Dept of Neuroscience, Physiology & Pharmacology, University College London, London, UK.
Department of Neurosurgery, Great Ormond Street Hospital, London, UK.
J Cereb Blood Flow Metab. 2023 Jul;43(7):1142-1152. doi: 10.1177/0271678X231152549. Epub 2023 Jan 23.
Noradrenaline (NA) release from locus coeruleus axons generates vascular contractile tone in arteriolar smooth muscle and contractile capillary pericytes. This tone allows neuronal activity to evoke vasodilation that increases local cerebral blood flow (CBF). Much of the vascular resistance within the brain is located in capillaries and locus coeruleus axons have NA release sites closer to pericytes than to arterioles. In acute brain slices, NA contracted pericytes but did not raise the pericyte cytoplasmic Ca concentration, while the α agonist phenylephrine did not evoke contraction. Blocking α adrenergic receptors (αRs, which induce contraction by inhibiting cAMP production), greatly reduced the NA-evoked pericyte contraction, whereas stimulating αRs using xylazine (a sedative) or clonidine (an anti-hypertensive drug) evoked pericyte contraction. Noradrenaline-evoked pericyte contraction and capillary constriction are thus mediated via αRs. Consequently, αRs may not only modulate CBF in health and pathological conditions, but also contribute to CBF changes evoked by αR ligands administered in research, veterinary and clinical settings.
去甲肾上腺素(NA)从蓝斑核轴突释放,在小动脉平滑肌和毛细血管周细胞中产生血管收缩张力。这种张力允许神经元活动引发血管扩张,从而增加局部脑血流(CBF)。大脑中的大部分血管阻力位于毛细血管中,而蓝斑核轴突的 NA 释放位点比小动脉更靠近周细胞。在急性脑切片中,NA 收缩周细胞,但没有提高周细胞胞浆 Ca 浓度,而 α 激动剂苯肾上腺素则没有引起收缩。阻断 α 肾上腺素能受体(αRs,通过抑制 cAMP 产生引起收缩),大大降低了 NA 引起的周细胞收缩,而使用唑拉西泮(镇静剂)或可乐定(抗高血压药物)刺激 αRs 则引起周细胞收缩。因此,NA 诱导的周细胞收缩和毛细血管收缩是通过 αRs 介导的。因此,αRs 不仅可能在健康和病理条件下调节 CBF,而且可能有助于在研究、兽医和临床环境中给予 αR 配体引起的 CBF 变化。