Katsuta T
Department of Clinical Neurophysiology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Fukuoka Igaku Zasshi. 1997 Mar;88(3):65-74.
Local cerebral blood flow (LCBF) was measured using the [14C] iodoantipyrine method in 76 discrete brain regions in spontaneously hypertensive rats (SHR) and normotensive Wistar-Kyoto rats (WKY) of 4 months old (young-adult) and 16-17 months old (aged). Compared with the young-adult WKY, in both the young-adult and aged SHR, LCBF was reduced in scattered brain regions, in more wide-spread regions in the aged SHR, while LCBF was not significantly decreased in the aged WKY. The results indicate that, firstly, cerebral hypoperfusion is already established at the age of 4 months by persistent hypertension in SHR, but age-related decline of LCBF thereafter is not remarkable, and secondly, cerebral perfusion is preserved in normotensive WKY even in their senescence. Combined with the present results and the previous study that local cerebral glucose utilization (LCGU) reduced in the aged groups of WKY and SHR in scattered brain regions, more intensively and more extensively in the aged SHR, but did not in the young-adult SHR, the followings are suggested: 1) in the young-adult SHR, LCBF is decreased but brain metabolism is preserved in a state of misery perfusion, 2) in the normotensive aged WKY, LCBF is preserved but brain metabolism is reduced implying "primary hypometabolism during senescence", and 3) in the aged SHR, LCBF is decreased and brain metabolism is more severely reduced, probably resulting from a combination of the primary hypometabolism of the brain by aging and a secondary hypometabolism due to the long-standing hypertension related hypoperfusion.
采用[¹⁴C]碘安替比林法,对4月龄(青年成年)和16 - 17月龄(老年)的自发性高血压大鼠(SHR)和正常血压的Wistar - Kyoto大鼠(WKY)的76个离散脑区进行局部脑血流量(LCBF)测量。与青年成年WKY相比,青年成年和老年SHR的散在脑区LCBF均降低,老年SHR中降低的区域更广泛,而老年WKY的LCBF无显著降低。结果表明,首先,SHR持续性高血压在4月龄时已导致脑灌注不足,但此后与年龄相关的LCBF下降并不显著;其次,正常血压的WKY即使在衰老过程中脑灌注仍得以保留。结合本研究结果以及之前关于局部脑葡萄糖利用(LCGU)的研究,即WKY和SHR老年组散在脑区的LCGU降低,老年SHR中降低更明显、更广泛,而青年成年SHR中未降低,提示如下:1)青年成年SHR中,LCBF降低但脑代谢在灌注不足状态下得以保留;2)正常血压的老年WKY中,LCBF得以保留但脑代谢降低,意味着“衰老过程中的原发性代谢减退”;3)老年SHR中,LCBF降低且脑代谢更严重降低,可能是由于衰老导致的脑原发性代谢减退与长期高血压相关灌注不足引起的继发性代谢减退共同作用的结果。