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管腔内血流和压力对脑小动脉直径的调节作用。

Modulation of cerebral arteriolar diameter by intraluminal flow and pressure.

作者信息

Ngai A C, Winn H R

机构信息

Department of Neurological Surgery, University of Washington School of Medicine, Seattle, USA.

出版信息

Circ Res. 1995 Oct;77(4):832-40. doi: 10.1161/01.res.77.4.832.

Abstract

We determined whether cerebral arterioles in vitro adjust their diameters in response to changes in intraluminal flow rate and pressure. Intracerebral arterioles (38- to 55-microns diameter) were isolated from Sprague-Dawley rats and cannulated with a perfusion system that permitted separate control of intraluminal pressure and flow rates. Increasing pressure at 0 flow, in 20 mm Hg steps from 20 to 100 mm Hg, resulted in myogenic constriction, which was greatest at 60 mm Hg (approximately 20%). Increasing flow rate at a constant pressure of 60 mm Hg elicited a biphasic response. At flow rates of up to 10 microL/min, the arterioles dilated by up to 14.5 +/- 2.2% of their control diameter. At higher (> 10 microL/min) flow rates, however, a progressive restoration of resting diameter was observed. Application of the nitric oxide synthase inhibitor NG-mono-methyl-L-arginine (L-NMMA, 0.1 mmol/L) caused a 15.4 +/- 1.7% decrease in control diameter (at 60 mm Hg, zero flow). Although L-NMMA did not affect the responses to increases in pressure or to vasodilators (adenosine and pH 6.8 buffer), it abolished the dilator responses to flow rate increases and to acetylcholine. In contrast, inhibition of prostaglandin synthesis by indomethacin (10 mumol/L) had no effect on flow-induced dilation. These results show that changes in intraluminal flow rates and pressure can independently influence cerebral arteriolar tone and suggest that the flow-induced dilator responses of cerebral arterioles are mediated by an arginine metabolite, such as nitric oxide.

摘要

我们研究了体外脑小动脉是否会根据管腔内流速和压力的变化来调节其直径。从Sprague-Dawley大鼠中分离出脑内小动脉(直径38至55微米),并将其与一个灌注系统相连,该系统可分别控制管腔内压力和流速。在零流量状态下,以20毫米汞柱的步长从20毫米汞柱增加到100毫米汞柱的压力,会导致肌源性收缩,在60毫米汞柱时收缩最为明显(约20%)。在60毫米汞柱的恒定压力下增加流速会引发双相反应。在流速高达10微升/分钟时,小动脉直径扩张幅度高达其对照直径的14.5±2.2%。然而,在更高(>10微升/分钟)的流速下,观察到静息直径逐渐恢复。应用一氧化氮合酶抑制剂NG-单甲基-L-精氨酸(L-NMMA,0.1毫摩尔/升)会使对照直径(在60毫米汞柱,零流量时)降低15.4±1.7%。尽管L-NMMA不影响对压力增加或血管舒张剂(腺苷和pH 6.8缓冲液)的反应,但它消除了对流速增加和乙酰胆碱的舒张反应。相比之下,吲哚美辛(10微摩尔/升)抑制前列腺素合成对流速诱导的扩张没有影响。这些结果表明,管腔内流速和压力的变化可独立影响脑小动脉张力,并提示脑小动脉的流速诱导舒张反应是由精氨酸代谢产物如一氧化氮介导的。

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