Le Noble L M, Tangelder G J, Slaaf D W, Smits J F, Struyker-Boudier H A
Department of Pharmacology, University of Limburg, Maastricht, The Netherlands.
Pflugers Arch. 1987 Oct;410(3):250-6. doi: 10.1007/BF00580273.
The sympathetic nervous system is one of the primary factors controlling vascular resistance. Vascular smooth muscle contraction by sympathetic stimulation is mediated primarily by alpha-adrenoceptors. In this study, we investigated the effects of different forms of adrenergic stimulation on simultaneously measured macro- and microcirculatory dynamics in the rat mesenteric vascular bed. Macrocirculatory effects were measured by means of registration of changes in mean arterial pressure (MAP) and blood flow feeding this tissue via a miniaturized Doppler flow probe around the superior mesenteric artery. Microvascular changes were measured at the level of A2 arterioles by means of intravital microscopic registration of arteriolar diameters and red blood cell velocity (RBC vel). Topical or intra-arterial application of noradrenaline caused a dose-dependent decrease in arteriolar diameter and RBC vel at doses that did not cause significant systemic effects. On the other hand, during intravenous application of noradrenaline or other vasopressor substances an increase in MAP and decrease in organ (Doppler) blood flow was not parallelled by a decrease in arteriolar diameter or RBC vel. In contrast, RBC vel increased in a dose-related manner, whereas arteriolar diameter only secondarily decreased to a small degree. Similar results were obtained when the sympathetic nervous system was activated by means of electrical stimulation of the posterior hypothalamus. These data indicate that adrenergic stimulation can elicit different vascular responses. The ultimate microvascular effect depends upon the way of stimulation or route of drug administration.
交感神经系统是控制血管阻力的主要因素之一。交感神经刺激引起的血管平滑肌收缩主要由α-肾上腺素能受体介导。在本研究中,我们研究了不同形式的肾上腺素能刺激对大鼠肠系膜血管床同步测量的大循环和微循环动力学的影响。大循环效应通过记录平均动脉压(MAP)的变化以及通过肠系膜上动脉周围的小型多普勒血流探头向该组织供血的血流量来测量。微血管变化通过在A2小动脉水平进行活体显微镜下记录小动脉直径和红细胞速度(RBC vel)来测量。局部或动脉内应用去甲肾上腺素在未引起明显全身效应的剂量下导致小动脉直径和RBC vel呈剂量依赖性降低。另一方面,在静脉内应用去甲肾上腺素或其他血管加压物质期间,MAP升高和器官(多普勒)血流量降低并未伴随着小动脉直径或RBC vel的降低。相反,RBC vel呈剂量相关方式增加,而小动脉直径仅在其次略有降低。当通过电刺激下丘脑后部激活交感神经系统时,也获得了类似的结果。这些数据表明,肾上腺素能刺激可引发不同的血管反应。最终的微血管效应取决于刺激方式或药物给药途径。