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清醒犬胸降主动脉弹性力学中平滑肌作用的评估

Assessment of smooth muscle contribution to descending thoracic aortic elastic mechanics in conscious dogs.

作者信息

Barra J G, Armentano R L, Levenson J, Fischer E I, Pichel R H, Simon A

机构信息

Research and Teaching Department, Favaloro Foundation, Buenos Aires, Argentina.

出版信息

Circ Res. 1993 Dec;73(6):1040-50. doi: 10.1161/01.res.73.6.1040.

Abstract

Early investigators found contradictory evidence that vascular smooth muscle activation reduces the elastic modulus of the arterial wall under isotonic conditions but increases it under isometric conditions, concomitant with increased pulse-wave velocity. We examined the individual contributions of aortic constituents to the elastic modulus of the aortic wall to determine if isobaric analysis produces an accurate assessment of vascular smooth muscle activation. We used a modified Maxwell model assuming an incremental elastic modulus (Einc) composed of the elastic modulus of elastin fibers (EE), the elastic modulus of collagen fibers (EC) affected by the fraction of collagen fibers (fC) recruited to support wall stress, and the elastic modulus of the vascular smooth muscle (ESM) according to the following formula: Einc = EE+EC x fC+ESM.Einc was assessed in eight conscious dogs using descending thoracic aortic pressure (microtransducer) and diameter (sonomicrometry) measurements. Stress-strain relations in the control state and during activation of smooth muscle by continuous administration of phenylephrine (5 micrograms.kg-1 x min-1) were obtained by transient occlusions of the descending aorta and inferior vena cava. Results were as follows: EE was 4.99 +/- 1.58 x 10(6) dynes/cm2 (mean +/- SD), and EC was 965.8 +/- 399.8 x 10(6) dynes/cm2, assessed during the control state. Phenylephrine administration increased the theoretical pulse-wave velocity (Moens-Korteweg equation) from 5.25 +/- 1.03 m/s during the control state to 7.57 +/- 2.53 m/s (P < .005). Active muscle exhibited a unimodal stress-strain curve with a maximum stress of 0.949 +/- 0.57 x 10(6) dynes/cm2 at a corresponding strain value of 1.299 +/- 0.083. The maximum value observed corresponded, on the pressure-diameter curve of the active artery, to a pressure of 234.28 +/- 46.6 mm Hg and a diameter of 17.94 +/- 1.6 mm. The maximum ESM derived from the stress-strain relation of the active muscle was 8.345 +/- 7.56 x 10(6) dynes/cm2 at a strain value of 1.283 +/- 0.079. This point was located at 208.01 +/- 40.8 mm Hg and 17.73 +/- 1.41 mm on the active pressure-diameter curve. During activation of vascular smooth muscle, Einc decreased (P < .05) when plotted against internal pressure but increased (P < .05) when plotted against strain, over the operative range.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

早期研究者发现了相互矛盾的证据

在等张条件下,血管平滑肌激活会降低动脉壁的弹性模量,但在等长条件下则会增加,同时脉搏波速度也会增加。我们研究了主动脉各成分对主动脉壁弹性模量的单独贡献,以确定等压分析是否能准确评估血管平滑肌激活情况。我们使用了一个改良的麦克斯韦模型,假设增量弹性模量(Einc)由弹性蛋白纤维的弹性模量(EE)、受募集以支持壁应力的胶原纤维分数(fC)影响的胶原纤维弹性模量(EC)以及血管平滑肌的弹性模量(ESM)组成,计算公式如下:Einc = EE + EC × fC + ESM。使用降主动脉压力(微型传感器)和直径(超声测量法)测量,在8只清醒犬中评估Einc。通过短暂阻断降主动脉和下腔静脉,获得对照状态下以及持续给予去氧肾上腺素(5微克·千克⁻¹·分钟⁻¹)激活平滑肌期间的应力-应变关系。结果如下:对照状态下评估,EE为4.99 ± 1.58×10⁶达因/平方厘米(平均值±标准差),EC为965.8 ± 399.8×10⁶达因/平方厘米。给予去氧肾上腺素后,理论脉搏波速度(门斯-科特韦格方程)从对照状态下的5.25 ± 1.03米/秒增加到7.57 ± 2.53米/秒(P < 0.005)。活跃肌肉呈现单峰应力-应变曲线,在相应应变值为1.299 ± 0.083时,最大应力为0.949 ± 0.57×10⁶达因/平方厘米。在活跃动脉的压力-直径曲线上,观察到的最大值对应压力为234.28 ± 46.6毫米汞柱,直径为17.94 ± 1.6毫米。从活跃肌肉的应力-应变关系得出的最大ESM在应变值为1.283 ± 0.079时为8.345 ± 7.56×10⁶达因/平方厘米。该点在活跃压力-直径曲线上位于208.01 ± 40.8毫米汞柱和17.73 ± 1.41毫米处。在血管平滑肌激活期间,相对于内压绘制时Einc降低(P < 0.05),但相对于应变绘制时增加(P < 0.05),在手术范围内。(摘要截断于400字)

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