Torring Maria Skytte, Aalkjaer Christian, Bek Toke
Department of Ophthalmology, Aarhus University Hospital, Aarhus, DenmarkDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.
Acta Ophthalmol. 2014 May;92(3):232-7. doi: 10.1111/aos.12143. Epub 2013 May 7.
The retinal blood flow depends on the diameter of retinal arterioles, but diameter changes in these vessels have hitherto only been assessed in vessels larger than approximately 100 μm. Therefore, a new method was developed for studying diameter changes along the vascular tree of arterioles in whole perfused segments of porcine retinas, and the effect of known vasoconstrictors on the diameter of retinal arterioles at different branching levels were studied.
Thirty-four whole-mounted porcine retinas were placed in a specially designed tissue chamber. On the basis of video recordings through an inverted microscope, the diameter of retinal arterioles was measured at five different branching levels before and after addition of a high potassium concentration, or increasing concentrations of endothelin-1, the prostaglandin analogue U46619, noradrenaline or none (time controls).
The baseline diameter ranged from 136 μm (95% CI 132-140 μm) for 1st order arterioles to 33 μm (95% CI 21-44 μm) for 5th order arterioles. In 1st order arterioles, endothelin produced 56.6% (95% CI 47.6-64.0) and U46619 14.6% (95% CI 5.7-22.6) relative constriction compared with baseline, which for both compounds decreased significantly with increasing branching level (p<0.0001 and p<0.0001, respectively). The change in diameter during addition of noradrenaline did not differ significantly from the time controls (p=0.07).
The effect of retinal vasoconstrictors differs among larger and smaller arterioles. The study highlights the need for investigating diameter regulation in smaller retinal arterioles as a basis for understanding normal and pathological changes in retinal blood flow.
视网膜血流量取决于视网膜小动脉的直径,但迄今为止,这些血管的直径变化仅在直径大于约100μm的血管中进行了评估。因此,开发了一种新方法来研究猪视网膜全灌注节段中小动脉血管树的直径变化,并研究了已知血管收缩剂对不同分支水平的视网膜小动脉直径的影响。
将34个猪视网膜全标本置于特制的组织室中。基于通过倒置显微镜进行的视频记录,在添加高钾浓度、内皮素-1、前列腺素类似物U46619、去甲肾上腺素或不添加任何物质(时间对照)之前和之后,在五个不同分支水平测量视网膜小动脉的直径。
一级小动脉的基线直径范围为136μm(95%CI 132-140μm),五级小动脉的基线直径范围为33μm(95%CI 21-44μm)。在一级小动脉中,与基线相比,内皮素产生了56.6%(95%CI 47.6-64.0)的相对收缩,U46619产生了14.6%(95%CI 5.7-22.6)的相对收缩,随着分支水平的增加,这两种化合物的相对收缩均显著降低(分别为p<0.0001和p<0.0001)。添加去甲肾上腺素期间的直径变化与时间对照无显著差异(p=0.07)。
视网膜血管收缩剂对大小不同的小动脉的作用不同。该研究强调了研究较小视网膜小动脉直径调节的必要性,以此作为理解视网膜血流量正常和病理变化的基础。