Tsutsui H, Tomoike H, Nakamura M
Research Institute of Angiocardiology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Circ Res. 1990 Aug;67(2):368-75. doi: 10.1161/01.res.67.2.368.
Tracer distribution as an index of nutritional support across the thoracic and abdominal aortas in rabbits in the presence or absence of atherosclerotic lesions was evaluated using [14C]antipyrine, a metabolically inert, diffusible indicator. Intimal plaques were produced by endothelial balloon denudation of the thoracic aorta and a 1% cholesterol diet. After a steady intravenous infusion of 200 microCi of [14C]antipyrine for 60 seconds, thoracic and abdominal aortas and the heart were excised, and autoradiograms of 20-microns-thick sections were quantified, using microcomputer-aided densitometry. Regional radioactivity and regional diffusional support, as an index of nutritional flow estimated from the timed collections of arterial blood, was 367 and 421 nCi.g-1 (82 and 106 ml.min-1.100 g-1) in thoracic aortic media of the normal and atherosclerotic rabbits, respectively. Radioactivity at the thickened intima was 179 nCi.g-1 (p less than 0.01 versus media). The gruel was noted at a deeper site within the thickened intima, and diffusional support here was 110 nCi.g-1 (p less than 0.01 versus an average radioactivity at the thickened intima). After ligating the intercostal arteries, regional tracer distribution in the media beneath the fibrofatty lesion, but not the plaque-free intima, was reduced to 46%. Thus, in the presence of advanced intimal thickening, the heterogeneous distribution of diffusional flow is prominent across the vessel wall, and abluminal routes are crucial to meet the increased demands of nutritional requirements.
使用[14C]安替比林(一种代谢惰性的可扩散指示剂)评估在有或无动脉粥样硬化病变的情况下,家兔胸主动脉和腹主动脉中示踪剂分布作为营养支持指标的情况。通过对胸主动脉进行内皮球囊剥脱术并给予1%胆固醇饮食来产生内膜斑块。在持续静脉输注200微居里的[14C]安替比林60秒后,切除胸主动脉、腹主动脉和心脏,使用微机辅助密度测定法对20微米厚切片的放射自显影片进行定量分析。正常家兔和动脉粥样硬化家兔胸主动脉中膜的区域放射性和区域扩散支持(根据动脉血定时采集估算的营养流量指标)分别为367和421纳居里·克-1(82和106毫升·分钟-1·100克-1)。增厚内膜处的放射性为179纳居里·克-1(与中膜相比,p<0.01)。粥样物质位于增厚内膜较深部位,此处的扩散支持为110纳居里·克-1(与增厚内膜处的平均放射性相比,p<0.01)。结扎肋间动脉后,纤维脂肪病变下方中膜而非无斑块内膜中的区域示踪剂分布减少至46%。因此,在存在晚期内膜增厚的情况下,扩散流在血管壁上的异质性分布很突出,而血管外膜途径对于满足营养需求的增加至关重要。