Morkrid L, Ofstad J, Willassen Y
Circ Res. 1976 Oct;39(4):608-15. doi: 10.1161/01.res.39.4.608.
The effect on the intracortical distribution of microspheres and radioactivity caused by steric hindrance of the free movement of spheres into afferent arterioles are described by two mathematical models. The results are compared with corresponding experimental data obtained in six kidneys from normotensive dogs. The first model (A) assumes that spheres are distributed as blood flow, regardless of their size, except for those having diameters greater than that of an afferent arteriole and which do not enter this vessel. The second model (B) includes the Ferry correction. The experimental data show that the percent recovery of spheres with diameters of 20-25 mum was significantly greater in the outer cortex and significantly less in the juxtamedullary cortex than recovery of the smaller spheres, and that the distribution of spheres with diameters of 10 mum to about 17 mum seems uninfluenced by the sphere size. The experimental results we have obtained fit best with model A. We found that according to both models steric restriction is a factor of major importance in relation to the intracortical distribution of spheres, and the analysis shows that the blood flow in the inner part of the renal cortex is grossly underestimated by the method of isotope labeled microspheres when diameters of 15 +/- 5 mum are used in the dog. Furthermore we found that dilation of the afferent arterioles will change the steric hindrance so that a redistribution of spheres and radioactivity may occur without any redistribution of blood flow. It is suggested that the results interpreted as redistribution of blood flow can be explained as due to altered steric hindrance alone, i.e., as a methodological artifact.
两种数学模型描述了微球自由进入入球小动脉时的空间位阻对微球在皮质内分布及放射性的影响。将结果与取自正常血压犬的六个肾脏的相应实验数据进行了比较。第一个模型(A)假定微球按血流分布,无论其大小如何,但直径大于入球小动脉且不能进入该血管的微球除外。第二个模型(B)包括费里校正。实验数据表明,直径为20 - 25μm的微球在外皮质的回收百分比显著高于较小微球,而在近髓质皮质的回收百分比显著低于较小微球,并且直径为10μm至约17μm的微球分布似乎不受微球大小的影响。我们获得的实验结果与模型A最相符。我们发现,根据这两个模型,空间位阻是与微球在皮质内分布相关的一个重要因素,分析表明,当在犬中使用直径为15±5μm的同位素标记微球时,肾皮质内部的血流被严重低估。此外,我们发现入球小动脉的扩张会改变空间位阻,从而可能在没有任何血流重新分布的情况下发生微球和放射性的重新分布。有人提出,被解释为血流重新分布的结果仅可归因于空间位阻的改变,即作为一种方法学假象。