Tsacopoulos M
Klin Monbl Augenheilkd. 1985 Jun;186(6):477-9. doi: 10.1055/s-2008-1050963.
Retinal excitation implies transmembrane ion movement in the retinal neurones. In order to maintain excitability, the neurones utilize energy derived from the hydrolysis of ATP. ATP is produced in the mitochondria, which consume O2 and carbohydrates for this purpose. Thus, O2 consumption is essential for maintaining ATP in the retinal neurons and, therefore, for maintaining excitability. O2 is delivered to the retinal mitochondria by the microcirculation, where variations of the blood flow cause dramatic fluctuations in the local PO2 in the tissue. The retinal blood flow can be impaired by experimental changes in the pH of the glial cells surrounding the arterioles. According to a hypothesis, intraglial pH modulates the release of a mediator (prostaglandins) which in turn acts on the smooth musculature of the arteriole wall and thus controls vascular motility.
视网膜兴奋意味着视网膜神经元中存在跨膜离子运动。为了维持兴奋性,神经元利用ATP水解产生的能量。ATP在线粒体中产生,线粒体为此消耗氧气和碳水化合物。因此,氧气消耗对于维持视网膜神经元中的ATP至关重要,进而对于维持兴奋性也至关重要。氧气通过微循环输送到视网膜线粒体,在微循环中,血流变化会导致组织局部PO2发生显著波动。视网膜血流可因围绕小动脉的神经胶质细胞pH值的实验性变化而受损。根据一种假说,神经胶质细胞内的pH值调节一种介质(前列腺素)的释放,该介质进而作用于小动脉壁的平滑肌,从而控制血管运动。