Tulis D A, Unthank J L, Prewitt R L
Department of Physiology, Eastern Virginia Medical School, Norfolk 23501, USA.
Am J Physiol. 1998 Mar;274(3):H874-82. doi: 10.1152/ajpheart.1998.274.3.H874.
This study was designed to characterize in vivo arterial remodeling of male Wistar rat small mesenteric arteries exposed to varying levels of elevated blood flow in the presence of normal arterial pressure. Through a series of arterial ligations, respective ileal artery and second-order branch blood flows acutely increased approximately 36 and approximately 170% over basal levels. Their respective diameters increased 12 and 38% and their wall area increased 58 and 120% in a time-dependent fashion between 1 and 7 days postlitigation compared with same-animal control vessels. Medical extracellular connective tissue increased concomitantly with medical wall hypertrophy. Immunostaining for proliferating cell nuclear antigen and nuclear profile analyses suggests that both smooth muscle and endothelial cell hyperplasia contribute to flow-induced vascular remodeling. The initial stimulus in this model is flow-mediated shear stress, with possible augmentation by hoop stress, which is increased approximately 7% by the resultant vasodilation. Stable wall thickness-to-lumen diameter ratios at 1, 3, and 7 days, however, suggest chronic hoop stress is tightly regulated and remains constant. The model described herein allows analyses of two arteries with different degrees of flow elevation within the same animal and demonstrates that the magnitude of vessel remodeling in vivo is directly dependent on the duration of flow elevation after abrupt arterial occlusion.
本研究旨在表征在正常动脉压情况下,暴露于不同程度血流增加的雄性Wistar大鼠小肠系膜小动脉的体内动脉重塑情况。通过一系列动脉结扎,回肠动脉和二级分支的血流分别比基础水平急性增加约36%和约170%。与同一只动物的对照血管相比,在结扎后1至7天内,它们各自的直径增加了12%和38%,壁面积增加了58%和120%,呈时间依赖性。中膜细胞外结缔组织与中膜壁肥厚同时增加。增殖细胞核抗原的免疫染色和核形态分析表明,平滑肌和内皮细胞增生均有助于血流诱导的血管重塑。该模型中的初始刺激是血流介导的剪切应力,可能因环向应力而增强,环向应力因血管扩张而增加约7%。然而,在第1、3和7天稳定的壁厚与管腔直径比值表明,慢性环向应力受到严格调节并保持恒定。本文所述模型允许对同一只动物体内两条血流升高程度不同的动脉进行分析,并证明体内血管重塑的程度直接取决于动脉突然闭塞后血流升高的持续时间。