Henriksen O, Nielsen S L, Paaske W
Acta Physiol Scand. 1976 Sep;98(1):30-6. doi: 10.1111/j.1748-1716.1976.tb00240.x.
Previous studies on intact human subcutaneous tissue have shown, that blood flow remains constant during minor changes in perfusion pressure. This so-called autoregulatory response has not been demonstrable in isolated preparations of adipose tissue. In the present study on isolated, denervated subcutaneous tissue in female rabbits only 2 of 12 expts. revealed an autoregulatory response during reduction in arterial perfusion pressure. Effluent blood flow from the tissue in the control state was 15.5 ml/100 g-min (S.D. 6.4, n = 12) corresponding to slight vasodilatation of the exposed tissue. Following total ischemia all experiments showed a period with reactive hyperemia, and both duration of hyperemia and excess flow was related to the duration of the ischemia. This response therefore seems more resistant to the experimental procedure, while autoregulation of blood flow to lowered pressure is more susceptible to surgical exposure of the tissue. During elevation of arterial perfusion pressure blood flow in the isolated tissue showed a transient increase and then almost returned to the level during normotension, indicating an elevated vascular resistance. Raising of venous pressure elicited vasoconstriction with pronounced flow reduction. These two reactions may be important for local regulation of blood flow in subcutaneous tissue during orthostatic changes in arterial and venous pressure. It is concluded that the response in adipose tissue to changes in arterial pressure (autoregulation), venous pressure and total ischemia appear to be elicited by different mechanisms.
先前对完整人体皮下组织的研究表明,在灌注压力发生微小变化时,血流保持恒定。这种所谓的自动调节反应在脂肪组织的离体标本中尚未得到证实。在本项针对雌性家兔离体、去神经支配皮下组织的研究中,12个实验中只有2个在动脉灌注压力降低期间显示出自动调节反应。对照状态下组织的流出血流量为15.5毫升/100克·分钟(标准差6.4,n = 12),这对应于暴露组织的轻微血管舒张。在完全缺血后,所有实验均显示出一段反应性充血期,充血持续时间和过量血流量均与缺血持续时间相关。因此,这种反应似乎对实验操作更具抵抗力,而对降低压力的血流自动调节则更容易受到组织手术暴露的影响。在动脉灌注压力升高期间,离体组织中的血流显示出短暂增加,然后几乎恢复到正常血压时的水平,表明血管阻力升高。静脉压力升高引发血管收缩,血流量明显减少。这两种反应对于在动脉和静脉压力的体位变化期间皮下组织血流的局部调节可能很重要。得出的结论是,脂肪组织对动脉压变化(自动调节)、静脉压变化和完全缺血的反应似乎是由不同机制引发的。