Sharma Akshita, Secomb Timothy W
Program in Applied Mathematics, University of Arizona, Tucson, AZ, USA.
Program in Applied Mathematics, University of Arizona, Tucson, AZ, USA; Department of Physiology, University of Arizona, Tucson, AZ, USA.
Microvasc Res. 2025 Sep;161:104836. doi: 10.1016/j.mvr.2025.104836. Epub 2025 Jun 26.
The goal of this study is to analyze the effects of changes of blood flow in penetrating arterioles (PAs) on the spatial distribution of tissue oxygen levels in the cerebral cortex. A theoretical model is used to simulate blood flow and oxygen transport in the cortical microcirculation. Networks containing up to 20,000 vessel segments, covering regions up to 1.1 mm, are generated by combining multiple hexagonal units, each fed by one PA. Varying numbers of adjacent PAs are constricted to 50 % of their original diameters, resulting in PA flow reduction by 93 %. With constriction of one or two PAs, the predicted minimum oxygen partial pressure is in the range 10-20 mmHg, corresponding to mild hypoxia. When three or more adjacent PAs are constricted, severe hypoxia (partial pressure below 10 mmHg) is predicted. Thus, oxygenation of the cortex is predicted to be only mildly affected by flow reduction in isolated PAs, but vulnerable to flow reduction in multiple adjacent PAs. Further simulations are used to explore the effects of flow redistribution while holding overall perfusion constant. If one PA is constricted and one adjacent PA is dilated, mild hypoxia is present. With three PAs constricted and four adjacent PAs dilated, regions of both mild and severe hypoxia are predicted. These results show that redistribution of blood flow, caused for instance by disruption of mechanisms for local blood flow regulation, can result in tissue hypoxia, even in the absence of reduced perfusion.
本研究的目的是分析穿通小动脉(PA)中血流变化对大脑皮质组织氧水平空间分布的影响。使用理论模型来模拟皮质微循环中的血流和氧输送。通过组合多个六边形单元生成包含多达20,000个血管段、覆盖区域达1.1毫米的网络,每个六边形单元由一根PA供血。将不同数量的相邻PA收缩至其原始直径的50%,导致PA血流量减少93%。当一根或两根PA收缩时,预测的最低氧分压在10 - 20 mmHg范围内,对应轻度缺氧。当三根或更多相邻PA收缩时,预测会出现严重缺氧(分压低于10 mmHg)。因此,预计皮质的氧合仅会受到孤立PA中血流减少的轻度影响,但易受多个相邻PA中血流减少的影响。进一步的模拟用于在保持总体灌注恒定的同时探索血流再分布的影响。如果一根PA收缩而一根相邻PA扩张,则存在轻度缺氧。当三根PA收缩且四根相邻PA扩张时,预计会出现轻度和严重缺氧区域。这些结果表明,例如由局部血流调节机制破坏引起的血流再分布可导致组织缺氧,即使在灌注未减少的情况下也是如此。