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通过铸型腐蚀法显示的自发性高血压大鼠视网膜血管变化

Vascular changes in retinas of spontaneously hypertensive rats demonstrated by corrosion casts.

作者信息

Bhutto I A, Amemiya T

机构信息

Department of Ophthalmology, Nagasaki University School of Medicine, Japan.

出版信息

Ophthalmic Res. 1997;29(1):12-23. doi: 10.1159/000267986.

Abstract

The changes in the capillary network of the retina in spontaneously hypertensive rats (SHR) were demonstrated by scanning and transmission electron microscopy. Corrosion casts with scanning electron microscopy provided a three-dimensional view of the microvasculature of the rat retina and could detect the conspicuous features of the retinal vasculature in SHR. In general, when hypertension lasted for 6-7 months in SHR, tortuosity of the retinal vessels was noted, and later the SHR retina showed increased tortuosity and generalized narrowing of the vessels, localized constriction of the veins, arteriovenous crossing defects, and marked capillary changes, such as caliber irregularity, narrowing, bead-like capillaries, loop formation and localized obliteration. At a later stage, when the blood pressure had been sustained for a long time, there was marked capillary constriction which first affected the superficial capillary network, then scattered capillary network constriction and finally capillary dropout. Transmission electron microscopy revealed narrow capillary lumina and thin endothelium with scarce cytoplasmic components and damaged pericytes. These morphological changes in the capillary network were probably due to structural damage to the endothelial cells, facilitated possibly by compression of the precapillary arterioles. The severity of these changes was usually proportional to the degree and duration of hypertension. These findings indicate that the retinal capillary changes are probably related to hypertension.

摘要

通过扫描电子显微镜和透射电子显微镜观察了自发性高血压大鼠(SHR)视网膜毛细血管网络的变化。扫描电子显微镜下的铸型腐蚀标本提供了大鼠视网膜微血管的三维视图,并能检测到SHR视网膜血管系统的显著特征。一般来说,当SHR高血压持续6 - 7个月时,可观察到视网膜血管迂曲,随后SHR视网膜血管迂曲增加、血管普遍变窄、静脉局部狭窄、动静脉交叉处病变以及明显的毛细血管变化,如管径不规则、变窄、串珠样毛细血管、环状形成和局部闭塞。在后期,当血压长期持续升高时,出现明显的毛细血管收缩,首先影响浅层毛细血管网络,然后是散在的毛细血管网络收缩,最终出现毛细血管缺失。透射电子显微镜显示毛细血管腔狭窄,内皮细胞薄,细胞质成分稀少,周细胞受损。毛细血管网络的这些形态学变化可能是由于内皮细胞的结构损伤,可能是由于毛细血管前小动脉受压所致。这些变化的严重程度通常与高血压的程度和持续时间成正比。这些发现表明,视网膜毛细血管变化可能与高血压有关。

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