Hébert M T, Marshall J M
J Physiol. 1985 Nov;368:393-407. doi: 10.1113/jphysiol.1985.sp015864.
The responses of mesenteric microcirculation of the rat to circulating noradrenaline were studied by in vivo microscopy, using a photo-electric device placed on a television monitor to measure changes in diameter of individual vessels. Blood flow was measured in the anterior mesenteric artery with an electromagnetic flow transducer, mesenteric vascular conductance was computed on-line from mesenteric artery flow and arterial pressure. I.V. injection of noradrenaline induced a decrease in diameter of arterioles (less than 30 microns) which began simultaneously with the rise in arterial pressure and averaged 15% at 15-20 s. By contrast small and principal arteries (30-40 microns and 80-350 microns respectively) generally showed a diameter increase which averaged 10% and began at the peak of the pressor response. Venules and veins (12-560 microns) showed a diameter decrease which averaged 12-15% at 25-30 s. Meanwhile mesenteric vascular conductance fell by 65-75% in 10 s and rose to 30-50% above control in 25-30 s. The diameter increases of small and principal arteries were not reflex dilator responses initiated by the rise in systemic arterial pressure, nor due to beta-adrenoreceptor stimulation. However, local application of phentolamine abolished responses of all sections of the vascular tree indicating that they all depended on activation of alpha-adrenoreceptors. During I.V. infusion of noradrenaline small arteries showed a maintained increase in diameter which began at the peak of the pressor response, while arterioles initially decreased in diameter but then relaxed, often attaining resting diameter before infusion ceased. Meanwhile mesenteric flow and conductance decreased transiently, but then returned to near control levels, i.e. 'autoregulatory escape' occurred. It is argued that noradrenaline induced alpha-mediated contraction of all sections of the vascular tree; the tendency of arteries to constrict was counteracted by the rise in intravascular pressure caused by arteriolar constriction, active constriction of venous vessels may have been augmented by passive collapse secondary to arteriolar constriction. The secondary relaxation of arterial vessels reflects an inherent property of their smooth muscle to relax from the constrictor influence of noradrenaline and is more marked in proximal than distal vessels. It is proposed that the initial decrease in mesenteric vascular conductance in response to circulating noradrenaline may be attributed to active constriction of distal arterioles and the secondary increase in conductance ('escape') to secondary relaxation of more proximal arterial vessels.
采用体内显微镜技术,通过放置在电视监视器上的光电装置测量单个血管直径的变化,研究大鼠肠系膜微循环对循环去甲肾上腺素的反应。用电磁流量换能器测量肠系膜前动脉的血流量,根据肠系膜动脉血流量和动脉压在线计算肠系膜血管传导率。静脉注射去甲肾上腺素可使小动脉(直径小于30微米)直径减小,该变化与动脉压升高同时开始,在15 - 20秒时平均减小15%。相比之下,小动脉(直径30 - 40微米)和主要动脉(直径80 - 350微米)通常直径增加,平均增加10%,在升压反应峰值时开始。小静脉和静脉(直径12 - 560微米)直径减小,在25 - 30秒时平均减小12 - 15%。同时,肠系膜血管传导率在10秒内下降65 - 75%,在25 - 30秒时升至比对照水平高30 - 50%。小动脉和主要动脉直径的增加不是由全身动脉压升高引发的反射性扩张反应,也不是由于β - 肾上腺素能受体刺激所致。然而,局部应用酚妥拉明可消除血管树各节段的反应,表明它们均依赖于α - 肾上腺素能受体的激活。在静脉输注去甲肾上腺素期间,小动脉直径在升压反应峰值时开始持续增加,而小动脉最初直径减小,但随后舒张,常在输注停止前达到静息直径。同时,肠系膜血流量和传导率短暂下降,但随后恢复到接近对照水平,即发生了“自动调节逃逸”。有观点认为,去甲肾上腺素诱导血管树各节段发生α介导的收缩;小动脉收缩引起的血管内压力升高抵消了动脉收缩的趋势,小静脉的主动收缩可能因小动脉收缩继发的被动塌陷而增强。动脉血管的继发性舒张反映了其平滑肌从去甲肾上腺素的收缩作用中舒张的固有特性,在近端血管比远端血管更明显。有人提出,肠系膜血管传导率对循环去甲肾上腺素的初始下降可能归因于远端小动脉的主动收缩,而传导率的继发性增加(“逃逸”)则归因于更近端动脉血管的继发性舒张。