Szekeres Mária, Nádasy György L, Dörnyei Gabriella, Szénási Annamária, Koller Akos
Department of Morphology and Physiology, Semmelweis University, Budapest, Hungary.
Department of Physiology, Semmelweis University, Budapest, Hungary.
J Vasc Res. 2018;55(2):87-97. doi: 10.1159/000486571. Epub 2018 Feb 14.
Exercise elicits early adaptation of coronary vessels enabling the coronary circulation to respond adequately to higher flow demands. We hypothesized that short-term daily exercise induces biomechanical and functional remodeling of the coronary resistance arteries related to pressure.
Male rats were subjected to a progressively increasing 4-week treadmill exercise program (over 60 min/day, 1 mph in the final step). In vitro pressure-diameter measurements were performed on coronary segments (119 ± 5 μm in diameter at 50 mm Hg) with microarteriography. The magnitude of the myogenic response and contribution of endogenous nitric oxide and prostanoid production to the wall mechanics and pressure-diameter relationship were assessed.
Arterioles isolated from exercised ani mals - compared to the sedentary group - had thicker walls, increased distensibility, and a decreased elastic modulus as a result of reduced wall stress in the low pressure range. The arterioles of exercised rats exhibited a more powerful myogenic response and less endogenous vasoconstrictor prostanoid modulation at higher pressures, while vasodilator nitric oxide modulation of diameter was augmented at low pressures (< 60 mm Hg).
A short-term daily exercise program induces remodeling of rat intramural coronary arterioles, likely resulting in a greater range of coronary autoregulatory function (constrictor and dilator reserves) and more effective protection against great changes in intraluminal pressure, contributing thereby to the optimization of coronary blood flow during exercise.
运动可引发冠状动脉早期适应性变化,使冠状动脉循环能够充分应对更高的血流需求。我们假设,每日进行短期运动可诱导冠状动脉阻力动脉发生与压力相关的生物力学和功能重塑。
对雄性大鼠进行为期4周的逐步增加强度的跑步机运动计划(最初每天运动60分钟以上,最后阶段速度为每小时1英里)。使用微血管造影术对冠状动脉段(在50毫米汞柱压力下直径为119±5微米)进行体外压力-直径测量。评估肌源性反应的幅度以及内源性一氧化氮和前列腺素生成对血管壁力学和压力-直径关系的影响。
与久坐组相比,从运动动物分离出的小动脉壁更厚,扩张性增加,并且由于在低压范围内壁应力降低,弹性模量减小。运动大鼠的小动脉在较高压力下表现出更强的肌源性反应和更少的内源性血管收缩前列腺素调节,而在低压(<60毫米汞柱)下,血管扩张剂一氧化氮对直径的调节增强。
每日短期运动计划可诱导大鼠壁内冠状动脉小动脉重塑,可能导致更大范围的冠状动脉自身调节功能(收缩和扩张储备)以及对管腔内压力大幅变化更有效的保护,从而有助于运动期间冠状动脉血流的优化。