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弹性动脉和肌性动脉对血管紧张素Ⅱ诱导的高血压的差异生物力学反应。

Differential biomechanical responses of elastic and muscular arteries to angiotensin II-induced hypertension.

机构信息

Department of Biomedical Engineering, Yale University, New Haven, CT, USA.

Department of Biomedical Engineering, Yale University, New Haven, CT, USA.

出版信息

J Biomech. 2021 Apr 15;119:110297. doi: 10.1016/j.jbiomech.2021.110297. Epub 2021 Feb 13.

Abstract

Elastic and muscular arteries are distinguished by their distinct microstructures, biomechanical properties, and smooth muscle cell contractile functions. They also exhibit differential remodeling in aging and hypertension. Although regional differences in biomechanical properties have been compared, few studies have quantified biaxial differences in response to hypertension. Here, we contrast passive and active changes in large elastic and medium- and small-sized muscular arteries in adult mice in response to chronic infusion of angiotensin over 14 days. We found a significant increase in wall thickness, both medial and adventitial, in the descending thoracic aorta that associated with trends of an increased collagen:elastin ratio. There was adventitial thickening in the small-sized mesenteric artery, but also significant changes in elastic lamellar structure and contractility. An increased contractile response to phenylephrine coupled with a reduced vasodilatory response to acetylcholine in the mesenteric artery suggested an increased contractile state in response to hypertension. Overall reductions in the calculated gradients in pulse wave velocity and elastin energy storage capability from elastic-to-muscular arteries suggested a possible transfer of excessive pulsatile energy into the small-sized muscular arteries resulting in significant functional consequences in response to hypertension.

摘要

弹性动脉和肌性动脉的微观结构、生物力学特性和平滑肌细胞收缩功能不同。它们在衰老和高血压中也表现出不同的重塑。尽管已经比较了生物力学特性的区域差异,但很少有研究量化高血压反应的双轴差异。在这里,我们对比了成年小鼠在慢性血管紧张素输注 14 天后大弹性和中、小肌性动脉的被动和主动变化。我们发现降胸主动脉的壁厚度(包括中膜和外膜)显著增加,胶原与弹性蛋白的比值也呈增加趋势。肠系膜小动脉的外膜增厚,但弹性层结构和收缩性也发生了显著变化。肠系膜动脉对苯肾上腺素的收缩反应增加,对乙酰胆碱的血管舒张反应降低,表明高血压时收缩状态增加。从弹性动脉到肌性动脉的脉搏波速度和弹性储能能力计算梯度的总体降低表明,过多的脉动能量可能转移到小肌性动脉,导致对高血压的显著功能后果。

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