层动脉力学模型,将开口角与 PA 外层与内层的刚度比联系起来。我们发现,小牛近端 PA 的重塑与大鼠非常不同。在大鼠中,动脉壁厚度、内径和外层厚度分数在 PH 中都显著增加,而开口角显著减小,而在小牛中,只有动脉壁厚度在 PH 中增加。所提出的模型预测,从对照到高血压组,小牛近端 PA 的刚度比变化很小,而大鼠近端 PA 的开口角的减小与刚度比的增加大致呈线性关系。我们得出结论,大鼠和小牛近端 PA 的动脉重塑不同,开口角的变化可以与动脉组织学结构和力学的变化联系起来。

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本文引用的文献

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Stiffening of the Extrapulmonary Arteries From Rats in Chronic Hypoxic Pulmonary Hypertension.慢性低氧性肺动脉高压大鼠肺外动脉的硬化
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Am J Physiol Heart Circ Physiol. 2008 Oct;295(4):H1451-9. doi: 10.1152/ajpheart.00127.2008. Epub 2008 Jul 25.
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Pulmonary vascular input impedance is a combined measure of pulmonary vascular resistance and stiffness and predicts clinical outcomes better than pulmonary vascular resistance alone in pediatric patients with pulmonary hypertension.肺血管输入阻抗是肺血管阻力和僵硬度的综合指标,在小儿肺动脉高压患者中,它比单独的肺血管阻力更能预测临床结局。
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