Anversa P, Li P, Sonnenblick E H, Olivetti G
Department of Medicine, New York Medical College, Valhalla, New York.
Am J Physiol. 1994 Sep;267(3 Pt 2):H1062-73. doi: 10.1152/ajpheart.1994.267.3.H1062.
To determine whether the alterations in coronary vascular resistance with aging have a structural basis, the quantitative properties of the intramural branches of the coronary circulation and capillary network were measured in Fischer 344 rats at 4, 12, 20, and 29 mo. Physiological measurements demonstrated that a severe impairment in cardiac pump function developed with age, leading to the occurrence of ventricular failure at 29 mo. Morphometrically, the length densities of resistance vessels from 6 to 20 microns in luminal diameter markedly decreased at 12 mo, and this change persisted at 20 and 29 mo. This phenomenon affected the inner, middle, and outer layers of the left ventricular wall. In contrast, capillary luminal volume percentage, capillary numerical density, and average diffusion distance for oxygen in the left and right myocardium were altered only at 20 mo, whereas values comparable to those at 4 mo were found at 12 and 29 mo. The preservation of these capillary characteristics in the heart was due to a significant amount of capillary proliferation. In conclusion, aging effects lead to rarefaction of coronary arterioles in the myocardium, which may impair coronary resistance and reserve without altering the capillary microvasculature and the oxygenation potential of the old and senescent heart.
为了确定随着年龄增长冠状动脉血管阻力的改变是否具有结构基础,对4、12、20和29月龄的Fischer 344大鼠冠状动脉循环壁内分支和毛细血管网络的定量特性进行了测量。生理学测量表明,心脏泵功能随着年龄增长出现严重损害,导致29月龄时发生心室衰竭。形态学上,管腔直径为6至20微米的阻力血管的长度密度在12月龄时显著降低,且这种变化在20和29月龄时持续存在。这种现象影响左心室壁的内层、中层和外层。相比之下,左、右心肌中的毛细血管腔容积百分比、毛细血管数密度以及氧气的平均扩散距离仅在20月龄时发生改变,而在12和29月龄时发现其值与4月龄时相当。心脏中这些毛细血管特征的保留归因于大量的毛细血管增生。总之,衰老效应导致心肌中冠状动脉小动脉稀疏,这可能损害冠状动脉阻力和储备,而不会改变老年和衰老心脏的毛细血管微脉管系统及氧合潜力。