Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Departments of Radiology and Neurology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
J Cereb Blood Flow Metab. 2020 Mar;40(3):501-512. doi: 10.1177/0271678X19831016. Epub 2019 Mar 4.
Despite the importance of understanding the regulation of microvascular blood flow in white matter, no data on subcortical capillary blood flow parameters are available, largely due to the lack of appropriate imaging methods. To address this knowledge gap, we employed two-photon microscopy using a far-red fluorophore Alexa680 and photon-counting detection to measure capillary red blood cell (RBC) flux in both cerebral gray and white matter, in isoflurane-anesthetized mice. We have found that in control animals, baseline capillary RBC flux in the white matter was significantly higher than in the adjacent cerebral gray matter. In response to mild hypercapnia, RBC flux in the white matter exhibited significantly smaller fractional increase than in the gray matter. Finally, during global cerebral hypoperfusion, RBC flux in the white matter was reduced significantly in comparison to the controls, while RBC flux in the gray matter was preserved. Our results suggest that blood flow in the white matter may be less efficiently regulated when challenged by physiological perturbations as compared to the gray matter. Importantly, the blood flow in the white matter may be more susceptible to hypoperfusion than in the gray matter, potentially exacerbating the white matter deterioration in brain conditions involving global cerebral hypoperfusion.
尽管了解脑白质微血管血流调节非常重要,但由于缺乏适当的成像方法,目前还没有关于皮质下毛细血管血流参数的数据。为了填补这一知识空白,我们在异氟烷麻醉的小鼠中使用双光子显微镜和远红荧光染料 Alexa680 以及光子计数检测来测量脑灰质和脑白质中的毛细血管红细胞(RBC)通量。我们发现,在对照动物中,脑白质中的毛细血管 RBC 通量基线明显高于相邻的脑灰质。在轻度高碳酸血症反应中,脑白质中 RBC 通量的分数增加明显小于灰质。最后,在全脑低灌注期间,与对照组相比,脑白质中的 RBC 通量显著降低,而灰质中的 RBC 通量得以保留。我们的结果表明,与灰质相比,在受到生理干扰时,脑白质的血流可能调节效率较低。重要的是,与灰质相比,脑白质的血流可能更容易受到低灌注的影响,这可能会使涉及全脑低灌注的脑状况中的脑白质恶化。