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描绘健康视网膜动脉在闪烁光刺激下扩张反应的时间进程。

Characterising the Time Course of the Dilatory Response of Healthy Retinal Arteries during Flicker-Light Provocation.

作者信息

Summers Robert J, Heitmar Rebekka

机构信息

School of Life and Health Sciences, Aston University, Birmingham, UK.

Centre for Vision Across the Lifespan (CVLS), School of Applied Sciences, University of Huddersfield, Huddersfield, UK.

出版信息

J Vasc Res. 2025;62(1):1-9. doi: 10.1159/000541443. Epub 2024 Nov 19.

DOI:10.1159/000541443
PMID:39561730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11797924/
Abstract

INTRODUCTION

The dilatory response of healthy retinal arterioles to flicker-light (FL) provocation appears to be biphasic. The vessel diameter rapidly increases (acute phase) over 5-10 s, then barely increases thereafter (maintenance phase) until FL cessation. This reaction is usually characterised at a single point by two parameters: maximum dilation (MD) relative to baseline diameter (MD, %) and time to MD (RT, s). This paper describes the biphasic reaction of retinal arteries during FL provocation using a bi-linear function.

METHODS

Retinal arterioles from 45 adults were examined during flicker provocation. Each individual time course of arterial diameter change during FL provocation was characterised by a bi-linear equation and compared with MD and RT.

RESULTS

Slopes of the acute phase were 0.506%/s, and the maintenance phase was nearly flat (0.012%/s). The mean time at which the reaction changed from acute to maintenance phase was 7.4 s which is significantly different from RT (16.0 s). Mean dilation at this point (2.987%) was significantly different from MD (3.734%), but it was still 80% of MD in less than half of RT.

CONCLUSION

Bi-linear fitting parameters better characterises the arterial dilatory response than MD and RT. Further stratification of clinical groups using bi-linear fitting may provide insight of the underlying physiology of vessel dilation for different pathologies.

INTRODUCTION

The dilatory response of healthy retinal arterioles to flicker-light (FL) provocation appears to be biphasic. The vessel diameter rapidly increases (acute phase) over 5-10 s, then barely increases thereafter (maintenance phase) until FL cessation. This reaction is usually characterised at a single point by two parameters: maximum dilation (MD) relative to baseline diameter (MD, %) and time to MD (RT, s). This paper describes the biphasic reaction of retinal arteries during FL provocation using a bi-linear function.

METHODS

Retinal arterioles from 45 adults were examined during flicker provocation. Each individual time course of arterial diameter change during FL provocation was characterised by a bi-linear equation and compared with MD and RT.

RESULTS

Slopes of the acute phase were 0.506%/s, and the maintenance phase was nearly flat (0.012%/s). The mean time at which the reaction changed from acute to maintenance phase was 7.4 s which is significantly different from RT (16.0 s). Mean dilation at this point (2.987%) was significantly different from MD (3.734%), but it was still 80% of MD in less than half of RT.

CONCLUSION

Bi-linear fitting parameters better characterises the arterial dilatory response than MD and RT. Further stratification of clinical groups using bi-linear fitting may provide insight of the underlying physiology of vessel dilation for different pathologies.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bff/11797924/d8c1cd69eb81/jvr-2025-0062-0001-541443_F03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bff/11797924/1a543d4598b3/jvr-2025-0062-0001-541443_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bff/11797924/697ec33177b8/jvr-2025-0062-0001-541443_F02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bff/11797924/d8c1cd69eb81/jvr-2025-0062-0001-541443_F03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bff/11797924/1a543d4598b3/jvr-2025-0062-0001-541443_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bff/11797924/697ec33177b8/jvr-2025-0062-0001-541443_F02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bff/11797924/d8c1cd69eb81/jvr-2025-0062-0001-541443_F03.jpg
摘要

引言

健康视网膜小动脉对闪烁光(FL)刺激的扩张反应似乎是双相的。血管直径在5 - 10秒内迅速增加(急性期),此后几乎不再增加(维持期),直至FL停止。这种反应通常由两个参数在单个时间点进行表征:相对于基线直径的最大扩张(MD,%)和达到MD的时间(RT,秒)。本文使用双线性函数描述了FL刺激期间视网膜动脉的双相反应。

方法

在闪烁刺激期间检查了45名成年人的视网膜小动脉。FL刺激期间动脉直径变化的每个个体时间进程由一个双线性方程表征,并与MD和RT进行比较。

结果

急性期的斜率为0.506%/秒,维持期几乎是平的(0.012%/秒)。反应从急性期转变为维持期的平均时间为7.4秒,这与RT(16.0秒)有显著差异。此时的平均扩张(2.987%)与MD(3.734%)有显著差异,但在不到RT一半的时间内,它仍为MD的80%。

结论

双线性拟合参数比MD和RT能更好地表征动脉扩张反应。使用双线性拟合对临床组进行进一步分层可能会为不同病理状态下血管扩张的潜在生理学提供见解。

引言

健康视网膜小动脉对闪烁光(FL)刺激的扩张反应似乎是双相的。血管直径在5 - 10秒内迅速增加(急性期),此后几乎不再增加(维持期),直至FL停止。这种反应通常由两个参数在单个时间点进行表征:相对于基线直径的最大扩张(MD,%)和达到MD的时间(RT,秒)。本文使用双线性函数描述了FL刺激期间视网膜动脉的双相反应。

方法

在闪烁刺激期间检查了45名成年人的视网膜小动脉。FL刺激期间动脉直径变化的每个个体时间进程由一个双线性方程表征,并与MD和RT进行比较。

结果

急性期的斜率为0.506%/秒,维持期几乎是平的(0.012%/秒)。反应从急性期转变为维持期的平均时间为7.4秒,这与RT(16.0秒)有显著差异。此时的平均扩张(2.987%)与MD(3.734%)有显著差异,但在不到RT一半的时间内,它仍为MD的80%。

结论

双线性拟合参数比MD和RT能更好地表征动脉扩张反应。使用双线性拟合对临床组进行进一步分层可能会为不同病理状态下血管扩张的潜在生理学提供见解。

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Vascular dysregulation in glaucoma: retinal vasoconstriction and normal neurovascular coupling in altitudinal visual field defects.青光眼的血管调节异常:视网膜血管收缩与高度性视野缺损中的正常神经血管耦合
EPMA J. 2023 Feb 16;14(1):87-99. doi: 10.1007/s13167-023-00316-6. eCollection 2023 Mar.
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Retinal Microvascular Abnormalities and Systemic Arterial Stiffness Are the First Manifestation of Cardiovascular Abnormalities in Patients with Untreated Moderate to Severe Obstructive Sleep Apnoea and with Low to Intermediate Cardiovascular Risk-A Pilot Study.视网膜微血管异常和全身动脉僵硬度是未经治疗的中重度阻塞性睡眠呼吸暂停且心血管风险较低至中等的患者心血管异常的首发表现——一项前瞻性研究
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Retinal vessel diameters and function in cardiovascular risk and disease.视网膜血管直径与心血管风险和疾病。
Prog Retin Eye Res. 2022 Nov;91:101095. doi: 10.1016/j.preteyeres.2022.101095. Epub 2022 Jun 25.
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Impaired Retinal Vessel Dilation Predicts Mortality in End-Stage Renal Disease.视网膜血管扩张受损可预测终末期肾病患者的死亡率。
Circ Res. 2019 Apr 1. doi: 10.1161/CIRCRESAHA.118.314318.
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Atherosclerosis. 2014 Apr;233(2):478-484. doi: 10.1016/j.atherosclerosis.2013.12.044. Epub 2014 Jan 18.
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Invest Ophthalmol Vis Sci. 2013 Dec 11;54(13):8095-103. doi: 10.1167/iovs.13-12634.
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Retinal vascular dysfunction relates to cognitive impairment in Alzheimer disease.视网膜血管功能障碍与阿尔茨海默病中的认知障碍有关。
Alzheimer Dis Assoc Disord. 2014 Oct-Dec;28(4):366-7. doi: 10.1097/WAD.0b013e3182a2e221.
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Patients with early age-related macular degeneration exhibit signs of macro- and micro-vascular disease and abnormal blood glutathione levels.早期年龄相关性黄斑变性患者表现出大血管和微血管疾病的迹象以及血液谷胱甘肽水平异常。
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