Paulson Olaf B, Strandgaard Svend, Olesen Jes, Baron Jean-Claude
Neurobiology Research Unit, Department of Neurology, Rigshospitalet Blegdamsvej, Copenhagen, Denmark.
Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
J Cereb Blood Flow Metab. 2024 Dec;44(12):1605-1607. doi: 10.1177/0271678X241258701. Epub 2024 Jul 25.
A recent publication in JCBFM, "Static autoregulation in humans" gives rise to critical comments. Autoregulation of cerebral blood flow implies that flow is rather constant within a certain blood pressure (BP) range with a lower and an upper pressure limit. The physiology at the two limits is very different, making comparison of the brain's vulnerability at the limits questionable. The recent publication in JCBFM claims a narrow autoregulatory range based on pooling of data from several studies. However, we argue that such pooling blurs the autoregulatory limits. We summarize the classical literature, therefrom we argue for a broad autoregulatory range.
最近发表在《脑循环基础与分子医学杂志》上的一篇文章《人类的静态自动调节》引发了批判性评论。脑血流量的自动调节意味着在一定的血压(BP)范围内,血流量相当恒定,有一个下限和一个上限压力值。这两个极限值时的生理状况差异很大,因此比较大脑在这两个极限值时的易损性存在疑问。最近发表在《脑循环基础与分子医学杂志》上的文章基于多项研究的数据汇总,声称自动调节范围狭窄。然而,我们认为这种汇总模糊了自动调节的极限值。我们总结了经典文献,据此主张自动调节范围较宽。