Morff R J
Department of Physiology, Medical College of Georgia, Augusta 30912.
Microvasc Res. 1988 Sep;36(2):150-61. doi: 10.1016/0026-2862(88)90015-5.
Microvascular regulation of tissue oxygenation can be thought of as being accomplished through the interaction of two basic mechanisms: (1) control of tissue blood flow rate (rate of O2 convection) and (2) control of oxygen diffusion distance by alterations in intercapillary distance (exchange control or capillary recruitment). The purpose of this study was to investigate the contribution of the capillary recruitment mechanism to regulation of tissue oxygenation in response to alterations in the tissue perfusion pressure under varying prevailing local PO2 conditions. The cremaster muscle of anesthetized rats (Nembutal, 50 mg/kg, ip) was surgically exposed and maintained in a controlled bath environment for in vivo television microscopy. Intercapillary distances (ICD) between flowing capillaries within the cremaster were measured directly on the face of a TV monitor. The effects of alterations in tissue oxygenation on the ICD were determined by controlling the PO2 of the cremaster bath solution at different levels: high PO2 (approx. 73 mm Hg), intermediate PO2 (approx. 21 mm Hg) or low PO2 (approx. 8 mm Hg). The ICD responses to alterations in perfusion pressure were determined with both the low and the high bath PO2 levels by reducing the cremaster perfusion pressure using a servo-controlled occluder placed around the sacral aorta. Reductions of bath PO2 significantly reduced the mean ICD and resulted in significant alterations in the shape of the ICD distribution, leading to a more homogeneous form. The mean ICD was also significantly reduced in response to reduced perfusion pressure, and the relative ICD reduction was more pronounced when the prevailing bath PO2 was high. These results support the concept of a shifting locus of vasoregulation with changing tissue metabolism, with control shifting toward the terminal precapillary portions of the microvascular network when metabolic stresses are reduced.
(1)组织血流速率(氧气对流速率)的控制,以及(2)通过改变毛细血管间距(交换控制或毛细血管募集)来控制氧气扩散距离。本研究的目的是调查在不同的局部PO2条件下,毛细血管募集机制对组织灌注压力改变时组织氧合调节的贡献。将麻醉大鼠(戊巴比妥,50mg/kg,腹腔注射)的提睾肌手术暴露,并维持在可控的浴槽环境中进行体内电视显微镜观察。在电视监视器屏幕上直接测量提睾肌内流动毛细血管之间的毛细血管间距(ICD)。通过将提睾肌浴槽溶液的PO2控制在不同水平来确定组织氧合改变对ICD的影响:高PO2(约73mmHg)、中等PO2(约21mmHg)或低PO2(约8mmHg)。通过使用围绕骶主动脉放置的伺服控制闭塞器降低提睾肌灌注压力,在低浴槽PO2水平和高浴槽PO2水平下确定ICD对灌注压力改变的反应。浴槽PO2的降低显著降低了平均ICD,并导致ICD分布形状的显著改变,使其更均匀。平均ICD也因灌注压力降低而显著降低,当浴槽PO2较高时,相对ICD降低更明显。这些结果支持了血管调节位点随组织代谢变化而转移的概念,当代谢应激降低时,控制向微血管网络的终末毛细血管前部分转移。