Drugas G T, Chun K E, Miescher E A, Clemens M G
Division of Pediatric Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205.
J Surg Res. 1993 Mar;54(3):246-53. doi: 10.1006/jsre.1993.1039.
Age-related changes in the hepatic microcirculation may contribute to the increased susceptibility of the immature liver to microvascular injury. We quantified sinusoidal and acinar diameters, sinusoidal red cell velocities (VRBC), and sinusoidal volume flows to characterize microhemodynamics of weanling and adult rat livers with and without hepatic artery (HA) ligation using intravital fluorescence videomicroscopy. Despite a 20% faster heart rate and a nearly 20% lower mean arterial and portal vein pressure in weanling rats relative to those in the adults, weanling periportal and pericentral sinusoidal velocities were approximately 30 and 25% faster, respectively, than those in adults. Furthermore, the HA was found to contribute more to maintenance of sinusoidal VRBC in the immature liver as demonstrated by a significant decrease in both periportal and pericentral VRBC following HA ligation. HA ligation had no effect on VRBC of either zone in adults. Zonal volume flow (HA intact), however, was maintained independent of age. These results suggest a lower extrasinusoidal resistance in the weanling. The 25% shorter acinar diameter that we found in weanling livers likely contributes to a lower extrasinusoidal resistance by allowing a higher ratio of inflow vessels to volume of tissue. Shorter sinusoidal pathways in weanling livers also decreases sinusoidal resistance 1.3-fold relative to that in the adult, countering the approximately 1.5 times increase in resistance due to the smaller caliber of sinusoidal vessels so that overall sinusoidal resistance is not age-dependent.(ABSTRACT TRUNCATED AT 250 WORDS)
肝脏微循环的年龄相关变化可能导致未成熟肝脏对微血管损伤的易感性增加。我们使用活体荧光视频显微镜对断奶大鼠和成年大鼠肝脏在有或无肝动脉(HA)结扎情况下的窦状隙和腺泡直径、窦状隙红细胞速度(VRBC)以及窦状隙容积流量进行量化,以表征其微观血流动力学。尽管断奶大鼠的心率比成年大鼠快20%,平均动脉压和门静脉压比成年大鼠低近20%,但断奶大鼠门周和中央周围窦状隙速度分别比成年大鼠快约30%和25%。此外,发现HA对未成熟肝脏中窦状隙VRBC的维持作用更大,HA结扎后门周和中央周围VRBC均显著降低即证明了这一点。HA结扎对成年大鼠任何一个区域的VRBC均无影响。然而,区域容积流量(HA完整)不受年龄影响。这些结果表明断奶大鼠的肝外阻力较低。我们发现断奶大鼠肝脏中腺泡直径短25%,这可能通过使流入血管与组织体积的比例更高而导致肝外阻力降低。断奶大鼠肝脏中较短的窦状隙路径也使窦状隙阻力相对于成年大鼠降低了1.3倍,抵消了由于窦状隙血管管径较小而导致的阻力约1.5倍的增加,因此总体窦状隙阻力不依赖于年龄。(摘要截断于250字)