Mechanical, Aerospace, and Biomedical Engineering, University of Tennessee, Knoxville, TN, USA.
Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA.
Int J Hyperthermia. 2022;39(1):69-80. doi: 10.1080/02656736.2021.2018510.
The cardiovascular (CV) system plays a vital role in thermoregulation because of its influence on heat transfer forced convection and conduction by changes in blood distribution, blood velocity, and proximity of vessels to surrounding tissues. To fully understand the cardiovascular system's role in thermoregulation, blood distribution (influenced by cardiac output, vessel size, blood flow, and pressure) must be quantified, ideally across sex and age. Additionally, wall shear stress is quantified because it is an important metric in cardiovascular disease localization and progression. By investigating the effect of thermal conditions on wall shear stress at a healthy baseline, researchers can begin to study the confluence of thermal condition with pathology or exercise. The purpose of this study is to determine the influence of sex and age on the CV response to temperature. In this work, the effect of core body temperature on hemodynamics of the murine arterial and venous systems has been studied non-invasively, at multiple locations across age and sex.
Male and female, adult and aged, mice ( = 20) were anesthetized and underwent MRI at 7 T. Data were acquired from four co-localized vessel pairs (the neck [carotid/jugular], torso [suprarenal and infrarenal aorta/inferior vena cava (IVC)], periphery [femoral artery/vein]) at core temperatures of 35, 36, 37, and 38 °C. Sixteen CINE, ECG-gated, phase contrast frames with one-directional velocity encoding (through plane) were acquired perpendicular to each vessel. Each frame was analyzed to quantify blood velocity and volumetric flow using a semi-automated in-house MATLAB script. Wall shear stress (WSS) was calculated using the Hagen-Poiseulle formula. A multivariable regression for WSS in the femoral artery was fitted with temperature, sex, age, body weight, and heart rate as variables.
Blood velocity and volumetric flow were quantified in eight vessels at four core body temperatures. Flow in the infrarenal IVC linearly increased with temperature for all groups ( = .002; adjusted means of slopes: male vs. female, 0.37 and 0.28 cm/(s × °C); adult vs. aged, 0.22 and 0.43 cm/(s × °C)). Comparing average volumetric flow response to temperature, groups differed for the suprarenal aorta (adult < aged, < .05), femoral artery (adult < aged, < .05), and femoral vein (adult male < aged male, < .001). The two-way interaction terms of temperature and body weight and temperature and sex had the largest effect on wall shear stress.
Age, in particular, had a significant impact on hemodynamic response as measured by volumetric flow (e.g., aged males > adult males) and WSS at peak-systole (e.g., aged males < adult males). The hemodynamic data can provide physiologically-relevant parameters, including sex and age difference, to computational fluid dynamics models and provide baseline data for the healthy murine vasculature to use as a benchmark for investigations of a variety of physiological (thermal stress) and pathophysiological conditions of the cardiovascular system.
心血管系统在体温调节中起着至关重要的作用,因为它通过改变血液分布、血流速度和血管与周围组织的接近程度来影响强制对流和传导的热量传递。为了充分了解心血管系统在体温调节中的作用,必须量化血液分布(受心输出量、血管大小、血流和压力的影响),最好是在性别和年龄上进行量化。此外,还量化了壁面剪切应力,因为它是心血管疾病定位和进展的一个重要指标。通过研究热条件对健康基线时壁面剪切应力的影响,研究人员可以开始研究热条件与病理学或运动的融合。本研究的目的是确定性别和年龄对心血管系统对温度反应的影响。在这项工作中,非侵入性地研究了核心体温对雄性和雌性、成年和老年小鼠动脉和静脉系统血液动力学的影响,在多个年龄和性别部位进行了研究。
雄性和雌性成年和老年小鼠( = 20)麻醉后在 7T 磁共振成像仪上进行 MRI 检查。在核心温度为 35、36、37 和 38°C 时,从四个共定位的血管对(颈部[颈动脉/颈静脉]、躯干[肾上腺和肾动脉/下腔静脉(IVC)]、外周[股动脉/静脉])采集数据。每个血管对采集 16 次 CINE、心电图门控、单向速度编码(平面内)的相位对比帧。使用内部开发的半自动化 MATLAB 脚本对每个帧进行分析,以量化血流速度和容积流量。使用哈根-泊肃叶公式计算壁面剪切应力(WSS)。使用温度、性别、年龄、体重和心率作为变量,对股动脉的 WSS 进行多元回归拟合。
在四个核心体温下,对八个血管进行了血流速度和容积流量的量化。所有组的 IVC 下腔静脉血流均随温度线性增加( = .002;性别调整斜率的平均值:雄性 vs. 雌性,0.37 和 0.28 cm/(s × °C);成年 vs. 老年,0.22 和 0.43 cm/(s × °C))。比较平均容积流量对温度的响应,各组在肾上腺主动脉(成年<老年, < .05)、股动脉(成年<老年, < .05)和股静脉(成年雄性<老年雄性, < .001)方面存在差异。温度和体重以及温度和性别的双向相互作用项对壁面剪切应力的影响最大。
年龄,特别是在通过容积流量(例如,老年男性>成年男性)和峰值收缩期壁面剪切应力(例如,老年男性<成年男性)来衡量的血流动力学反应方面,具有显著影响。血流动力学数据可以提供与生理相关的参数,包括性别和年龄差异,用于计算流体动力学模型,并为健康小鼠脉管系统提供基线数据,用作各种生理(热应激)和心血管系统病理生理条件的基准。