Conway R S, Factor S M, Sonnenblick E H, Baez S
Division of Cardiology, Albert Einstein College of Medicine, Bronx, NY 10461.
Cardiovasc Res. 1987 Nov;21(11):796-803. doi: 10.1093/cvr/21.11.796.
The myopathic Syrian hamster is a genetic model of congestive heart failure that exhibits focal myocytolytic necrosis in both heart and skeletal muscle. Previous investigations of microvascular morphology in heart and skeletal muscle have shown severe arteriolar constrictions without fixed anatomical vessel lesions. This study tested the hypothesis that these constrictions indicate a hyperreactivity of the myopathic microvasculature in vivo and that the reactivity corresponds to the developmental course of myocyte pathology. The microcirculation of the cremaster muscle was studied in eight myopathic and six control hamsters in the active stage of necrosis (39-81 days of age) and five myopathic and six control hamsters in the later stage of muscle healing (150-213 days of age). The internal diameter of second order arterioles was measured during topically applied noradrenaline. The myopathic arterioles of the younger group constricted at significantly lower concentrations of noradrenaline (p less than 0.01) and constricted to 35-50% of their resting internal diameter over a narrower range of noradrenaline (p less than 0.01). This indicated both a reduced threshold to noradrenaline and an enhanced response to the agonist. Active myocytolytic necrosis was found in the contralateral cremaster muscle of each myopathic hamster. The older myopathic and control hamsters showed no significant differences in arteriolar responsiveness to applied noradrenaline and no active necrosis. These results indicate a relation between a hyperreactive microvasculature and active necrosis and a normal reacting microvasculature and diminished necrosis in the two phases of the disease. Thus a general correspondence between vascular responsiveness and myocyte pathology exists in this model of heart failure and muscular dystrophy.
患肌病的叙利亚仓鼠是充血性心力衰竭的一种遗传模型,其心脏和骨骼肌均表现出局灶性肌细胞溶解坏死。先前对心脏和骨骼肌微血管形态的研究表明,存在严重的小动脉收缩,但无固定的解剖血管病变。本研究检验了以下假设:这些收缩表明体内患肌病的微血管具有高反应性,且该反应性与肌细胞病变的发展过程相对应。在坏死活跃期(39 - 81日龄),对8只患肌病的仓鼠和6只对照仓鼠的提睾肌微循环进行了研究;在肌肉愈合后期(150 - 213日龄),对5只患肌病的仓鼠和6只对照仓鼠进行了研究。在局部应用去甲肾上腺素期间,测量二级小动脉的内径。较年轻组的患肌病小动脉在去甲肾上腺素浓度显著较低时就发生收缩(p小于0.01),并且在较窄的去甲肾上腺素浓度范围内收缩至其静息内径的35 - 50%(p小于0.01)。这表明对去甲肾上腺素的阈值降低且对激动剂的反应增强。在每只患肌病仓鼠的对侧提睾肌中发现了活跃的肌细胞溶解坏死。年龄较大的患肌病仓鼠和对照仓鼠在小动脉对应用去甲肾上腺素的反应性方面无显著差异,且无活跃坏死。这些结果表明,在疾病的两个阶段,高反应性微血管与活跃坏死之间存在关联,而正常反应性微血管与坏死减少之间也存在关联。因此,在这个心力衰竭和肌肉萎缩模型中,血管反应性与肌细胞病变之间存在普遍的对应关系。